We call it the “flash to bang”. The nasty part of the post-traumatic stress is that “post” word because there is that point of injury, whether it's trauma, which grossly has to do with the experience, or moral injury, which has to do with the connection between people and the morality of that connection. That trust between an individual and the institution, as well, has a delayed effect because he or she in that zone doesn't have time to fully grieve the loss and deal with the ensuing emotion that comes with it. That makes that person vulnerable in a combat theatre of operations, and that's not good.
We become very good at putting that stuff into a box and setting it aside, compartmentalizing it in order to complete the mission. Even upon return, that has negative effects. What Mark was speaking to about a member not being ready, maybe, for a particular program or to enter an intervention is absolutely true. The social support that Debbie and your other witnesses have spoken to, even Dr. Norris on February 1 with regard to bringing in the family and looking at the member holistically and at where he or she is, is absolutely necessary.
What that individual deals with is the loss of identity, the loss of someone that they've had, the loss of who essentially they were, because sometimes the moral architecture that the individual goes into combat with does not withstand the demands of war.