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Canadian veterans battle invisible wounds of moral injury and addiction

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Header photo caption: Canadian Forces veteran Gordon Hurley in Hawija, Iraq, 2017. [Photo provided by Gordon Hurley]

Moral injury, a unique psychological trauma, drives many Canadian veterans to substance use disorders as they struggle with inadequate support

When he was stationed in Bosnia in 1994, Steve Lamrock would drive a truck loaded with food through villages full of hungry people.

As a Canadian Armed Forces platoon quartermaster, one of Lamrock’s duties was transporting food to other soldiers involved in the United Nations Protection Force’s peacekeeping mission in the war-torn country.

“I had people starving to death, children starving to death,” he recalled, his wife seated beside him for support. “I could see, weekly, the deterioration in certain people in the community and the elderly from a lack of nutrition.”

Often, there was a surplus of rations.

“The UN policy was, if you can’t give exactly equal to both sides, you don’t give anything away,” he said, adding that it could trigger violent raids if you provided food to just one faction.

“So we would throw out food when there’s people starving to death.”

Moral dilemmas like these haunted Lamrock long after he retired from the military in 2009. Tormented by nightmares, he turned to alcohol to cope. “When I drank so much I passed out, I wouldn’t dream or remember the dreams as vividly or as often,” he said.

Canadian Forces veteran Steve Lamrock. [Photo provided by Steve Lamrock]

Lamrock — whose 24-year military career included tours in Afghanistan, Bosnia, Croatia, Kosovo and Iraq — was identified as suffering from psychological distress caused by the perception of having violated one’s moral or ethical beliefs. Experts are now calling this moral injury.

Moral injury is not formally recognized in the Diagnostic and Statistical Manual of Mental Disorders, an authoritative manual on mental disorders. But experts and veterans say moral injury affects many individuals who serve in the military, and requires better institutional support and treatment than are currently available.

Moral injury and addiction

“[Moral injury presents as] shame, guilt and anger that occurs when someone is exposed to an event that goes against their moral values, standards or ethics,” said Dr. Don Richardson, a psychiatrist and scientific director of the MacDonald Franklin Operational Stress Injury Research Centre in London, Ont. The centre studies the impact of stress injuries on military personnel, veterans and first responders.

Moral injury can result not only from witnessing or causing harm, but also from being affected by an organization’s actions or inactions, Richardson says.

The term moral injury was first introduced in the 1990s by American psychiatrist Dr. Jonathan Shay, who worked with veterans of the Vietnam War. It gained wider recognition following the Iraq and Afghanistan wars, when traditional treatments for post-traumatic stress disorder (PTSD) — such as Cognitive Behavioural Therapy — were proving to be only partially effective.

While fear is often at the core of traditional PTSD cases, feelings of guilt, shame, anger and betrayal are more strongly linked to cases of moral injury, says Dr. Anthony Nazarov, associate director of the MacDonald Franklin Operational Stress Injury Research Centre and an expert on moral injury.

Nearly 60 per cent of Canadian Armed Forces personnel deployed in NATO operations in Afghanistan reported exposure to morally injurious events, according to a 2018 study co-authored by Nazarov. Those exposed to such events demonstrated a greater likelihood of developing PTSD and major depressive disorders.

Dr. Ronald Shore, a research scientist and assistant professor in psychiatry at Queen’s University, says individuals suffering from moral injury often develop coping strategies due to a lack of support to help them process traumatic experiences.

One common coping mechanism is substance use, he says.

“You’re constantly feeling like something is wrong with you, that you’ve done something wrong … that leads to that self-regulation with addiction,” Shore said.

Lamrock says his experiences in Bosnia — and the habits he developed afterwards — deeply affected him and his family.

He recalled promising his young daughter they would do something fun after a night’s rest. “‘No, you won’t, Daddy, you won’t get up,’” she had replied, knowing he would likely be too hungover.

“That was my motivation to quit,” he said.

Betrayal

It is common for veterans suffering from moral injury to feel angry or betrayed due to the military’s actions or lack of support.

“[A person feels] betrayed by policies, betrayed by leaders, betrayed by organizations,” said Nazarov.

This has been the case for Gordon Hurley, 37, whose 14-year career in the Canadian Armed Forces included tours in Afghanistan, Africa and Iraq.

“When you get out, there’s nothing,” Hurley said. “If you think that Veterans Affairs is going to support you … they will, but you’re gonna have to fight for it.”

