Sad woman sitting on the sofa with depression

What are the symptoms of a moral injury?

A moral injury can result in symptoms across multiple domains of our mental well-being. We may experience:

Emotional changes

  • Guilt and/or shame
  • Anger
  • Hopelessness
  • Anxiety

Cognitive changes

  • A loss of trust in the self or others
  • Existential crises (e.g., questioning the meaning of life or your purpose)
  • Spiritual questioning or doubts (e.g., questioning your belief in a higher power)
  • A change in the way you evaluate the integrity of yourself or others
  • Feeling like the world is an unsafe place or there is no justice

Behavioural changes

  • Social withdrawal, isolation, or disengagement
  • Self-harm

Prompt: Think about a difficult decision you’ve had to make, including the internal struggle, your own feelings of responsibility, and how it impacted the way you feel about yourself and others.