Signs and Symptoms of COSR

Physical, Thinking, Emotional

Most soldiers have some of these signs some of the time.

Some soldiers have many of these signs often, yet still fight and perform well.

All soldiers, especially leaders, need to know these are normal and common.

 

 

 

Common-Physical

Fatigue
Jumpiness
Aches and pains
Upset stomach, nausea
Diarrhea or constipation
Problems eating
Problems sleeping

More Serious-Physical

Flinching
Shaking
Limbs/Eyes/Ears won’t work
Spaced Out

Common- Thinking

Poor concentration
Difficulty making decisions
Flashbacks
Nightmares

More Serious- Thinking

Disregard for rules/regs
Thoughts of self/other harm
Memory problems
Loss of motivation

Common- Emotional

Frustrated/ angry
Worried
Keyed up
Guilty, ashamed
Depressed/ withdrawn
Numb

More Serious- Emotional

Panic attacks
“flat” expression
Regression
Immobilizing depression