National Guard & Reserve
You serve while holding down a civilian life. Your service counts, and so does your mental health.
By the numbers
Who serves in the Guard and Reserve, and what the research shows.
Who serves
After deployment
Suicide
Living in two worlds
Switching between drill, orders, a civilian job and family.
Guard and Reserve members live a double life: civilian job, school and family most of the time, and military duty on drill weekends, annual training, orders or deployments. Switching back and forth takes real effort.
Most Guard members train about once a month in small units that don’t have mental health staff built in. Many live far from a military base and depend on community resources when they need support.
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Each world has its own pace, language and expectations. Some people feel most like themselves in uniform, then a little lost the rest of the month. Others feel the opposite.
Things that help
- A short routine to “switch over” after drill, like a drive with music or a walk
- Keeping a shared family calendar for drill, training and orders
- Telling family what kind of day you had, even briefly
- Planning a rest day after long training
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Without a base nearby, it can be hard to find people who “get it”. Civilian friends may not know what a deployment or state mission asked of you.
Staying in touch with people from your unit between drills can make a big difference.
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Knowing you could be called up, for a deployment or a disaster at home, can be stressful for you and your family. Having a plan ready can ease some of that worry.
“Do I count as a veteran?”
What the law says, what care you can get, and why you belong.
Many Guard and Reserve members wonder if they “count”. In the past, Guard members were generally considered veterans only if they served 180 days or more on federal orders outside of training. A 2016 law changed that for people who reach 20 years of service.
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Under the 2016 law, anyone eligible for reserve component retirement benefits is considered a veteran, even if they were never activated on federal orders for more than 180 days outside of training.
The change is an honor. It doesn’t add new retirement benefits.
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For VA health care, current and former Guard and Reserve members must have been called to active duty by a federal order and completed the full period. Active duty for training only does not qualify.
Rules can be complex. Even if you aren’t sure, ask. Other kinds of support, below, don’t depend on this.
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The Veterans Crisis Line serves National Guard and Reserve members, whether or not you are enrolled with VA. Vet Centers say they look for reasons to qualify people rather than turn them away.
Coming off orders: back to civilian life fast
From deployment to your old desk in a matter of days.
After a deployment or long orders, Guard and Reserve members often return straight to a civilian job, school and family, without a unit around them every day. The people who went through it with you may live hours away.
A large study of soldiers back from Iraq found that many problems showed up months later, not right away. At the second screening, clinicians identified 42% of reserve component soldiers as needing mental health care, compared with 20% of active duty soldiers.
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In that study, concerns about relationship conflict grew fourfold between the first and second screening, and many soldiers reported concerns about alcohol.
Reserve component soldiers who were back in civilian life were referred for care more often. The researchers said this could reflect worries about keeping health coverage.
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- Check what health coverage you have, and when it changes
- Keep in touch with people from your deployment
- Notice changes in sleep, temper or drinking
- Take the post-deployment health checks seriously
- Ease back into work and family roles over weeks, not days
Disasters & missions at home
Helping your own community through floods, fires and emergencies.
The Guard can be called up by the president or a governor to respond to major disasters, emergencies or civil disorder. These missions can be meaningful, and also hard: long hours, loss, injury, and seeing damage in your own hometown.
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Responding where you live can mean helping neighbors, seeing familiar places destroyed, or worrying about your own home and family while on duty. Those mixed feelings are normal.
After a hard mission
- Talk it through with people who were there
- Give yourself rest before jumping back into work
- Notice if images or sounds keep coming back
- Reach out if sleep, mood or drinking change
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Vet Center counseling is open to Guard and Reserve members who served on active duty in response to a national emergency or major disaster declared by the president, or under a governor’s orders in response to a disaster or civil disorder in that state.
Vet Center services are free and confidential.
Stress, PTSD, drinking & suicide risk
What to watch for in yourself and in your battle buddies.
Guard and Reserve members can face the same combat stress, PTSD, injuries and grief as active duty members, plus the strain of juggling two lives. The National Guard suicide rate rose in 2024, while rates fell for the active and Reserve components.
Firearms were the most common method of suicide in the active component, Reserve and National Guard in 2024. That is why safe storage matters, especially during hard times.
Warning signs to take seriously
- Drinking or drug use going up
- Feeling there is no reason to live, or heavy guilt or shame
- Giving away possessions or putting affairs in order
- Pulling away from family, friends or the unit
- Violent outbursts or risky actions without thinking
- Talking about death or suicide
Care you can use, on orders or off
Free and low-cost support for Guard and Reserve members and families.
Finding care can feel confusing when your status changes between drill, orders and civilian life. Several kinds of support are open to you no matter where you are in that cycle.
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The National Guard Psychological Health Program supports Guard members and families with any psychological health need. Directors assess what you need and connect you with qualified local help.
Care itself is received through TRICARE, the Veterans Health Administration or private insurance through a civilian employer. You can look up your state’s program on Military OneSource.
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Military OneSource serves National Guard and reserve members regardless of activation status. It offers free, confidential counseling options and support around the clock.
