Sheepdog Tip of the Day, During Combat tip 154
And so we see that lack of sleep, lack of food, the impact of the elements, and emotional exhaustion caused by constant fight or flight response activation all conspire to contribute to the soldier's exhaustion. This is a burden that, if not capable of causing psychiatric casualties in and of itself, needs to be taken into consideration as being capable of predisposing the soldier's psyche toward seeking escape from the deprivations that surround him.
Lt. Col. Dave Grossman, On Killing
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Additional Resources
For PTSD, Shepherd Resource Group.