Final Reflections – A Call for Change artwork
Psychiatric Casualties

Final Reflections – A Call for Change

  • S2E30
  • 46:18
  • April 24th 2025

In this poignant final episode of Psychiatric Casualties, hosts Mark Russell and Charles Figley are joined by special guest Kathy Figley for a powerful and emotional close to their podcast journey. Together, they reflect on the stories, challenges, and revelations they’ve shared while confronting the chronic neglect of mental health in the military.

Drawing from their book and years of advocacy, the trio revisits major insights from their work—highlighting systemic failures, personal battles, and the urgent need for reform. More than a summary, this episode is a passionate call to action: to push for comprehensive change, support those suffering in silence, and hold institutions accountable.

Whether you've followed since the beginning or are just tuning in, this episode captures the heart of Psychiatric Casualties: How and Why the Military Ignores the Full Cost of War—a blend of truth, compassion, and unwavering dedication to those affected by military mental health struggles.

🔑 Key Topics:

  • Reflections on the podcast journey and the writing of Psychiatric Casualties
  • The invisible wounds of military service
  • Failures in military mental health care systems
  • Advocacy and accountability: what's needed for real change
  • Messages of hope for the future

📚 Featured Book: Psychiatric Casualties – by Mark Russell & Charles Figley

Strangers At Home

Thank You For Your Service

🙏 Thank You:

To all our listeners, contributors, and the brave individuals who shared their stories—thank you. Your voices matter, and together, we can be the catalyst for change.

🔗 Stay Connected:

Though this is the final episode, the conversation doesn’t end here.

Psychiatric Casualties

This podcast is a clinical exploration into the untold truth of military mental healthcare from two insiders. Join Navy Veteran and psychologist, Mark Russell and Marine Veteran and psychologist, Charles Figley as they explore evidence of preventable generational wartime mental health crises, the "dark side" of the military's long-standing strategies to deal with its mental health dilemma, and what is required to truly transform behavioral health both within and outside of military populations.

***Some of the subject matter can be intense and potentially triggering.***

Have questions or comments? Email Dr. Mark Russell at [email protected]

Dr. Charles Figley avatar
Dr. Charles Figley
Host

    Dr. Figley is the Tulane University Paul Henry Kurzweg Chair in Disaster Mental Health. Professor Figley is recognized as one of the foremost experts on trauma and is the recipient of numerous lectureships and other honors in the US and throughout the world. He has published more than 200 refereed journal articles, 29 books, more than 540 presentations, and more than 110 book chapters in his long career. His work draws collectively on more than 37 research projects focusing on traumatic stress, and resilience of individuals, families, and communities. Dr. Figley co-authored Psychiatric Casualties: How and Why the Military Ignores the Full Cost of War with Dr. Mark Russell. 

    Professor Figley credits his nearly four years in the USMC with maturity building and early insights about human stress and coping and influenced his career as an academic focusing on traumatic stress and the impact on service providers. This, in turn, led to his life-long effort to study the human side of being and caring for others, including war veterans and their families. Today, given his 5 decades as a professor, an author, presenter, and humanitarian, he is considered the “father of trauma” by the American Psychological Association.

    Dr. Mark Russell avatar
    Dr. Mark Russell
    Host

      Mark is a retired Navy Commander and clinical psychologist with over 26-years of military service including 10-years as an enlisted Marine. He is dual-Board certified by the American Board of Professional Psychology (ABPP) in clinical psychology and clinical child and adolescent psychology. Co- author of Treating Traumatic Stress Injuries in Military Personnel: An EMDR Practitioner’s Guide (Routledge, 2013) and Psychiatric Casualties: How and why the military ignores the full cost of war (Columbia University Press, June 2021) with Charles Figley, and co-authored Eye Movement Desensitization and Reprocessing (EMDR therapy): In 2005, Commander Russell became a military whistleblower after filing a Department of Defense Inspector’s General complaint against the head of military medicine for “harmful gross negligence” resulting in a preventable military mental health crisis. His efforts were featured in USA Today (2007); the 2015 documentary film, Thank You for Your Service! and the 2022 documentary Strangers at Home. He was awarded the Distinguished Psychologist Award by the Washington State Psychological Association and the Meritorious Service Medal by the President of the United States for his sustained effort to transform military mental healthcare, as well as the recipient of the 2018 Outstanding Service in the Field of Trauma Psychology by the American Psychological Association Division 56 Trauma Psychology.