This is your workbook to use before, during, and by xak10506

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									While we pay a great deal of attention to pre-deployment preparation, the Marine’s re-
turn from deployment can be just as stressful—sometimes more so. During the deploy-
ment, you have changed, as have your family, friends, and spouse. You have taken on
new responsibilities and developed confidence in the absence of your spouse. Regard-
less of the length of the separation, the service member and the family will go through a
period of adjustment upon return.


Remember to take things slowly. Reunion is not an event, but a process, which will re-
quire time and effort. Having concerns about the reintegration of your Marine into your
family again is normal. The keys to a successful reunion are flexibility and patience.


This is your workbook to use before, during, and after your reunion to assist you in your
homecoming plans.


This time is critical in preparing the hearts and minds of your loved ones for a success-
ful and healthy family reunion.


The staffs of MCCS programs including Marine Corps Family Team Building and Marine
and Family Services are with you every step of the way. Please note the abundance of
resources provided to at the end of this workbook.


Through planning, patience, and love, you can better prepare your family for the issues
that may surround homecoming.



Be proud of yourself! You have:

      shown strength!


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      held your family together!

      displayed pride and patriotism!

      allowed your Marine to focus on the mission!
You’ve not only survived; you’ve accomplished much!




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Stress is a physical and/or mental response to an event or occurrence. It is the pres-
sure and tension you feel when faced with a situation that is new, unpleasant, or threat-
ening. Many different situations can trigger stress. These situations or incidents are
called stressors. Stress is automatic when our body feels demand or danger.




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Stress affects everyone, and some stress can actually be helpful. Stressors are normal
parts of life that are essential for helping us learn and grow. Some people like to experi-
ence challenging situations that spark a little stress in their life. Without stress, life
could be boring.



      Stress often pushes us forward in life. It helps us to cram for exams, finish a
      project, or clean the house before company arrives. Stress helps us to win
      contests and races, ace a test or job interview. Stress is often the very thing
      that helps us to make necessary changes in our life like leaving a bad rela-
      tionship or moving on to a better job opportunity.




                              What causes stress?


Many different situations can cause stress: the sound of an alarm clock, traffic, noisy
places, demands from work, demands at home, finances, children’s behavior, and other
situations that you may face in your day to day life. And of course:




                    You should be concerned when…



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However, too much stress can lead to many problems. Stress releases hormones that
prepare us for action (to fight or take flight). Prolonged exposure to situations that pro-
duce stress can have negative consequences on your body. You may start to experi-
ence health problems such as high blood pressure, headaches, muscle tension, upset
stomach, or heartburn, and it can even lead to a heart attack or stroke.




Which of these stress symptoms you have experienced during the de-
                            ployment?


      Fatigue             Anger                Sleepless Nights              Anxiety


Change in Skin Condition                    Fear                  Change in Appetite


    Guilt           Elevated Blood Pressure                Overwhelmed Feelings


Sweaty Palms                Frustration          Heart Racing                  Irritability


            Chest Pain                Shame                Lower Back Pain


    Confusion                 Soreness in Muscles                       Forgetfulness


       Faintness or Dizziness             Poor Judgment               Headaches


 Jumpiness                     Hyperactivity                    Obsessive Thoughts


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         Increase use of Alcohol                 Increase use of Tobacco


Trembling                 Daydreaming             Increase in Allergies and Colds




___________________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________




Your Marine has been under stress too. However, the stressors your Marine has experi-
enced are different from yours. Combat stress is the body’s reaction to combat or war.
It is different from “regular stress” due to the intensity and duration.



The Marine Corps views operational stress along a continuum. Each zone represents
how a Marine functions under each level of stress.




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Many Marines under stress still fight well and complete all their essential duties. The
signs are normal responses to combat danger, uncertainty, and the environment. It is
common for some symptoms to persist after the Marine return home.


What can you do?

      Take things slowly and be patient

      Encourage communication, but don’t force it

      Let your Marine know you are there for him/her


A period of readjustment following the Marine’s return is normal, but if you
see that stress is affecting sleep, motivation, and judgment, as well as the
Marine’s ability to function socially or on the job, then additional outside
help may be needed.




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Stress symptoms become warning signs if prolonged, excessive,
      or a sudden change from the individual’s usual style.