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Vet Centers serve Guard and Reserve members who served in a combat theater, experienced MST, or served in disaster or emergency missions. Current Reserve members in a drilling status with a service-related behavioral health concern can also qualify.
Family members can join when it supports the service member’s goals. Call 1-877-927-8387, 24/7.
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Qualified Selected Reserve members and their families can buy TRICARE Reserve Select coverage. Individual Ready Reserve members don’t qualify.
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If you completed federal active-duty orders, you may be eligible for VA health care. In a mental health emergency, you can go to any VA medical center.
Worried about your career or clearance?
Fears that stop people asking for help, and what’s true.
Worry about your military career, a security clearance or your civilian job is one of the most common reasons service members don’t seek care. Those who most need help are often the most worried about being judged.
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Military OneSource and Vet Centers offer confidential counseling. The Guard Psychological Health Program says its services are tailored to your needs and connect you with local help.
Ask any counselor at the start how your information is shared, so you know what to expect.
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DoD says service members can self-refer for mental health evaluations under the Brandon Act, and it has expanded telehealth options.
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You can choose what to share at work. If your workplace has an employee assistance program, ask what private counseling it offers. It can help to plan what you’ll say if you need time off for appointments.
Guard & Reserve families
Families often live far from base support, and they serve too.
Guard and Reserve families may be the only military family on their street, at school or at work. During drills, orders and deployments, they often carry the load without other military families nearby.
Support families can use
- Military OneSource counseling and support, whatever the activation status
- The Guard Psychological Health Program, for Guard members and families
- Vet Center family counseling when it supports the service member
- Your unit’s family readiness group or program
How units, employers & community help
Checking on each other between drills, and making room at work.
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- Check in by text or call between drills, not just on drill weekends
- Notice who stops showing up or goes quiet
- Leaders: talk openly about mental health and share where to get help
- Follow up after hard missions and deployments
Because Guard units often don’t have mental health staff built in, members looking out for each other matters even more.
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- Ask returning employees what would help, and listen
- Allow flexible time for appointments
- Make your employee assistance program easy to find
- Welcome them back without expecting them to pick up exactly where they left off
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- Ask: “Are you thinking about killing yourself?” Asking does not put the idea in their head.
- Help put time and distance between them and firearms during hard times.
- Listen without judging.
- Call the Veterans Crisis Line together: dial 988 then press 1. It serves Guard and Reserve members too.
When and where to get help
Signs it’s time to reach out, who to call, and help outside the U.S.
Reach out if…
- Memories, nightmares or being on edge won’t ease
- Switching between worlds is wearing you down
- Work, family or sleep is suffering
- You are drinking or using more to cope
- You have any thoughts of suicide or of hurting someone
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- 988 Suicide & Crisis Lifeline: call or text 988
- Crisis Text Line: text HOME to 741741
- Military OneSource: 800-342-9647, 24/7
- Vet Center Call Center: 1-877-927-8387, 24/7
- Veterans Crisis Line: dial 988 then press 1, or text 838255
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If you serve in another country’s reserve forces, ask your country’s defense or veterans’ agency what support exists. Veterans: coming home & life after service lists lines in the UK, Canada and Australia, including services for reservists.
Findahelpline.com lists free, confidential helplines in many countries, searchable by country and topic.
📝 Worksheets for this guide
Fill these in privately in the app. Your answers stay on your phone.
Sources
- Military OneSource (U.S. Department of Defense) (2023). 2023 Demographics Profile: Selected Reserve Members (infographic)
- Milliken, Auchterlonie & Hoge (peer-reviewed) (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war (JAMA)
- Military.com (2026). Military Service Member Suicides Fell in 2024 but Overall Trends Remain
- Military Times (2026). Fewer service members died by suicide in 2024 than year prior, report finds
- Military OneSource (U.S. Department of War, formerly Defense). Psychological Health Program (National Guard)
- Military OneSource (U.S. Department of War, formerly Defense). Eligibility
- Military OneSource (U.S. Department of War, formerly Defense). Confidential Help
- National Guard Bureau (2016). Guard and Reserve members receive ‘Veteran’ status
- U.S. Department of Veterans Affairs. Eligibility for VA health care
- U.S. Department of Veterans Affairs, Vet Centers. Vet Center Eligibility
- U.S. Department of Veterans Affairs. Vet Centers (Readjustment Counseling)
- TRICARE (Defense Health Agency). TRICARE Reserve Select
- The New England Journal of Medicine (Hoge et al.) (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care
- U.S. Department of Veterans Affairs. VA Mental Health Care
- U.S. Department of Veterans Affairs. Helpful VA Phone Numbers
- U.S. Department of Veterans Affairs. Veterans Crisis Line
- Veterans Crisis Line (U.S. Department of Veterans Affairs). Signs of Crisis
- 988 Suicide & Crisis Lifeline. 988 Suicide & Crisis Lifeline
- Substance Abuse and Mental Health Services Administration (SAMHSA). 988 Suicide & Crisis Lifeline
- Crisis Text Line. Crisis Text Line
- Substance Abuse and Mental Health Services Administration (SAMHSA). Crisis Text Line
- Find A Helpline (ThroughLine). Find A Helpline
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

