Understanding Depression in Active Duty Military Members

Members of the US military are known for being strong, disciplined, and dependable above all else. But underneath that strength, many military service people are struggling with deep emotional pain. Depression isn’t a sign of weakness; it’s a normal health concern worsened by the unique pressures of military life. Thankfully, there are more treatment options than ever before to help our nation’s heroes overcome the emotional battle against depression.

Depression in Active Duty Military Members

Why Active Duty Military Members May Not Recognize Depression at First

Military life comes with extraordinary demands: deployments away from family, sudden reassignments, intense physical exertion, exposure to trauma, and neverending uncertainty. These recurring stressors can take a toll on service members’ physical and mental health. Studies show that rates of major depressive episodes in active duty military members can range between 15% and 23%, significantly above the 8.3% rate seen in civilian populations.

As much as talking about mental health and seeking treatment for depression has become more socially acceptable, many members of the military worry that admitting they’re struggling could harm their reputation or their career trajectory. This, unfortunately, means that depression in active duty military members often goes unreported–and untreated. But pretending the pain isn’t there means it only grows deeper. 

What Depression Can Look Like in Military Life

Depression isn’t always emotional. While we tend to think of it as simply feeling sad, depression in active duty military members can manifest in many different ways. People suffering from depression may feel tired no matter how much rest they get. You may feel more irritable than usual, unable to concentrate, or completely unmotivated. You may show up physically, but feel mentally absent. 

If you are experiencing any of the following symptoms for two weeks or longer, you may be experiencing depression:

  • Losing interest in hobbies or spending time with friends and family
  • Persistent fatigue or changes in sleep (oversleeping or suffering with insomnia)
  • Feelings of worthlessness, guilt, or hopelessness
  • Impaired decision-making, mental fog
  • Wishing you could disappear

 

It’s important to note that none of these symptoms are character flaws; they’re signs to get help.

Depression in Active Duty Military Members: a Brief History of DoD Policy

It hasn’t always been easy to seek mental healthcare as a member of the military. Prior to 2008, on Standard Form 86, a form used for obtaining federal security clearance, applicants had to disclose any mental health counseling they’d received in the past seven years—even routine, self‑initiated care. This was viewed as a strike against eligibility for security clearance for service members who had a history of struggling with their mental health, regardless of whether they were currently symptom‑free and fit for duty. 

Thankfully, now, seeking support for your mental health support no longer affects your career or your clearance. Instead, pursuing treatment is viewed as a sign of responsibility, not of weakness. Today, the Department of Defense emphasizes that getting help for depression in active duty military members is not only safe, but it’s encouraged. Seeking mental healthcare is no longer viewed as a liability; it shows a commitment to staying fit to serve.

Unfortunately, many service members still worry that seeking treatment—whether it’s taking antidepressants, trying TMS therapy, going to counseling, or even undergoing a mental health screening—could put their clearance, duty status, or future promotions at risk. However, it’s important to remember that untreated mental health conditions pose a far greater threat to not only your well-being, but also to your long-term career success.

Screening Is the First Step To Feeling Like Yourself Again

Every year, service members undergo periodic health assessments that include mental health screening. These catch potential cases early and connect individuals to appropriate resources, such as mental health clinics on base, TRICARE-covered counseling, or the 24/7 military support and resource network Military OneSource.

Screening can feel uncomfortable, but it’s an important, proactive step to make sure you stay ready to serve. Remember, early detection means early help. If you do find that you’re struggling with your mental health, counseling, peer support, or advanced interventions like TMS therapy are all helpful steps you can take towards healing.

TMS Therapy for Treatment-Resistant Depression

What do you do when counseling and antidepressant medication aren’t enough? That’s where Transcranial Magnetic Stimulation—TMS therapy—comes in.

TMS uses brief magnetic pulses, similar in intensity to an MRI, directed at areas of the brain proven to be underactive in those with depression. It’s non-invasive, drug-free, and doesn’t carry the harmful side effects found in other depression treatments (weight gain, nausea, sexual dysfunction, dry mouth, etc). Patients remain fully awake and can return to their day immediately after treatment.