Not all combat operational stress symptoms add up to PTSD. It takes a certain set of
stress injury symptoms, for a prolonged period of time, severe enough to affect job per-
formance and relationships, plus a formal diagnosis by a qualified doctor, to be called
PTSD.
Although researchers don't know exactly what causes post-traumatic stress disorder,
they do know some of the risk factors involved, or the things that make someone more
likely to get PTSD.
People of all ages can have post-traumatic stress disorder. It's relatively common
among adults, with about 7 percent to 8 percent of the population having PTSD at some
point in their lives. In any given year, about 5 million U.S. adults have PTSD. Post trau-
matic stress disorder is especially common among those who have served in combat,
and it's sometimes called "shell shock" or "battle fatigue."
People with PTSD most often experience one or more of these four types of traumatic
events:

       Seeing someone being killed or badly injured

       Living through a fire, flood, or natural disaster

       Living through a life-threatening accident

       Having been in combat
But many other traumatic events can also lead to post-traumatic stress disorder, includ-
ing rape, mugging, robbery, assault, civil conflict, car accident, plane crash, torture, kid-
napping, life-threatening medical diagnosis, childhood physical abuse or neglect, sexual
molestation, being threatened with a weapon, terrorist attacks, and other extreme or life-
threatening events.
However, not everyone who experiences these kinds of traumatic events goes on to de-
velop post-traumatic stress disorder. Some factors that may make a person more likely
to get PTSD after a traumatic event include:

       The traumatic event is especially severe or intense.

       The traumatic event was long-lasting.

       Having an existing mental health condition

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       Lacking a good support system of family and friends

       Having family members with PTSD

       Having family members with depression




It's normal to have a wide range of feelings and emotions after a traumatic event. The
feelings may include fear and anxiety, a lack of focus, sadness, changes in sleeping or
eating habits, or bouts of crying that come easily. The person may have recurrent night-
mares or thoughts about the event, but this doesn't mean they have post-traumatic
stress disorder.
However, if these disturbing feelings are experienced for more than a month, if they're
severe, or if the person feels they are having trouble getting their life back under control,
they should consider talking to a health care professional.

                     Where Can I Go To Get Help?

Active duty Marines and family members can contact their unit chaplain (466-4000), unit
mental health team, or primary medical provider.


All family members and Marines can contact the Military One Source at https://
www.militaryonesource.com and register for a free account.



              Free confidential counseling (up to 12 free sessions) in the civilian
              community is available.

              Call toll free 1-800-342-9647

              International: access code + 800-3429-6477
              (all 11 digits must be dialed)

              Por Español llame: 1-877-888-0727




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Marine and Family Services counselors and staff are also available to assist with the
needs of active duty members and their families. You can contact Marine and Family
Services at 466-4401.
                                  Remain calm,
                                     go slow,
                                  stay informed,
                               and stay involved
                        to cope during these challenges.




                          Stress Reducing Tips




If you are one of the millions of stressed-out Americans, there’s
good news. People can learn to manage stress.


                           Start with these 10 tips:


*Accept that there are events you cannot control.


*Learn and practice relaxation techniques.

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*Keep a positive attitude.


*Seek out social support.


*Eat healthy, well-balanced meals.


*Learn to manage your time more effectively.


*Don’t rely on alcohol or drugs to reduce stress.


*Exercise regularly. Your body can fight stress better when it is fit.


*Get enough rest and sleep. Your body needs time to recover
from stressful events.


*Be assertive instead of aggressive. “Assert” your feelings, opin-
ions, or beliefs instead of becoming angry, defensive, or passive.