Hurley was medically discharged from the military in 2021 due to various physical and mental health challenges, including PTSD. He says Veterans Affairs requires him to continually prove the severity of his injuries to maintain disability support and benefits, such as reimbursements for retinal surgery and rehabilitation.

Hurley says that having to repeatedly prove his injuries to Veterans Affairs has been frustrating. “You were the ones who released me from the military … for these injuries, but now you are asking me to prove them back to you?” he said.

The Canadian Armed Forces redirected inquiries about support for veterans with moral injury and substance use disorder to Veterans Affairs Canada.

In an emailed statement to Canadian Affairs, Veterans Affairs spokesperson Josh Bueckert said mental health-care practitioners who work with veterans are “well aware of moral injury” and recognize the condition is often associated with operational stress injuries.

Bueckert said the department provides funding to organizations such as the Atlas Institute for Veterans and Families, which has a moral injury toolkit for veterans.

He also noted the department offers veterans a range of mental health resources, including access to 11 operational stress injury clinics and a network of 12,000 mental health professionals. Bueckert said veterans also have access to treatments for substance use disorder and for conditions such as “trauma-and-stressor-related disorders.”

Hurley acknowledges all these benefits are available, but says they are hard-won.

“All those benefits listed you get, but unless your condition has been [approved by the department], you do not receive those benefits,” he said.

‘Never-ending battle’

Josh Muir, 49, served nearly 14 years in the military and was deployed twice to Afghanistan. After sustaining soft tissue damage, hearing damage and spinal injuries in a 2010 improvised explosive device attack, he was medically discharged from the military — something he says he opposed because the military had become his entire identity.

“As soon as I’ve crossed this threshold, I no longer really have a clear picture of who I am, what I am, what use I might play in the future, and where to go from here,” he said.

He described feeling discarded by the military. “I was very quickly turned from a valuable asset into a liability that needed to be rid of as quickly and as expeditiously as possible,” said Muir, who turned to alcohol as a crutch.

Canadian Forces veteran Josh Muir and his son Max at a beach in Vancouver, April 2024. [Photo Credit: Atlas Institute for Veterans and Families]

Shore, of Queen’s University, says recovering from moral injury and substance use disorder can require rebuilding one’s identity as the sense of purpose and belonging one gets from being part of the military fades.

Therapies such as acceptance and commitment therapy help veterans accept difficult emotions and commit to taking actions that align with their values. Another treatment called narrative therapy helps veterans separate their problems from their identity. These therapies can be effective at helping veterans recover, says Richardson, of the MacDonald Franklin Operational Stress Injury Research Centre.

Richardson also encourages veterans to seek peer support through groups like Operational Stress Injury Social Support or True Patriot Love Foundation.

David Fascinato joined the military in 2005 and served in psychological operations, including a deployment to Afghanistan in 2010.

Fascinato, who has since left the military, has struggled with mental health issues and moral injury. He says he has come to realize that veterans need organizations that offer community, purpose and tools to rebuild their sense of self.

This realization led him to co-found Team Rubicon Canada, a volunteer disaster relief organization that conducts missions in Canada and abroad. “Doing things with others for others, that’s where it helps reduce substance misuse and provides an off-ramp,” he said.

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Fascinato has also found purpose by serving as executive director of Heroic Hearts Project Canada, an organization that supports veterans and first responders with alternative mental health treatments such as psychedelics.

Richardson and Shore view psychedelic-assisted therapy — which uses psychedelics to disrupt ingrained neural patterns — as a promising treatment for moral injury and substance use disorder..

Shore says support for psychedelic trials with veterans is still limited due to safety concerns and insufficient research. However, Canadian veterans are seeking psychedelic therapy in overseas retreats in places like Mexico and Peru.

Hurley says he was only able to recover from his alcoholism after seeking treatment at a psychedelic retreat in Tijuana, Mexico in 2022. “Only after I did ibogaine did I get released from [alcohol addiction],” he said, referring to a type of psychedelic drug.

While the production, sale and possession of psychedelics remain illegal in Canada, Health Canada in 2023 amended its Special Access Program, which allows health-care providers to request psychedelic medications for patients with life-threatening or treatment-resistant conditions.

In Muir’s case, he was able to gain control of his addiction and mental health issues after completing a two-month residential program at a treatment centre on Vancouver Island. The cost of the program was covered by Veterans Affairs.

While Muir is grateful to have his treatment costs covered, he says he would like to see Veterans Affairs generally improve the support it offers veterans, including offering more personalized assistance in the transition to civilian life.

