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Kay

Friday, 16 May 2008
APA recognizes PTSD as a real disorder
Posted By Kay at 10:37 PM
 

www.apa.org/journals/releases/ccp714692.pdf

www.apa.org/journals/releases/ccp714692.pdf

http://pn.psychiatryonline.org/cgi/content/full/psychnews;40/9/25-a

http://pn.psychiatryonline.org/cgi/content/full/39/8/12

http://www.healthyminds.org/ : (APA website)  (Also in concerning medical ethics ,physicians and other doctors pledge to do no harm.)...The Hippocratic injunction "Strive to help, but above all, do no harm" is the ruling maxim

Military Mental Health

Soldiers, veterans, and their families experience unique mental health challenges. The stress and trauma encountered in service and from being separated from loved ones can have a large impact on one’s mental health. This May during Mental Health Month, learn more about what the nation’s heroes are facing and where to go for more information and help. 

 

 

 

 

Did you know?

A new APA survey highlights the issues that soldiers and their spouses cope with:

  • Courage to CareMore than one-third self report experiencing anxiety (military member 38%, military spouse 39%) and feeling depression (military member 40%, military spouse 33%) at least twice a week.

  • In addition to stress caused by worry for their loved one serving in the military, spouses reported a lot or a little stress from handling domestic issues alone (60%) and single parenting (54%).

  • More than six in ten military members (61%) think that seeking help for mental health concerns would have at least some negative impact on their career.
   

Let’s Talk Facts

Helpful fact sheets on common mental health issues that can affect the military community.

Courage to CarePosttraumatic Stress Disorder is a psychiatric disorder that can occur in people who have experienced or witnessed life-threatening events such as natural disasters, serious accidents, terrorist incidents, war, or violent personal assaults like rape.

Depression is a serious medical illness that negatively affects how you feel, the way you think and how you act.

Anxiety disorders are the most common of emotional disorders and can include overwhelming feelings of panic and fear.

Addiction is a chronic illness like heart disease, high cholesterol or high blood pressure that affects many aspects of a person’s life.

    

carolyn robinowitz, m.dAsk Dr. Davis

Kentucky-based psychiatrist Mary Helen Davis, M.D., answers questions about the mental health of service members and their families. Dr. Davis works with the APA as a member of the Committee on Mental Healthcare for Veterans & Military Personnel & Their Families.

Mental Health Information and Resources

The World Wide Web is full of helpful educational and informational resources about mental health and the military community. A variety of Web links that can help you find the information you need include resources for soldiers, veterans, their families, as well as the public looking to show their support.

Support Your Loved Ones

Courage to CareFamilies and friends of returning service members often wonder what to expect after their loved one comes home from a combat zone. Read how to help your family in this fact sheet by the Center for the Study of Traumatic Stress.

 

 

The Minds and Hearts of Soldiers, Sailors, Airmen, Marines and their Families

Courage to CarePsychiatrist Robert J. Ursano, M.D. shares his thoughts on military mental health. Dr. Ursano is an expert in the areas of PTSD and the psychological effects of terrorism, bioterrorism, traumatic events and disasters and combat. He works with the American Psychiatric Association as a consultant to the Committee on Mental Healthcare for Veterans and Military Personnel and their Families. He is also Director of the Center for the Study of Traumatic Stress at the Uniformed Services University School of Medicine.

     

APA has also in the past made recommendations to speed up the process for soldiers to get treatment and has even said  the VA has not stepped up to the plate or adequately addressed this issue 

Here is also a snapshot of this website:http://www.medem.com/medlb/article_detaillb.cfm?article_ID=zzzs560ct7c&sub_cat=47Medical Library >Printer-friendly format

>
Let's Talk Facts About Posttraumatic Stress Disorder

 

 

What Is Posttraumatic Stress Disorder?

Posttraumatic stress disorder (PTSD) is a psychiatric disorder that can occur in people who have experienced or witnessed life-threatening events such as natural disasters, serious accidents, terrorist incidents, war or violent personal assaults like rape. People who suffer from PTSD often relive the experience through flashbacks or nightmares, have difficulty sleeping, and feel detached or estranged.

The Facts

PTSD has often been misunderstood or misdiagnosed, even though the disorder has very specific symptoms. Although it was once thought to be mostly a disorder of war veterans who had been involved in heavy combat, researchers now know that PTSD also affects both female and male civilians, and that it strikes more females than males.

In some cases the symptoms of PTSD disappear with time, whereas in others they persist for many years. PTSD often occurs with — or may contribute to — other related disorders, such as depression, substance abuse, problems with memory, and other problems of physical and mental health.

Everyone who experiences trauma does not require treatment; some recover with the help of family, friends or clergy. But many do need professional treatment to recover from the psychological damage that can result from experiencing, witnessing or participating in an overwhelmingly traumatic event.

