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"There's combat. Then, there's the rest of your life. We need survival skills for
each battle zone. This is the guide to surviving the war back here. We all need it.
A hell of a book. The lucky get it."

-Max Cleland, former U.S. Senator and VA Administrator,
wounded decorated combat veteran

"I've never met a mental health professional who `gets it' as well as Colonel Charles
Hoge. He's done the research, he's been shoulder-to-shoulder with warriors, and
he's woven it together in language that is real and resonant. Once a Warrior Always
a Warrior is a vital handbook for every leader, and a survival book for warriorscome-home."

-Nate Self, former Army Ranger Captain,
author of Two Wars: One Hero's Fight on Two Fronts-Abroad and Within

"Of all the victimizing crap out there regarding what real warriors experience
in battle, Dr. Hoge's deeply researched work stands a breed apart from anything
in this genre. He has simply written the best, most comprehensive study of not
only what those at the tip of spear have endured, but what they can expect to
go through as they confront the realities of combat. Just as every warrior should
drink water and clean their rifle in battle, every returning veteran should pack
this book as they continue their journey home."

-Staff Sergeant David Bellavia,
author of House to House: An Epic Memoir of War

"Once a Warrior-Always a Warrior provides a uniquely valuable addition to the
subject of post traumatic stress in the military population because it comes from
a soldier and a mental health professional who has years of real world, hands-on
experience helping our warriors deal with these issues. Dr. Hoge possesses the
rare gift of being able to translate the science from published research into the
language of the warrior. As valuable as this book is for warriors coping with experiences that in many instances are normal responses to abnormal circumstances,
it should also be required reading for mental health professionals to whom our
warriors turn for assistance. It will help them strike the right chord with those
they serve, even if they have not walked in their boots. Finally, it's a book for the
warrior's family. It will help them to understand, participate in, and facilitate the
warrior's journey, and realize that it can be a journey of growth."

-James B. Peake, MD, Secretary of Veteran Affairs (2007-2009),
40th Surgeon General of the U.S. Army, decorated Vietnam combat veteran

"Dr. Hoge has served his nation well by compiling a user-friendly guide to issues
this generation faces in the long wars of Iraq and Afghanistan. Written in a language warriors can understand, he takes complex issues and delivers practical
advice, tips and strategies that are the antidote to suffering. Ultimately no matter the experience, the warrior must decide which path they will choose. They
can go down a negative path that leads to dysfunction and suffering or they can
choose to own their experience, rather than being owned by it. This book and the
skills within it can serve as a first step in a journey toward resilience and positive
growth."

-Steve Robinson, SFC (Retired), Army Ranger, Veteran Advocate

"Dr. Hoge explains cutting-edge medical discoveries in plain English, and
describes the psychological and physiological mechanisms underlying postdeployment transition challenges. In essence, he tells us two things: there are
good reasons why it is hard to adjust to "normal" life after combat, and understanding those reasons empowers us and makes us more likely to succeed at
adjusting and integrating combat experiences into a healthy psychological and
emotional life. This understanding is essential for our growing ranks of combat
veterans and their loved ones, mental health professionals, policy makers, and
concerned citizens, and this book is the way to get it."

-Gabriel Ledeen, Former Captain, U.S. Marine Corps;
two-tour Iraq combat veteran; Senior Fellow, Vets For Freedom

"Colonel Hoge, MD, a well-known and respected psychiatric researcher and clinician, has written a smart, insightful, jargon-free book on reactions to trauma and
the syndrome of post traumatic stress disorder. This book is a gift to anyone in
the military or anyone who has relatives or loved-ones in the military. What was
obvious to me is that Col. Hoge genuinely cares about the health and well-being
of people serving in the military and of their relatives. His direct, clear language
and thinking help clear up many misconceptions about reactions to combat, and
provide useful tools to aid in recovery/readjustment."

-Greer Richardson, MD,
Assistant Clinical Professor of Psychiatry, Yale University;
Veterans Affairs Staff Psychiatrist, West Haven, Connecticut

CHARLES W. HOGE, MD

COLONEL, U.S. ARMY (RETIRED)