He describes his experience with the Canadian Armed Forces’ transition program as taking in “information via fire hose,” with overwhelming seminars and a lack of personal guidance to navigate the process.

“There’s little services and ceremonies,” said Muir. “But ultimately you have to go back to you being a small cog in a large machine.”

“I felt like I was going to become Army Surplus, just like the items in the store that sit there after their function has been superseded by newer models.”

“I think it’s absurd,” said Fascinato. “We have to pick up the proverbial sword and shield, or in this case pen and pad of paper, and seemingly wage this never-ending battle for access to care that shouldn’t be this difficult to get.”


This article was produced through the Breaking Needles Fellowship Program, which provided a grant to Canadian Affairs, a digital media outlet, to fund journalism exploring addiction and crime in Canada. Articles produced through the Fellowship are co-published by Break The Needle and Canadian Affairs.

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Canada’s Military Can’t Be Fixed With Cash Alone

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From the Frontier Centre for Public Policy

By Lt. Gen. (Ret.) Michel Maisonneuve

Canada’s military is broken, and unless Ottawa backs its spending with real reform, we’re just playing politics with national security

Prime Minister Mark Carney’s surprise pledge to meet NATO’s defence spending target is long overdue, but without real reform, leadership and a shift away from bureaucracy and social experimentation, it risks falling short of what the moment demands.

Canada committed in 2014 to spend two per cent of its gross national product on defence—a NATO target meant to ensure collective security and more equitable burden-sharing. We never made it past 1.37 per cent, drawing criticism from allies and, in my view, breaching our obligation. Now, the prime minister says we’ll hit the target by the end of fiscal year 2025-26. That’s welcome news, but it comes with serious challenges.

Reaching the two per cent was always possible. It just required political courage. The announced $9 billion in new defence spending shows intent, and Carney’s remarks about protecting Canadians are encouraging. But the reality is our military readiness is at a breaking point. With global instability rising—including conflicts in Ukraine and the Middle East—Canada’s ability to defend its territory or contribute meaningfully to NATO is under scrutiny. Less than half of our army vehicles, ships and aircraft are currently operational.

I’m told the Treasury Board has already approved the new funds, making this more than just political spin. Much of the money appears to be going where it’s most needed: personnel. Pay and benefit increases for serving members should help with retention, and bonuses for re-enlistment are reportedly being considered. Recruiting and civilian staffing will also get a boost, though I question adding more to an already bloated public service. Reserves and cadet programs weren’t mentioned but they also need attention.

Equipment upgrades are just as urgent. A new procurement agency is planned, overseen by a secretary of state—hopefully with members in uniform involved. In the meantime, accelerating existing projects is a good way to ensure the money flows quickly. Restocking ammunition is a priority. Buying Canadian and diversifying suppliers makes sense. The Business Council of Canada has signalled its support for a national defence industrial strategy. That’s encouraging, but none of it will matter without follow-through.

Infrastructure is also in dire shape. Bases, housing, training facilities and armouries are in disrepair. Rebuilding these will not only help operations but also improve recruitment and retention. So will improved training, including more sea days, flying hours and field operations.

All of this looks promising on paper, but if the Department of National Defence can’t spend funds effectively, it won’t matter. Around $1 billion a year typically lapses due to missing project staff and excessive bureaucracy. As one colleague warned, “implementation [of the program] … must occur as a whole-of-government activity, with trust-based partnerships across industry and academe, or else it will fail.”

The defence budget also remains discretionary. Unlike health transfers or old age security, which are legally entrenched, defence funding can be cut at will. That creates instability for military suppliers and risks turning long-term procurement into a political football. The new funds must be protected from short-term fiscal pressure and partisan meddling.

One more concern: culture. If Canada is serious about rebuilding its military, we must move past performative diversity policies and return to a warrior ethos. That means recruiting the best men and women based on merit, instilling discipline and honour, and giving them the tools to fight and, if necessary, make the ultimate sacrifice. The military must reflect Canadian values, but it is not a place for social experimentation or reduced standards.

Finally, the announcement came without a federal budget or fiscal roadmap. Canada’s deficits continue to grow. Taxpayers deserve transparency. What trade-offs will be required to fund this? If this plan is just a last-minute attempt to appease U.S. President Donald Trump ahead of the G7 or our NATO allies at next month’s summit, it won’t stand the test of time.

