Military Sexual Trauma

WHAT IS MILITARY SEXUAL TRAUMA (MST)?

Military Sexual Trauma (MST) refers to sexual assault or repeated, threatening sexual harassment experienced during military service. MST can happen to anyone — regardless of rank, branch, or gender — and often goes unreported due to fear, stigma, or retaliation. Many survivors carry these invisible wounds long after their service has ended.

UNDERSTANDING MST

MST includes:

Rape, unwanted sexual touching, threatening or offensive remarks, and pressure for sexual favors.

These experiences may occur on or off duty, in combat or non-combat zones, and often involve abuse of power by fellow service members or superiors.

Common effects

SYMPTOMS OF MST

Psychological Symptoms

  • Post-Traumatic Stress Disorder (PTSD)
  • Depression or persistent sadness
  • Anxiety and panic attacks
  • Nightmares or flashbacks
  • Guilt, shame, or self-blame
  • Emotional numbness or detachment

Behavioral Symptoms

  • Substance use or misuse
  • Social withdrawal or isolation
  • Difficulty trusting others or forming relationships
  • Risky or self-destructive behaviors
  • Hypervigilance or exaggerated startle response

Physical Symptoms

  • Chronic pain, including headaches or stomach issues
  • Sleep disturbances or insomnia
  • Fatigue or low energy
  • Eating disorders or changes in appetite

Cognitive Symptoms

  • Difficulty concentrating or memory problems
  • Negative thoughts about self or the world
  • Suicidal ideation or hopelessness
What the data show

MST BY THE NUMBERS

1 in 3

Women Veterans screened in VA

About 1 in 3 women seen in VA health care report having experienced MST when screened.

1 in 50

Men Veterans screened in VA

About 1 in 50 men seen in VA health care report having experienced MST when screened.

41%

Women in a recent-Veteran study

In VA’s New Generation study, about 41% of women screened positive for MST.

4%

Men in a recent-Veteran study

In that same study, about 4% of men screened positive for MST.

Common comorbidities

MST CAN AFFECT FAR MORE THAN ONE PART OF LIFE

MST is an experience, not a diagnosis. Veterans who report MST may also experience overlapping mental health, substance-use, sleep, pain, relationship, and safety concerns. These effects can occur together and may reinforce one another.

PTSD & trauma symptoms

Intrusive memories, nightmares, avoidance, hypervigilance, emotional numbing, guilt, shame, and difficulty feeling safe.

Depression & anxiety

Persistent sadness, hopelessness, panic, chronic worry, irritability, low motivation, and social withdrawal.

Substance use

Alcohol or drug use may become a way of coping with sleep disturbance, anxiety, intrusive memories, emotional pain, or isolation.

Physical & functional effects

Sleep problems, chronic pain, fatigue, concentration difficulties, strained relationships, and disruption in work or daily functioning.

Support and treatment

TREATMENT OF MST

Healing from MST requires more than clinical care. It requires safety, trust, and a community that believes you. Support should be individualized, trauma-informed, and built around the survivor’s needs and readiness.

1. Stabilization and Safety

  • Crisis intervention and suicide prevention
  • Support in a calm, safe environment

2. Trauma-Informed Therapy

  • Evidence-based, individualized therapy plans
  • Clinicians trained in military trauma and sexual assault

3. Empowerment and Reintegration

  • Skills-based recovery, peer support, and self-advocacy
  • Reconnection to identity, family, and community

4. Ongoing Support and Aftercare

  • Transition planning and outpatient support
  • Long-term recovery coaching and virtual support groups where available

Recovery support should adapt to the survivor’s needs, readiness, and goals over time.

Understanding Veteran care pathways

READ THE VA ACCESS GUIDES

Emergent care information

In an immediate crisis, seek emergency care first.

Call 911, go to the nearest emergency department, or call 988 and press 1 for the Veterans Crisis Line. For non-immediate questions about CCC residential admissions, contact our admissions team.

COMPACT Act & emergency reporting

Use the dedicated COMPACT Act pathway for reporting.

When an MST survivor is experiencing an acute suicidal crisis, COMPACT Act emergency reporting and eligibility rules may apply. We keep the full 72-hour reporting, CAEC review, and eligibility guidance on our dedicated COMPACT Act page.

COMPACT Act guidance

72-hour reporting, Emergency Care Reporting, CAEC review, eligibility, and follow-on care.

Open COMPACT Act guidance →

For immediate danger, call 911 or 988 and press 1 for the Veterans Crisis Line.