Physical activities are good stress relievers. They may help increase endorphins, the body’s feel-good neurotransmitters, to counter the effects of stress and improve your mood (Photo by: Marine Corps Lance Cpl. Quinn Hurt).
In addition, Barth also engages in physical activities and surrounds herself with a support network.
"I love to be active, whether that means hiking, traveling, or playing football – I play on a woman's professional tackle football team, and we hit the field at least four times a week," she said. "I have a very strong support system consisting of civilian and military friends that I reach out to frequently – they listen to me when I just need to vent some days."
Many times, however, professional guidance and support can provide better solutions. The Department of Defense has several resources available for personnel to get support, including the Military Crisis Line, which offers confidential, 24/7 support via text-messaging, online chat, and phone service, and the Real Warriors campaign, which advocates to reduce the stigma of mental health care in the military.
"Real Warriors is the DOD's official anti-stigma campaign around mental health care and mental-health care seeking," said Nicholas Polizzi, who holds a doctorate in psychology and serves at the Defense Health Agency's Psychological Health Center of Excellence. The campaign's goals also include "increasing the literacy, education, or understanding of psychological health or health topics and increasing access points to care, particularly for those who don't know how to engage in behavioral health."
As in the case of the Military Crisis Line, Real Warriors is for the entire DOD community, including veterans, active-duty service members, Coast Guard, reserves, their family members, their providers or clinicians, their leaders, and those who care about them, said Polizzi.
For Lua, in addition to engaging in activities on her own and with her family. getting evidence-based, professional mental health treatment is an important aspect to maintaining her overall health.
"I see my therapist at least once every two weeks and also see a psychiatrist twice a month regarding progress or effectiveness of my current treatment and just to make sure I'm doing well," she said. "They educate or introduce new ways for me to help cope with issues I'm dealing with."
This is important for her because it is an unbiased source of support that helps her in two ways.
"I don't know them personally and they are not connected to my job, so there is confidentiality that makes me feel secure to express myself," she said. "Second, just having professional guidance that reinforces that what I am going through is not rare and there are things that are helpful in reducing my anxiety."
In his role leading the Real Warriors campaign, Polizzi works to "normalize psychological health care as everyday health care."
"We understand that there are various symptoms that we all experience which may or may not be related to a mental health concern or issue," he said. "But we know that treatment works - for the vast majority, the right type of treatment will help you feel better.
And with the right treatment to help you feel better, "it also means the military is going to get the very best you," he said.
Lua echoed his thoughts: "Mental health treatment is important because not all patients are successful in dealing with life and its many stressors without help," she said. "Without a mind, the body does not exist."
Her message to those who are reticent about seeking mental health care is, "you are not alone."
"If they feel uncomfortable reaching out to any of the resources, such as the suicide hotline, chaplain, or any available means that are out there," Lua said, "support groups can pave a way to find and connect with people who are feeling the same way they are.
Barth recommends seeking help, too.
"Not everyone's coping mechanisms are the same but talking to a professional can at least help you find what works best for you," she said. "Please give yourself some self-love and make yourself a priority."