1. TSP 081-T-1059-1 IMPLEMENT MEASURES TO REDUCE STRESS

2. TSP 081-T-1059-2 STRESS-RELATED CHART - 1

3. TSP 081-T-1059-3 STRESS-RELATED CHART - 2

4. TSP 081-T-1059-4 STRESS-RELATED BEHAVIORS Positive combat stress behaviors. Misconduct stress behaviors. Combat and operational stress reaction (COSR). Post-traumatic stress disorder (PTSD).

5. TSP 081-T-1059-5 POSITIVE STRESS BEHAVIORS

6. TSP 081-T-1059-6 MISCONDUCT STRESS BEHAVIORS

7. TSP 081-T-1059-7 COSR STRESS BEHAVIORS

8. TSP 081-T-1059-8 PTSD STRESS BEHAVIORS

9. TSP 081-T-1059-9 COSR RISK FACTORS - 1 Domestic worries. Newly assigned to unit. First time in combat, horrors. Casualties. Lack of mobility. Surprise attacks.

10. TSP 081-T-1059-10 COSR RISK FACTORS - 2 Inability to strike back--indirect fire, improvised explosive devices (IEDs). Information vacuum. Chemical, biological, radiological, and nuclear (CBRN) weapons threat. Sleep loss. Physical exhaustion. Dehydration, hunger.

11. TSP 081-T-1059-11 ACTIONS TO PREVENT/CONTROL COSR - 1 Integrate, build unit cohesion and pride. Help Soldiers stabilize the home front. Keep Soldiers physically fit. Conduct tough, realistic training. Cross train in key areas. Enforce sleep discipline.

12. TSP 081-T-1059-12 Plan for personal hygiene. Preserve Soldiers' welfare, safety, and health. Reduce uncertainty. Enforce individual health protection measures. Utilize Battlemind to build resiliency. ACTIONS TO PREVENT/CONTROL COSR - 2

13. TSP 081-T-1059-13 ACTIONS TO MANAGE COSR - 1 If: Soldier’s behavior endangers the mission himself, or others, take appropriate measures to control him. Soldier is upset, let him talk about what is upsetting him, listen, and then try to reassure him.

14. TSP 081-T-1059-14 If: Soldier’s reliability becomes questionable— Unload the weapon. Remove the weapon only if endanger mission, himself, or others. Restrain only when safety is a concern/during transport. Reassure unit members: Probably a normal COSR reaction Will improve quickly ACTIONS TO MANAGE COSR - 2

15. TSP 081-T-1059-15 If: COSR signs continue— Get the Soldier to a safer place. Do not leave the Soldier alone. Notify the senior NCO or officer. Have the Soldier examined by medical personnel. ACTIONS TO MANAGE COSR - 3

16. TSP 081-T-1059-16 If: Tactical situation permits, give the Soldier simple tasks to do when not sleeping, eating, or resting. Assure the Soldier that they will return to full duty ASAP. ACTIONS TO MANAGE COSR - 4