                                                  Michael W. Smith, MD




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“Children express their knowledge and understanding of situations, con-
cepts, and people in nonverbal ways before they can articulate. Understand-
ing these important channels of communication can help parents and pro-
fessionals working with children facilitate children's learning and develop-
ment.”
                                  Gwyneth Doherty-Sneddon




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     As a parent what challenges have you faced?                         T h e
                                                                         home-
                                                                         coming
                                                                         of the
                                                                         Marine
                                                                         is a ma-
                                                                         j o r
                                                                         change
                                                                         for chil-
                                       Behavioral                           ren.
                                                                         dPhysical
                                                                         T h e y
                             Crying or looking sad                             Fre-
                                                                         h a v e
                                                                         quent
                             Whining                                     grown
                                                                         headaches,
                                                                         stomach-
                             Being down on self
                                                                         aches, nau-
                             Hurting others or self                      sea

                             Clinging to adults
                             Clinging to security items like a blanket
                             Regression in potty training
                             Withdrawing from others
                             Not talking
                             Stop doing things they know how to
                             such as writing, reading, talking, etc.
                             Stop doing things they once enjoyed
                             Frequent tantrums

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                                     Cognitive
                               Drop in grades
                               Avoids homework
                               Daydreams, can't concentrate




 What challenges and/or stress symptoms have your
                children exhibited?                           Educational
                                                              Challenges
                                                              Emotional
                                                              Behavioral
                                                              Challenges
                                                              Challenges




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Breathing Exercises                 Drawing Pictures                            Journaling


                   Talking about problems with a trusted friend or adult


Playing with and Caring for Pets           Sports and Exercise           Giving HUGS!




 Art therapy, drawing, or coloring can be effective means for
              children to articulate their feelings.



It’s important to teach children skills like optimistic thinking, and to trust in themselves
and in the world. Finally, it’s important for parents to remember that even our children

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need some 'down time' to explore their interests and the world, to learn more about
themselves, to form friendships, and to just be children.


                                                                        Elizabeth Scot, M.S.
                                                                                                The transi-
                                                                                                  Remem-
                                                                                                tion period
                                                                                                    ber…
                                                                                                can be a
                                                                                                trying one.
                                                                                                Start now




Fear, shyness, anger, and excitement are all common reactions.


It is not uncommon for children living in the same house to have different reactions.
What is a happy and exciting time for one may be traumatic to another. Plan ahead!



      Tips for Assisting Your Child with Reunion
                   Toddlers
                    Infants

  Be gentle and fun; sit at their level
  Do not expect an infant to recognize the par-
  Listen; accept their feelingsa long deploy-
   ent who has returned from                                          Teenagers
   ment.
  Reinforce your love; ask about their interests
         Great Tips for The child will warm up
  Relax and be patient. All Families!
                                                     Listen with undivided attention, and do not be
   at his/her own pace.
                                                      judgmental
  Take it Slow                                      Respect privacy and friends

  Have a Back Up Plan                               Do not tease about fashion, music, etc.



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                                                                      School Age
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What forms of communication did you utilize during the deployment?
  How do you expect face to face communication to be different?
                                           How will Non Verbal
        How will Tone affect your        cues affect your commu-
           communication?                        nication?




___% words                 ___% tone               ___% non-verbal

So how much of what your Marine has communicated have you actually received
during the deployment? How have we received the remainder of the message?




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Remember:
      There is a natural difference between men and women and our need to communicate.
       Women have a need to speak more than men. Keep in mind that your Marine has been
       deployed with mostly men. It will take time for you to adjust to communicating with each
       other.

      Feelings of anxiety are a normal part of the reunion process.

      Communication will help bring you closer together; let your partner know how you feel.

      Think about what you are saying: organize your thoughts; make a communication list;
       don’t try to talk about different topics at the same time.

      Don’t take it personally if your Marine doesn’t want to discuss his combat experiences
       with you. Often they prefer to share these feelings with other Marines.

           The Reunion and Readjustment Phase

                       This can be a great source of joy or confusion.
     Physically you are together as a couple, but emotionally it may take a bit longer.
Remember these tips to help make the reunion and readjustment as comfortable and
                             successful as possible.


                                                                                                  

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                          Reintegration means:
                             o Bring into a whole
                             o To complete



 What are possible “Blockers” to your successful reintegration?


1. ____________________                              6. ____________________
2. ____________________                              7. ____________________
3. ____________________                              8. ____________________
4. ____________________                              9. ____________________
5. ____________________                            10. ____________________


Overcoming Roadblocks:

     Pick your fights: Constant battles over small issues are emotionally taxing and

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         tend to blunt the impact when you really need to make a point.

        Communicate: Don’t expect your partner to be a mind reader. If something is
         important to you, don’t avoid saying it. It something is still on your mind 24 hours
         later, you need to talk about it.

