Part VIII

The long game

Recovery is not a straight line. Plan for the dips, notice the growth, and write your own standing orders.

★   PTSDIY · Field Manual   ★   Part VIII   ★
Chapter 35
Setbacks are not failure
Recovery is not a straight line
FM 35-SET-401Plan time 20 min
Pub. No.FM 35-SET-401
SubjectRelapse prevention
EvidenceModerate
Req. equipmentPen, paper
35-1.Mission brief

You will have bad weeks after good months. An anniversary, a news story, a loss, a new stress. A setback is not proof the work failed; it's a normal part of recovery from any injury. What matters is how fast you get back on plan.

35-2.Intel

ModerateSymptom flare-ups after successful treatment are common, and planning for them is a standard part of ending therapy well. Booster sessions help many people regain ground quickly.

35-3.Know your high-risk dates
RiskExamples
AnniversariesThe date of the event, deployments, losses
Seasons and holidaysTimes tied to memories or isolation
Life stressJob loss, divorce, illness, moving
RemindersNews coverage, a friend's death, a familiar smell
35-4.Field procedures — the setback plan
01Name your early signsThe first three things that change when you're slipping: sleep, drinking, isolating.5 min
02Mark the calendarPut known hard dates in your calendar a week ahead, with a plan for each.5 min
03List your go-backsThe three tools that worked best for you, from anywhere in this manual.5 min
04Decide your call trigger"If X lasts more than two weeks, I book a session." Decide now, not then.5 min
35-5.Common faults & corrections
✕Fault: "I'm back to square one"Correction: You aren't. You have skills and a map you didn't have before.
✕Fault: Waiting it out aloneCorrection: Early booster sessions are faster than climbing out of a deep hole later.
PTSDIY · FM 35-SET-401 · Part VIII35