Mental illness is common and can affect anyone, including serving and ex-members of the armed forces and their families.
Some people cope with support from family and friends, or by getting help with other issues in their lives. Others need clinical care and treatment, which could be from the NHS, support groups or charities.
Although it's completely normal to experience anxiety or depression after traumatic events, this can be tough to deal with.
Furthermore, the culture of the armed forces can make getting help for a mental health problem appear difficult.
Some people may not experience some of these symptoms until a few years after leaving the armed forces.
They may also delay getting help for a number of reasons, such as thinking they can cope, fear of criticism, or feeling that NHS therapists will not understand.
Read more about the symptoms of depression.
NHS support and treatment
If you think you or your partner may be experiencing mental health difficulties, you can get expert help from the NHS Veterans' Mental Health Transition, Intervention and Liaison Service (TILS) or the NHS Veterans' Mental Health Complex Treatment Service (CTS).
Both these services are available across England and are provided by specialists in mental health who have an expert understanding of the armed forces.
They'll also help to manage your care and support across other organisations.
Families and carers can find it hard to cope when their loved ones are not well, so, where appropriate, help may be provided for them, too.
NHS Veterans' Mental Health Transition, Intervention and Liaison Service (TILS)
TILS is a dedicated local-community-based service for veterans and those transitioning out of the armed forces with a discharge date.
The service provides a range of treatment, from recognising the early signs of mental health problems and providing access to early support, to therapeutic treatment for complex mental health difficulties and psychological trauma.
Where appropriate, help is also provided for other needs that may affect mental health and wellbeing – for example, with housing, finances, employment, social support and reducing alcohol consumption.
NHS Veterans' Mental Health Complex Treatment Service (CTS)
CTS is an enhanced local-community-based service for ex-service personnel who have military-related complex mental health problems that have not improved with earlier care and treatment.
The service provides intensive care and treatment including, but not limited to, support for drug and alcohol misuse, physical health, employment, housing, relationships and finances, as well as occupational and trauma-focused therapies.
Accessing NHS mental health care for veterans
To access these services, you need to go through TILS. This can be done by contacting the service directly, or by asking a GP or a military charity to refer you.
To contact the service directly:
- in the north of England, call 0303 123 1145 or email email@example.com
- in the Midlands or east of England, call 0300 323 0137 or email firstname.lastname@example.org
- in London or the southeast of England, call 020 3317 6818 or email email@example.com
- in the southwest of England, call 0300 365 2000 or email firstname.lastname@example.org
To access these services, you must:
- be a resident in England
- have served in the UK armed forces for a full day
- be registered with a GP practice in England or be willing to register with a GP
- provide your military service number or another acceptable form of proof of eligibility
When your referral has been received, you'll be offered an initial face-to-face assessment within 2 weeks and, where appropriate, a first clinical appointment 2 weeks after that.
Register with a GP
It's important to register with an NHS GP and tell them you have served in the armed forces so, where appropriate, you can access these and other dedicated services for veterans.
There are also many charities that provide great services, advice and support for veterans, reservists and family members. Similar services exist in Scotland, Northern Ireland and Wales.
Post-traumatic stress disorder (PTSD)
Some people with mental health issues may develop post-traumatic stress disorder (PTSD).
Symptoms can include:
- being constantly anxious
- being unable to relax
- vividly re-experiencing a traumatic event
- avoiding anything that might trigger distressing memories or feelings
- becoming socially isolated
PTSD can lead to problems in relationships and at work, including irritability, anger and substance misuse, particularly alcohol.
While some symptoms, such as nightmares, are normal in the weeks following a traumatic event, symptoms that last longer than this can indicate a problem.
If this happens to you, it's important to get advice from a GP as soon as possible.
If you have not already done so, register with a GP, tell them you served in the armed forces and are a veteran, and bring to their attention any health problems relating to your time in service.