        Resolve disagreements: Disagreements that are left unfinished can fester and
         lead to deep resentment on both sides.

        Hang in there: All couples go through rough times, emotionally and financially,
         but for some, their crises make the relationship stronger. Keep in mind what
         brought you together in the first place.



          A deployment can be a BUILDING BLOCK or a STUMBLING BLOCK.
                               It is up to the partners to decide!




                        Roles and Responsibilities

   You are ready to hand over many of your duties and responsibilities (check book man-
   agement, child discipline, house work, vehicle maintenance, yard work, etc.) to your
   spouse, but your spouse may not be ready to assume them.


   It may also be the case that your spouse is ready to assume his/her old responsibilities,
   but you are not ready to relinquish them.


   What both of you need to understand is that you are going to have to talk about and ulti-
   mately renegotiate your duties. Be patient, understanding, and tolerant as you both
   adapt to the new family roles.


   Use the diagram below in your discussion. Take the opportunity to talk about it before
   your Marine gets home.


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                        HIS                                              HERS
                                   OURS
                                 ________________________________________________
                                 ________________________________________________
                             _____________
___________________________________________
     Is It OK to Maintain My Independence?

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Husbands and wives worry that their spouse has changed during the de-
ployment and that there will be new strains on the relationship. Both part-
ners may dread, fear, or resent giving up the independence that being apart
had allowed them, as well as resent the freedom each imagines the other
has enjoyed during the separation. While everyone looks forward to reunit-
ing, they may also feel some anger at having been separated in the first
place.
          What activities have you enjoyed while your
                       spouse has been away?


      ____________________                  ____________________


      ____________________                  ____________________




           You will need time together, but you may also need time to
           yourselves. The returning service member will also need to
           spend some time with each child, particularly in a fun, playful
           activity in order to reconnect.
           The Marine may want to maintain contact with his/her friends.
           They often prefer to discuss their deployment experiences with
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              their friends rather than with their family. This scenario should
              be approached in a cautious, patient, and non-judgmental man-
              ner.
              You may want to maintain some of your own activities (trips to
              the gym, yoga, etc.) and you should make every effort to do so.
              While maintaining your independence, ensure that you make
              plans for alone time as a couple and engage in activities you
              both enjoy. This will help bring you both closer together.



              Celebrate Without Breaking the Bank


Avoid the Pitfalls:
              Do not go into DEBT!
              Do not try to buy the love of your spouse or children.
              Do not buy expensive items or take expensive vacations
              that will put you in debt.


The few moments of pleasure these new items/adventures bring will be
outweighed in the long run, as you struggle to pay for them later. Financial
and budgetary discipline is important in ensuring that future family stress is
not incurred.




“Budgets, bills, and debt can be points of painful marital conflict. Luckily, the same traits
   that make a good marriage -- trust, flexibility -- make for great money harmony…
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The challenges of marriage and money are complex because of the interaction of love,
emotion, and practical realities. What couples shouldn’t do, however, is assume money
                    matters will simply fall into place without effort.”
                                                              Liz Pulliam Weston



                             Entertainment on a Dime


You do not have to spend a lot of money to have quality time with your family.
There are activities in your local area that are free or of minimal cost. Partici-
pating in activities that everyone enjoys gives you the opportunity to talk with
your children or spouse, build lasting family relationships, and create a sense
of trust and security.


What activities do you like to do in your community?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________




Additional considerations:

            With your Marine coming home, your income is going to decrease.

            Keep an eye on your LES, make sure additional entitlements stop.

            Your expenses are going to increase, which means you will need to
               REBUDGET!




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     Are they realistic?




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                   What are my expectations?

Ask yourself the following question and fill in the blank with the scenario:




How do I expect my __________ to change after the reunion?



                        Relationship with my spouse


____________________________________________________________
____________________________________________________________
____________________________________________________________


                        Relationship with my children


____________________________________________________________
____________________________________________________________
____________________________________________________________


               Relationship between my spouse and children



____________________________________________________________
____________________________________________________________
____________________________________________________________



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                                       Financial Situation


____________________________________________________________
____________________________________________________________
____________________________________________________________


 Can you think of any other scenarios that would generate an expectation?


