I deal with this regularly. Of course, you won’t be able to do much during rehabilitation – but I’ll still share why apathy occurs and the basic principles.

The following is the text in the original language. Apathy in military personnel after combat operations is a state of emotional exhaustion, decreased motivation and dulled effect, which can be an inheritance of chronic stress, PTSD or depression. These include microactivation, bodily regulation, sensory renewal and structured behavioral activation..

What is apathy after the combat zone? Apathy is not “iceness” and not usefulness. This results in a decrease in energy, initiating emotional reactivity after a difficult period in the combat mobilization mode.

This is a normal camp.

I don’t need people to immediately get active.

Can you show:.

- “I don’t want anything”;

– interest to a great extent;

– emotional dullness;

– social isolation;

– difficult to solve problems.

Reasons may include:.

– depression of the nervous system after chronic hyperactivation;

– PTSD;

– depressive episode;

– loss of combat role and identity;

- moral injury.

The nervous system, after entering the “pretty mode”, can go into the state of hypoactivation (functional “frozen”).

You have the right to deal with apathy I invite you to give 2-3 to choose and the person chooses what is closest to her in temperament and type of nervous system 1. Microactivation 10 khvilins Don’t set great goals.

One simple action today: walk 10 miles, exercise lightly, earn 15 steps.

Principle: Action conveys motivation.

Energy scale Rate your strength from 0 to 10.

The order may be similar to the production line.

If the resource is “2” - the activity may also be on “2”, not “8”.

Structure of the day Fixing hour on the rise.

3 obligatory points:.

– Rukh;

– contact;

– korisna diya.

Regularity stabilizes the nervous system.

Sensory activation Contrast shower, cold water on face, active walking.

This can be easily removed from hypoactivation.

Body "

Strength activity is often effective for passive relaxation in apathy.

Isolation Minimum one social contact per day, keep it short.

Isolation enhances hypoactivation.

Container for important thoughts Write down thoughts like “all without meaning”.

Turn around to them at the sign of the hour.

Changes rumination.

Checking medical factors Sleep, hormonal imbalances, TBI effects, medications.

Sometimes apathy affects the somatic system.

Since apathy affects many people in life, is accompanied by suicidal thoughts or a permanent loss of functioning, consultation with a psychiatrist and psychotherapy is required.

The key principle of renewed Apathy after war is the dry response of the damaged nervous system. Renewal begins with small, regular actions and step-by-step awareness.