Advantages of TMS for depression:

  • FDA-cleared since 2008 for treatment-resistant depression
  • Highly targeted stimulation with the state-of-the-art Apollo TMS System
  • Minimal side effects, typically mild headache or scalp discomfort that disappears after a day or two
  • 19–37 minutes per session, typically daily for 6-8 weeks
  • Insurance coverage, including TRICARE and Champ VA
  • Long-lasting relief, without stressful side effects.

 

TMS therapy can offer hope for service members who’ve already struggled with standard treatments and whose duty-readiness, morale, or career have been jeopardized by persistent depressive symptoms.

Regain Your Stability with TMS Therapy

When depression begins interfering with your duty, training, deployment readiness, family life, relationships within your unit, or financial responsibility, it’s no longer just a private battle—it has become a mission risk. Depression in active duty military members can escalate quickly if left untreated, placing your well-being (and life) in jeopardy.

With TMS therapy, you can regain your mental clarity, motivation, and emotional stability without the side effects or trial-and-error period of other treatments. Military personnel can return to feeling more like themselves—and more capable of fulfilling their duties.

Steps to Take if You’re Struggling

You don’t have to face this process without support. Here’s how to start:

  1. Acknowledge your symptoms, even if they feel minor. Recognize any recent changes in your energy, motivation, or mood.
  2. Reach out to a trusted peer, chaplain, counselor, or member of Military OneSource.
  3. Attend your annual or periodic screening, and be honest with the providers about how you’re feeling.
  4. Ask about treatment options, including TMS therapy, especially if you haven’t responded to medication or counseling.
  5. Schedule a free consultation at Advantage TMS—our team will explain the process, what to expect, and whether TMS is the right fit for you.

You Are Not Alone, and You Deserve Support

Committing to service doesn’t have to mean sacrificing your mental health. Depression in active duty military members is common, understandable, and treatable. You’ve already served with honor. Now, it’s time to serve yourself by prioritizing your own well-being.

Think a “Military” TMS Site Is Too Far to Drive to?

Advantage TMS is part of the Community Cares program. We can help you get approval to do TMS at our office so you don’t have to drive to a facility in Tampa or in St. Petersburg. We handle all the paperwork for you and can discuss a Community Cares option at your free TMS consultation.

Advantage TMS: Supporting Service Members Beyond the Battlefield

Military members who try TMS therapy at Advantage TMS often report better sleep, improved relationships with loved ones, more confidence in their roles, and a newfound sense of hope. That change matters in uniform—and it matters at home. 

If you’re feeling disconnected or struggling to cope, reach out now. We offer TMS therapy to active-duty service members and veterans through TRICARE and Champ VA. 

Find relief with Advantage TMS and schedule your free TMS consultation. You served us—now, let us serve you.

Sources

Moradi, Y., Dowran, B., & Sepandi, M. (2021, October 15). The global prevalence of depression, suicide ideation, and attempts in the military forces: A systematic review and meta‑analysis of cross‑sectional studies. BMC Psychiatry, 21(1), Article 510. https://doi.org/10.1186/s12888-021-03526-2 

National Institute of Mental Health. (n.d.). Major depression: Statistics. U.S. Department of Health and Human Services. Retrieved July 25, 2025, from https://www.nimh.nih.gov/health/statistics/major-depression

Henderson, W. (2013, October 15). Changes to the security clearance mental health question. Fedcas. https://fedcas.com/changes-to-the-security-clearance-mental-health-question/ 

Aker, J. A. (2024, October 3). Get the facts about mental health and security clearances. U.S. Department of Defense. https://www.defense.gov/News/News-Stories/Article/Article/3925742/get-the-facts-about-mental-health-and-security-clearances/

Our office is closed Wednesday, October 9 and Thursday, October 10, 2024, due to the storm. If you have any questions or urgent requests, please email us at info@advantagementalhealth.com.

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