Canada has the resources, talent and standing to be a serious middle power. But only action—not announcements—will prove whether we truly intend to be one.

The NATO summit is over, and Canada was barely at the table. With global threats rising, Lt. Gen. (Ret.) Michel Maisonneuve joins David Leis to ask: How do we rebuild our national defence—and why does it matter to every Canadian? Because this isn’t just about security. It’s about our economy, our identity, and whether Canada remains sovereign—or becomes the 51st state.

Michel Maisonneuve is a retired lieutenant-general who served 45 years in uniform. He is a senior fellow at the Frontier Centre for Public Policy and author of In Defence of Canada: Reflections of a Patriot (2024).

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Mark Carney Thinks He’s Cinderella At The Ball

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And we all pay when the dancing ends

How to explain Mark Carney’s obsession with Europe and his lack of attention to Canada’s economy and an actual budget?

Carney’s pirouette through NATO meetings, always in his custom-tailored navy blue power suits, carries the desperate whiff of an insecure, small-town outsider who has made it big but will always yearn for old-money credibility. Canada is too young a country, too dynamic and at times a bit too vulgar to claim equal status with Europe’s formerly magnificent and ancient cultures — now failed under the yoke of globalism.

Hysterical foreign policy, unchecked immigration, burgeoning censorship and massive income disparity have conquered much of the continent that many of us used to admire and were even somewhat intimidated by. But we’ve moved on. And yet Carney seems stuck, seeking approval and direction from modern Europe — a place where, for most countries, the glory days are long gone.

Carney’s irresponsible financial commitment to NATO is a reckless and unnecessary expenditure, given that many Canadians are hurting. But it allowed Carney to pick up another photo of himself glad-handing global elites to whom he just sold out his struggling citizens.

From the Globe and Mail

“Prime Minister Mark Carney has committed Canada to the biggest increase in military spending since the Second World War, part of a NATO pledge designed to address the threat of Russian expansionism and to keep Donald Trump from quitting the Western alliance.

Mr. Carney and the leaders of the 31 other member countries issued a joint statement Wednesday at The Hague saying they would raise defence-related spending to the equivalent of 5 per cent of their gross domestic product by 2035.

NATO Secretary-General Mark Rutte said the commitment means “European allies and Canada will do more of the heavy lifting” and take “greater responsibility for our shared security.”

For Canada, this will require spending an additional $50-billion to $90-billion a year – more than doubling the existing defence budget to between $110-billion and $150-billion by 2035, depending on how much the economy grows. This year Ottawa’s defence-related spending is due to top $62-billion.”

You’ll note that spending money we don’t have in order to keep President Trump happy is hardly an elbows up moment, especially given that the pledge followed Carney’s embarrassing interactions with Trump at the G7. I’m all for diplomacy but sick to my teeth of Carney’s two-faced approach to everything. There is no objective truth to anything our prime minister touches. Watch the first few minutes of the video below.

Part of the NATO top-up we can’t afford is more billions for Ukraine which is pretty much considered a lost cause. NATO must keep that conflict going in order to justify its existence and we will all pay dearly for it.

The portents are bad. This from the Globe:

We are poorer than we think. Canadians running their retirement numbers are shining light in the dark corners of household finances in this country. The sums leave many “anxious, fearful and sad about their finances,” according to a Healthcare of Ontario Pension Plan survey recently reported in these pages.

Fifty-two per cent of us worry a lot about our personal finances. Fifty per cent feel frustrated, 47 per cent feel emotionally drained and 43 per cent feel depressed. There is not one survey indicator to suggest Canadians have made financial progress in 2025 compared with 2024.

The video below is a basic “F”- you to Canadians from a Prime Minister who smirks and roles his eyes when questioned about his inept money management.

He did spill the beans to CNN with this unsettling revelation about the staggering numbers we are talking about:

Signing on to NATO’s new defence spending target could cost the federal treasury up to $150 billion a year, Prime Minister Mark Carney said Tuesday in advance of the Western military alliance’s annual summit.

The prime minister made the comments in an interview with CNN International.

“It is a lot of money,” Carney said.

This guy was a banker?

We are witnessing the political equivalent of a vain woman who blows her entire paycheque to look good for an aspirational event even though she can’t afford food or rent. Yes, she sparkled for a moment, but in reality her domaine is crumbling. All she has left are the photographs of her glittery night. Our Prime Minister is collecting his own album of power-proximity photos he can use to wallpaper over his failures as our economy collapses.

The glass slipper doesn’t fit.

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