____________________________________________________________
____________________________________________________________
____________________________________________________________




Every deployed person and their household members will experience a feeling of anticipation as
the end of the deployment approaches. This may take the form of eagerness for reunion, a
dread of a return to a problematic situation, or a mixture of both. Few get much sleep the night
before homecoming, and children may act out more than usual. These feelings may result in
you and your family members being on edge and exhausted when the family is finally reunited.
It may take a while for the military member to get adjusted to the local time zone, home cooking,
lack of continual aircraft noise, etc. And initially, difficulty sleeping through the night is typical.



                Fantasy                                                   Reality
  At the end of a deployment, it is not unusual to experience a
  homecoming letdown or post-deployment plummet. Reality is sel-
  dom equal to how we have fantasized life after reunion would be.
  Keep expectations reasonable and be flexible.




                                                 VS


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     The military member wants to stay home and rest, while you may be eager to go
     out socializing as a couple or get the accumulated “honey do” tasks done. Of
     course, the opposite may be true as well!
     The military member does not express appreciation for your efforts in running the
     household single-handedly.
     The gifts the deployed member brings home or the special welcome efforts the
     family and friends make for the deployed member may not result in the expected
     reaction.
     The children’s reactions at homecoming may not be what you or the service
     member expected or hoped for.
     If there were unresolved marital or family problems before the deployment, they will
     not have gotten better during the deployment.
     The deployed person may feel surprised or hurt that you did so well on your own
     during the deployment. Or he may feel a little jealous at how closely the children
     bonded with you.


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             You Made It to the Honeymoon!

      What emotions do you feel when you think about intimacy?


      Scared               Nervous             Excited              Worried


Stressed                   Delighted                  Awkward              Confident


                                 All of the Above!




Intimacy and sex are not synonymous. Hopefully you and your partner have maintained
a solid sense of intimacy, or "emotional connection," during the deployment through fre-
quent communication. What you have not been able to maintain, as you and your part-
ner are no doubt acutely aware, is the sexual component of your relationship. Since sex
tends to be prominent in the thinking of both spouses during deployment, it tends to be-
come a key focus of reunion. Given sexuality is a highly personal aspect of your per-
sonal and marital lives, you need to deal with this area with patience.

Although sexual intimacy can resume instantly, and this may well be your mutual desire,
the level of overall emotional intimacy and comfort with one another that you experi-
enced before the deployment may take awhile to regain. Keep in mind that for over sev-
eral months you've only been able to communicate with each other, at best, a few min-
utes a day, and that you've had no face-to-face contact. Again, go slow.




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Considering you've both experienced personal growth while separated, it makes sense
to take some time to get to know each other again, not unlike two friends who haven't
seen each other for awhile. Build upon the intimacy you shared. Recognize you and
your partner are "out of practice" in terms of sexual contact. As a result, it's not highly
unusual after lengthy separations for temporary awkwardness to arise. Also, you may
feel a bit uncomfortable together initially. If you have such experiences, do not make too
much of them, as doing so only heightens anxiety, which in turn can set you up for a
negative cycle of sexual problems. Simply relax, take your time, and let your sexual re-
lationship resume in a way that is gratifying for both of you.
                                                                   www.afcrossroads.com

                           Not Going as Planned?


If after 4-6 weeks, you are experiencing consistent feelings of sad-
ness, marital difficulties, problems with sleep or appetite, difficulty
concentrating, or excessive use of alcohol, SEEK HELP!




                               Children’s Concerns


New Parent Support Program…………………………………………466-3651
Military One Source…………………………………………….1-800-342-9647
CREDO………………………………………………………… .1-910-450-1671
Child Development Center…………………………………………….466-3782
Cherry Tree House……………………………………………………..466-3861
Marine Corps Family Team Building………………………………….466-4637




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                            Web Resources


www.mccscherrypoint.com
www.militaryonesource.com
www.militarychild.org
www.survivingdeployment.com
www.operationmilitarykidz.com
www.aacap.org/publications- American Academy of Child and Adolescent
Psychiatry




                        Relationship Concerns


Chaplain’s Office………………………………………………………..466-4000
Military One Source…………………………………………….1-800-342-9647
Marine and Family Services……………………………………….…..466-4401
Marine Corps Family Team Building………………………………....466-4637




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