Signs and Symtoms 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
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Depressed/ withdrawn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
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Depressed/ withdrawn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



