Moral injury, characterized by profound psychological distress resulting from actions that violate one's ethical or moral beliefs, remains notably absent from the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition). This exclusion has sparked considerable debate among mental health professionals. Despite this omission, effective therapeutic approaches can significantly aid those suffering from moral injury.

Moral injury is a term describing the psychological, emotional, and spiritual distress that arises when individuals experience situations that conflict with their deeply held moral or ethical beliefs. Unlike PTSD, which is linked to fear and trauma, moral injury involves actions or events that breach one's moral code, leading to profound guilt, shame, and a sense of betrayal. This condition can be prevalent in professions like the military, healthcare, and emergency response, where individuals may face ethical dilemmas or witness actions that disturb their moral framework. The distress can also lead to spiritual and existential crises, impacting mental health through depression, anxiety, and substance abuse. Learn how you can heal and how organizations play a critical role in mitigating the impact of moral injury.