The Invisible Wounds of War: Understanding PTSD in Indian Soldiers

A General’s Final Salute

When Lieutenant General Savi (name changed) jumped from his eighth-floor apartment, his death shocked the military community. Friends revealed he had withdrawn from social life for three years—a classic red flag for Post-Traumatic Stress Disorder (PTSD). His tragedy underscores a silent crisis: India’s soldiers are fighting battles long after retirement.  As a veteran, I’ve experienced this firsthand.

The Indian Army operates in extreme environments—Siachen’s glaciers, Kashmir’s counterinsurgency ops, Insurgency-hit jungles—yet denies the psychological toll. While the Defence Institute of Psychological Research (DIPR) likely has PTSD data, reports gather dust in South Block’s bureaucracy.

PTSD: The Enemy Within

What is it?

PTSD isn’t a weakness—it’s a brain injury caused by trauma (combat, explosions, losing comrades). PTSD isn’t a Western concept. Ancient Indian texts describe warriors’ psychological wounds—we just forgot to listen. In Mahabharata, Arjuna, experiences profound distress and hesitation to fight, displaying signs of what could be interpreted as PTSD. It’s time to honour our soldiers by healing their invisible scars. Symptoms include:

  • Reliving Hell: Nightmares, flashbacks (e.g., smelling gunpowder years later).
  • Emotional Numbness: Avoiding weddings, unable to hug children.
  • Hypervigilance: Startling at fireworks, road rage incidents.

Why Soldiers Are Vulnerable:

  • Delayed Onset: Symptoms may emerge years after retirement.
  • Stigma: Seeking help assuming it to be unsoldierly.
  • Institutional Denial: No PTSD modules in training at various academies and training institutions.
  • Psychiatric Department in Military Hospitals – they resemble a German Concentration Camp and the Psychiatrist’s office an interrogation cell.
  • Lack of confidence in Psychiatric Intervention.  Sometimes it has been used as a mode to punish those who do not Fall-in-Line. The infamous AFSF10 is mostly misused.

The Hidden Fallout of PTSD

  • Depression: Life loses meaning. Nothing feels joyful. Feelings of guilt over surviving when others didn’t can lead to isolation.
  • Anxiety: A constant sense of dread, often misinterpreted as a physical illness.
  • Substance Abuse: Affected soldiers may turn to alcohol or drugs. General Savi reportedly had a dependence on alcohol.
  • Relationship Issues: Loved ones may perceive veterans as distant or self-centered. Emotional intimacy and sexual relationships may also suffer.
  • Career Disruption: PTSD can impair focus, memory, and work performance. Some veterans bury themselves in work to cope, while others find even simple tasks overwhelming.

The Ripple Effects of Untreated Trauma

  1. Families Under Fire:
    • Spouses describe living with ghosts – Soldiers/ Veterans physically present but emotionally absent.
    • Children learn to tiptoe around Dad’s unexplained anger.
  2. Career Collateral:
    • Workaholism or Self-Sabotage become coping mechanisms.
    • Alcohol Abuse.
  3. National Betrayal:
    • Veterans feel abandoned by the system they served. As one soldier remarked: “They give us medals but took away our dignity.”

Breaking the Silence: A Battle Plan

For the Indian Army:

  • Mandatory mental health screenings during/after high-risk deployments.
  • Trauma-informed leadership training for officers (Battalion Commanders must recognise PTSD and be capable of counselling soldiers suffering from PTSD).
  • De-stigmatise therapy by involving soldiers/ veterans in awareness campaigns. Making everyone aware that consulting a psychiatrist/ psychologist does not mean that one is mad.

For Veterans:

  • Therapy Works: CBT and EMDR can rewire trauma responses.
  • Brotherhood Heals: Join peer groups like Ex-Servicemen Mental Health Foundation.
  • Small Wins Matter: Daily walks, fixed sleep times, reconnecting with one friend.

For Society:

  • Stop asking “Were you in combat?”—PTSD can stem from training accidents or peace-time deployments.
  • Demand Veteran Mental Health Policies.  Ex-Servicemen Contributory Health Scheme (ECHS) clinics are devoid of psychiatrists.

Last Post

General Savi didn’t die from weakness—he was failed by a system that equates mental health with shame. Until we accept that uniforms don’t armour minds, more silent salutes will follow.

