The Mental Health of Combatants

The chapter deals with the theoretical, methodological, and practical aspects of combatants’ mental health as participants in hostilities, in the context of psychosocial environment characteristics and the transformation of personal characteristics in the process of stress service. The emerging situational and dynamic nosological and subclinical changes are described, which do not lead to social disintegration during the service. The study of the power structure of employees’ catamnesis for 10 years of service was conducted with an assessment of social adaptation to peaceful life from clinical and psychological positions. The efficiency of complex therapy for persons with post-traumatic stress disorder and adaptation disorders is esti-mated, and the features of the organization of stage-by-stage rehabilitation with a team poly-professional approach are described. The methods allowing to predict the formation of borderline mental disorders (BMD) in this contingent are offered. The directions of medical and psychological support of combatants with the creation of a fundamentally new diagnostic, psychoprophylactic structure—the Center of Mental Health—to improve the quality of psychological and psychiatric care and monitoring of participants of the fighting mental state are systematized.