Naval Center for Combat & Operational Stress Control banner
The Stress Continuum

The Stress Continuum

Search
NCCOSC
Service Members
Leaders
Health Professionals
Families
Feedback
Feedback Form
Feedback Form Thank You
Feedback
  
Topics:

The Stress Continuum

Know It. Use It.

The Stress Continuum is a model that identifies how Sailors and Marines react under stressful situations. It is the foundation of Navy and Marine Corps efforts to promote psychological health.

The continuum is a color-coded map to identify behaviors that might arise from serving in combat, in dangerous peacekeeping missions and in the highly charged day-to-day work that is required of today’s military. While its primary use is for individual service members, the continuum also is a valuable tool to track behaviors of military families and commands.

A Colorful Glossary

Green Zone Not stress-free, but mastering stress with good coping skills. Ready to go!
Yellow Zone Reacting to life’s normal stressors. Mild and reversible!
Orange Zone Stress injuries damaging the mind, body or spirit. Temporarily non-mission ready!
Red Zone Stress injuries that become stress illnesses. Only diagnosed by health professionals!

Common Behaviors of the Four Zones

Service Members in the GREEN:

  • Remain calm, steady, confident
  • Exhibit ethic and moral behavior
  • Eat healthfully, exercise regularly and get proper sleep
  • Keep a sense of humor and remain active socially, spiritually
  • Use alcohol in moderation, if at all
  • Get the job done and show respect for fellow warriors

Service Members in the YELLOW:

  • Feel anxious, fearful, sad, angry, grouchy, irritable or mean
  • Cut corners on the job
  • Are negative or pessimistic
  • Lose interest, energy or enthusiasm
  • Have trouble concentrating
  • Become excessive in spending, Internet use, playing computer games, etc.

Service Members in the ORANGE:

  • Lose control of emotions or thinking
  • Have nightmares, sleep problems, obsessive thinking
  • Feel guilt, shame, panic or rage
  • Abuse alcohol or drugs
  • Change significantly in appearance or behavior
  • Lose moral values

RED Zone = Ill Zone

These are Orange Zone behaviors that persist, get worse, or get better and then come back worse. The service member cannot function properly.

All medical disorders in individuals exposed to combat or other operational or traumatic stress are found in the Red Zone. These include posttraumatic stress disorder (PTSD), major depression, certain anxiety disorders and substance abuse disorders. The distinction between Orange Zone stress injury and Red Zone stress illness can only be made by a medical or mental-health professional.

Red Zone illnesses are very treatable. The majority of Sailors and Marines who are treated finish their tours of duty and many continue to serve. Early treatment is the key.

In a few words

GREEN is READY

YELLOW is REACTING

ORANGE is INJURED

RED is ILL

Green is Good. Go for the Green!

Resilience to stress is the underlying theme of the continuum— building it, maintaining it and restoring it when necessary.

The more resilience shown by a service member the easier it is to stay in the Green Zone.

The Stress Continuum Anger And Coping
Share this:
E-mail

Official US Navy Website | Navy Medicine | Accessibility | Freedom of Information Act | Privacy Policy

NCCOSC Website Feedback | Contact NCCOSC | Sign In

Disclaimer: The appearance of hyperlinks does not constitute endorsement by the United States Department of Defense,
the United States Department of the Navy and the Bureau of Medicine and Surgery of non-U.S. Government sites or the
information, products, or services contained therein. Although the United States Department of Defense, the United States
Department of the Navy and the Bureau of Medicine and Surgery may or may not use these sites as additional distribution
channels for Department of Defense information, it does not exercise editorial control over all of the information that
you may find at these locations. Such links are provided consistent with the stated purpose of this website.