“The bravest thing I ever did was asking for help.”  – Anonymous Para SF Veteran

Conclusion

The silence around PTSD in the Indian military is costing lives. The first step to healing is acknowledging that PTSD exists. It is not weakness. It is the cost of duty, paid in silence. For soldiers like General Savi, that silence turned fatal. But with greater awareness, empathy, and institutional support, we can ensure others don’t have to suffer in silence. Above all, remember you are not alone. Across generations, soldiers and veterans have faced similar struggles—and overcome them.

Thanks to Veteran Major General SK Dutta who prompted me to pen this article.

Srinagar Airport Incident: A Symptom of a Larger Crisis

Recent reports of an Indian Army officer assaulting SpiceJet staff over baggage fees shocked many. While inexcusable, this aggression may point to a deeper issue: Post-Traumatic Stress Disorder (PTSD). Unlike Canadian soldiers—who enjoy baggage allowances up to 32kg ×3 pieces without fees – Indian personnel often face logistical stressors that compound existing traumas.

Canadian Soldiers are not charged overweight/ and or oversized bag fees for in all Canadian airlines including ultra-low-cost airlines – both on official and private travel.  

This incident mirrors my own awakening to PTSD after moving to Canada. When our children teased, “Dad, PTSD is kicking in!”, I realised how ill-equipped I was as a former Commanding Officer to recognise this invisible wound in my soldiers or myself.

PTSD: The War That Doesn’t End

PTSD is a psychological injury caused by trauma (combat, accidents, witnessing death, etc.) Symptoms include:

  • Intrusions: Flashbacks, nightmares (e.g., reliving Siachen avalanches).
  • Avoidance: Shutting down when asked about operations.
  • Hyperarousal: Explosive anger, sleep disorders, constant vigilance.

Historical Context.  In the American Civil War, it was referred to as Soldier’s Heart; in the First World War, Shell Shock; in the Second World War, War Neurosis; Vietnam War, Combat Stress Reaction. Many soldiers suffering from PTSD were labelled as Combat Fatigue and many soldiers continued and in 1980, it was categorised as PTSD.

Why PTSD Goes Unchecked in the Indian Army

  1. Cultural Stigma: Mental health – Considered a weakness in hyper-masculine environments.
  2. Lack of Training: No PTSD education for both officers and soldiers.
  3. Systemic Neglect: Low reported rates (officially) may reflect fear of career impacts or denied benefits.

Devastating Consequences of PTSD

  • Relationships: Emotional numbness destroys marriages (Why won’t he hold our baby?)
  • Substance Abuse: 50% veterans with PTSD self-medicate with alcohol.
  • Work Dysfunction: Alternating between workaholism and uncontrollable rage.

Breaking the Silence: Pathways to Healing

  • Therapy: Cognitive Behavioral Therapy (CBT,) Eye Movement Desensitisation and Reprocessing (EMDR), a psychotherapy technique to alleviate the distress associated with PTSD.
  • Routine: Exercise, sleep hygiene, small daily goals.
  • Community: Creation of Veteran support groups.

For the Indian Army:

  • Accept Prevalence of PTSD.
  • Mandate PTSD Screening post-deployment (especially CI ops, high-altitude postings.)
  • Train officers to recognise symptoms.
  • Destigmatise PTSD. Confidential counseling without career penalties.

For Society:

  • Stop glorifying Sacrifice while ignoring suffering.
  • Demand veteran mental health budgets (current: <1% of defense spending).

A Call to Action

That officer at the airport wasn’t just misbehaving—he was likely re-experiencing trauma. Until India acknowledges PTSD as a war injury (not a disgrace,) we fail those who defend us. Indian Army claims that prevalence rates of PTSD is much lower compared to global averages – may be to ensure that the Veterans do not claim disability benefits.  In my opinion, about 50% of the Indian Veterans suffer from PTSD.

Mental Health Education

The Ontario government announced that they will introduce a new mandatory education curriculum for elementary and high school students that aims to increase mental health literacy, in the wake of continued challenges that emerged during the COVID-19 pandemic.  It will help students to recognise signs of being overwhelmed or struggling, as well as where to find help. Ontario’s current health and physical education curriculum, updated in 2019, already includes learning on mental-health literacy in every grade.

The program was ushered in due to the advocacy of Progressive Conservative MPP Natalie Pierre, who put forward a motion in December around mental health literacy. She took up the case for mental health education after her 17-year-old son took his life by suicide six years ago.  After her son died, Pierre made it her personal mission to advocate for mental health education in classrooms.

She said that her son was like any other student. The day before he died, he took a university campus tour. The night before, he went to a school dance. He worked a few hours at his part time job, and he got together with friends. Everyone observed him to be a normal, healthy teenager, but that wasn’t the truth.  In the months and years that followed; others contacted her to share their experiences with mental illness.

