Service and Addiction: Understanding Pathways to Recovery

Service and Addiction: Understanding Pathways to Recovery
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(This article by Lt. Col. Nick Barringer, USA (Ret), originally appeared in the May 2026 issue of Military Officer, a magazine available to all MOAA Premium and Life members who can log in to access our digital version and archive. Basic members can save on a membership upgrade and access the magazine.)

 

Addiction is a complex and persistent challenge within the veteran community, influenced by the distinctive stresses associated with military service, exposure to trauma, and the challenging transition to civilian life. Empirical research demonstrates veterans face a higher risk of developing substance use disorders (SUDs) compared to the general population, and the presence of co-occurring mental health conditions further complicates recovery.

 

According to Army veteran and recovering gambling addict David Yeager, addiction among servicemembers often stems from a “perfect storm” of factors. Military culture emphasizes resilience and mission focus, often at the expense of emotional processing.

 

“Where I feel it falls short is the lack of ability to ‘unpack the bag’ when the mission is over,” Yeager said. The stigma attached to addiction, particularly behavioral addictions like gambling, can deter servicemembers from seeking help due to fears of punitive consequences or loss of status.

 

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Yeager noted that the transition to civilian life, where structure, identity, and community connections dramatically shift, can act as a trigger for substance use and other addictive behaviors.

 

Getting Help

Medical care within the VA system and local community settings play a central role in treating addiction, particularly when co-occurring disorders are present. Research highlights the importance of simultaneously addressing SUDs and comorbid conditions like PTSD, as integrated treatment has been linked with improved outcomes, compared to separate treatment.

 

Medications that reduce cravings or assist with withdrawal are used judiciously within comprehensive treatment plans, always with the emphasis on supporting recovery rather than replacing one dependence with another.

 

Evidence-based therapies such as cognitive-behavioral therapy, motivational interviewing, and trauma-informed counseling are cornerstones of effective treatment for veterans.

 

Peer support through groups like Alcoholics Anonymous, veteran-specific recovery communities, and structured programs reinforces accountability, connection, and mutual understanding.

 

“Recovery succeeds when three elements are in place: roadblocks, accountability, and connection,” Yeager said, underscoring how therapy and peer engagement address these pillars.

 

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Nonmedical interventions — such as exercise, structured routines, meaningful hobbies, and service-driven community engagement — help fill the void that addiction leaves behind.

 

These activities support neurochemical balance and provide purpose, direction, and resilience throughout the recovery process.

 

“Addiction is a very real disease,” Yeager said. “But if someone is committed to recovery and willing to do the work … recovery is possible. Most importantly, you are not alone, and there is help.”

 

Lt. Col. Nick Barringer, USA (Ret) is chief academic officer and dean of graduate studies at Lionel University.

 

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