This propelled her to advocate for mental health education in schools the same way math and science are taught.

The proposed curriculum aims to create a personal toolbox of skills that a student could utilise in their life and their jobs and in the classroom.  It will include learning materials for Grades 7 and 8 in the form of activities, videos, and information to help students learn how to manage stress, determine the relationship between mental health and mental illness, recognise signs, symptoms and how to find support.

A survey released in February 2023 found about 91% of school principals reported needing some or a lot of support for students’ mental health and well-being.  The report also suggested that there is a lack of resources to respond to the mental health crisis in the classroom.

The curriculum is proactive, practical, and evidence based. It reaches students where they are at and at a time in their lives when mental health issues often emerge. It is aimed to prevent tragedies like the one experienced by Pierre.

Education Minister Stephen Lecce said the government will also spend $26 million over the next two years to provide mental-health resources to students over the summer, so their support isn’t interrupted by the school break.

Mental health disorders among teenagers are highly prevalent yet undertreated. Reasons for not seeking help is due to limited awareness about mental health issues, social stigma and embarrassment, teenagers’ perceptions about confidentiality and the ability to trust an unknown person. Lack of professional help, inability of parents to identify mental health issues of their children and accept the same further adds to the problem.

The need for mental health education at high school must be about being honest regarding our mental health, pain, anger.  By pretending that such issues do not exist in the teens and do not have to be taught about it at school is a disservice to the students.  Introduction of mandatory mental health education in grade 10 will go a long way addressing the issues faced by the students.

Mental health…is not a destination, but a process. It’s about how you drive, not where you’re going.” — Noam Shpancer, PhD, Professor of Psychology at Otterbein University in Westerville, Ohio.

Movember and Men’s Health

The word ‘Movember‘ is derived from the combination of the word ‘Mo, which is the Australian-English abbreviated form for ‘Mustache‘ and ‘November,’ as the event takes place every year during the month of November. This involves growing of mustaches in order to raise awareness of different men’s health issues like prostate cancer, testicular cancer and mental health challenges.

Using the mustache as a catalyst, Movember encourages men to invest in their own health by more openly talking about their health concerns and more proactively seeking necessary medical care. The idea is to bring about change and give men the opportunity and confidence to learn and talk about their health and take action when needed.  Participants of Movember are called ‘Mo Bros’ and the women who support are called ‘Mo Sistas.

The idea of Movember originated in 1999, when a group of men from Adelaide, Australia decided to grow their mustaches for charity during the month of November and the Movember Foundation came into existence. The goal and motto of the foundation is to ‘change the face of men’s health.’ The movement has gone global and today is well supported in New Zealand, the US, Canada, UK, Finland, Netherlands, Spain, South Africa and Ireland.

The Movember Foundation aims to prevent men dying too young from a range of health issues including prostate and testicular cancer, mental health and suicide. Their efforts have impacts on a global scale and have funded more than 1,200 men’s health projects around the globe.

Globally, men die on average five years earlier than women, and for reasons that are largely preventable. The world loses a man to suicide every minute of every day.  The reason for the poor state of men’s health are numerous and complex and include:-

  • Lack of awareness and understanding of the health issues men face.
  • Men not openly discussing their health and how they’re feeling.
  • Reluctance to take action when men don’t feel physically or mentally well.
  • Men engaging in risky activities that threaten their health.
  • Stigmas surrounding mental health.

Canadian statistics indicate that:-

  • 1 in 9 Canadian men will be diagnosed with prostate cancer in their lifetime.
  • Testicular cancer is the most commonly diagnosed cancer in young Canadian men.
  • In 2019, over 3,050 men died by suicide, nearly 60 men per week.
  • In Canada, 3 out of 4 deaths by suicide are men.
  • Suicide is the second leading cause of death among Canadian males aged 15–44 years.

Here are some fun-facts to tickle your mustache!!!

  • The King of Hearts is the only king in a deck of cards without a mustache. 
  • Noblemen in the Victorian era ate soup with special ‘mustache spoons’ equipped with small barriers to protect their mustaches.  
  • Ram Singh Chauhan holds the Guinness world record with a mustache that spans 14 feet long.
  • There are between 10,000 and 20,000 hairs on a man’s face, and the average mustache has 600.
  • The average man spends six months of his life shaving and mustache grooming. 
  • The average man will touch his mustache upwards of 750 times per day, averaging 31.25 times per hour.

Will you participate in Movember?  Will you educate your peers, friends and family about men’s health issues?

Suicide Reporting by Media

Recently there has been many  reports on the media about suicides by young university students and young adults.  Some media houses, and some social media activists have gone on an overdrive to report such incidents with all its fury. 

Evidence suggests that the media can influence societal attitudes and beliefs to various social issues. This influence is especially strong for mental health issues, particularly suicide. Canadian newspaper coverage of the popular fictional Netflix series 13 Reasons Why, wherein the lead character dies by suicide in the final episode, generally adhered to core best practice media recommendations, and sensitively discussed suicide from various angles, prompting productive discussion and dialogue about youth suicide. These findings suggest that the media can be an ally in promoting dialogue and raising awareness of important public health issues such as suicide.

J.K. Rowling, Oprah Winfrey and Lady Gaga all figure among celebrities who have contemplated suicide but found help and stepped back from the brink. U.S. study found a 10 percent increase in suicide mortality after the 2014 death of Robin Williams, American actor and comedian, which was partially attributed to inappropriate media coverage. Similar increases in suicide mortality were witnessed in Canada and Australia after the death of this well-known celebrity.

This phenomenon is known as ‘suicide contagion’ or ‘copycat suicide.’  Research has found that media coverage with details as to how a person died by suicide, may prompt someone vulnerable to identify with the individual and copy actions described in media coverage.

Greater the coverage of a suicide story higher the chances of finding a copycat.

WHO statistics indicate that more than 700 000 people die world over by suicide every year. Furthermore, for each suicide, there are more than 20 suicide attempts.  Suicides and suicide attempts have a ripple effect that impacts on families, friends, colleagues, communities and societies.  77% of global suicides occur in low- and middle-income countries.  Ingestion of pesticide, hanging and firearms are among the most common methods of suicide globally.

While the link between suicide and mental disorders (in particular, depression and alcohol use disorders) is well established in high-income countries, many suicides happen impulsively in moments of crisis with a breakdown in the ability to deal with life stresses, such as financial problems, relationship break-up or chronic pain and illness.

In addition, experiencing conflict, disaster, violence, abuse, or loss and a sense of isolation are strongly associated with suicidal behaviour. Suicide rates are also high amongst vulnerable groups who experience discrimination, such as refugees and migrants; indigenous peoples; lesbian, gay, bisexual, transgender, intersex (LGBTQ2S+) persons; and prisoners. By far the strongest risk factor for suicide is a previous suicide attempt.

Suicides are preventable. There are a number of measures that can be taken at every level – school, university, community, family – to prevent suicide and suicide attempts. World Health Organisation’s (WHO)’s approach to suicide prevention, recommends:-

  • limit access to the means of suicide (e.g. pesticides, firearms, certain medications);
  • foster socio-emotional life skills in adolescents;
  • early identify, assess, manage and follow up anyone who is affected by suicidal behaviours.,
  • interact with the media for responsible reporting of suicide;

Is there a need to regulate such reporting?

In Canada, Canada Suicide Prevention Service (CSPS) provides suicide prevention and support to the people of Canada. They have laid down best practices and recommendations geared to media and other organisations with suggested guidelines and practices on how to report and comment on suicide activities, whether in the media, social media sites or internal communiques.  They recommend:-

  • Health reporters, not crime reporters, are best positioned to cover suicides.
  • Reports should generally avoid details of suicide methods, especially when unusual or novel methods are involved.
  • Emergency resource links should be included in all articles that deal with suicide.

Specific for social-media:

  • Providing information and resources to people who make suicide-related queries or posts;
  • Including panic buttons that allow for rapid access to crisis services/hotlines;
  • Providing mechanisms for users to report if they are concerned about someone with the possibility for rapid intervention; and
  • Moderating forums that frequently include suicide-related postings and making sure to remove inappropriate posts.

CSPS Recommends

  • Ongoing collaboration between journalists and mental health professionals, acknowledging scientific evidence and the autonomy of journalists;
  • All journalism schools include teaching of how to report responsibly and respectfully on the topic of suicide, including attention to issues related to ethics and social justice;
  • Media training for mental health professionals who are likely to be called on to comment on suicide in the press; and
  • Education for policy-makers and other prominent figures who may be asked to comment publicly on the topic of suicide.

The Austrian journalists recently altered the way they reported about suicide. Studies of that experience showed that after the changes, there was a significant reduction in suicide deaths across the country. Since then many other countries have put out recommendations.