Symptoms

PTSD usually appears within three months of the trauma, but sometimes the disorder appears later. Symptoms for PTSD fall into three categories:

  • Intrusion
  • Avoidance
  • Hyperarousal
Intrusion
In people with PTSD, memories of the trauma reoccur unexpectedly, and episodes called "flashbacks" intrude into their current lives. This happens when sudden, vivid memories, accompanied by painful emotions, take over the person's attention. Flashbacks may be so strong that individuals feel like they are actually re-living the traumatic experience or seeing it unfold before their eyes and in nightmares.

Avoidance
Avoidance symptoms affect relationships with others: The person often avoids close emotional ties with family, colleagues and friends. At first, the person may feel numb, have diminished emotions and may only complete routine, mechanical activities. Later, when re-living the traumatic event, the individual may alternate between a flood of emotions caused by the flashback and an inability to feel or express emotions at all. A person with PTSD avoids situations or activities that are reminders of the original traumatic event.

The inability of a person with PTSD to work out grief, anger or fear from the traumatic event means the trauma can continue to affect the person's behavior without them being aware of it. Depression is a common product of this inability to resolve painful feelings. Some people also feel guilty because they survived a disaster if others — particularly friends or family — did not.

Hyperarousal
PTSD can cause individuals to act as if they are constantly threatened by the trauma that caused their illness. They can become suddenly irritable or explosive, even when unprovoked. They may have trouble concentrating or remembering current information, and because of terrifying nightmares, may develop insomnia. This constant feeling that danger is near causes exaggerated startle reactions.

Finally, many people with PTSD also attempt to rid themselves of painful flashbacks, loneliness and anxiety by abusing alcohol or other drugs to "self-medicate" or help them to dull or forget the pain and trauma temporarily. A person with PTSD may show poor control over his or her impulses and may be at risk for suicide.

Treatment for PTSD

Today, psychiatrists and other mental health professionals have good success in treating the very real and painful effects of PTSD. They use a variety of treatment methods to help people with PTSD to work through their trauma and pain.

Cognitive Behavior Therapy (CBT) focuses on correcting the painful and intrusive patterns of behavior and thought by teaching people with PTSD relaxation techniques and examining (and challenging) the mental processes that are causing the problem.

Exposure therapy uses careful, repeated, detailed imagining of the trauma (exposure) or progressive exposures to symptom "triggers" in a safe, controlled context to help the survivor face and gain control of the fear and distress that was overwhelming during the trauma. In some cases, trauma memories can be confronted all at once (flooding). For others, it is preferable to work up to the most severe trauma gradually or by taking the trauma one piece at a time (desensitization).

Psychodynamic psychotherapy focuses on helping the individual examine personal values and how behavior and experience during the traumatic event affected them.

Family therapy may also be recommended because the behavior of spouse and children may result from and affect the individual with PTSD.

Discussion groups or peer-counseling groups encourage survivors of similar traumatic events to share their experiences and reactions to them. Group members help one another realize that many people would have done the same thing and felt the same emotions.

Medication can help to control the symptoms of PTSD. The symptom relief that medication provides allows many patients to participate more effectively in psychotherapy when their condition may otherwise prohibit it. Antidepressant medications may be particularly helpful in treating the core symptoms of PTSD either alone or in combination with psychotherapy.

Resources

For more information, please contact:

American Psychiatric Association (APA)
1000 Wilson Blvd.
Suite 1825
Arlington, VA 22209
(703) 907-7300
www.healthyminds.org

Anxiety Disorders Association of America (ADAA)
8730 Georgia Avenue
Suite 600
Silver Spring, MD 20910
(240) 485-1001
www.adaa.org

National Mental Health Association (NMHA)
2001 N. Beauregard Street
12th Floor
Alexandria, VA 22311
(800) 969-NMHA (6642)
www.nmha.org

International Society for Traumatic Stress Studies (ISTSS)
60 Revere Drive
Suite 500
Northbrook, IL 60062
(847) 480-9028
www.istss.org

Designed to reduce stigmas associated with mental illnesses by promoting informed factual discussion of the disorders and their psychiatric treatments, this material was developed for educational purposes and does not necessarily reflect opinion or policy of the American Psychiatric Association. This information is not intended as, and is not, a substitute for professional medical advice. All decisions about clinical care should be made in consultation with your treating physician.

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© Copyright 2005 American Psychiatric Association
 
Posted By Kay at 10:37 PM
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Replies - Post A Comment
17 May 2008
Send an emailRichard Denne - View my profile
On December 20, 2004 the Department of Veterans Affairs, diagnosed me as having PTSD.

Actually I was diagnosed in April of 2001 however it took the VA another few years to put it in writing. Hurry and wait right? We know the drill. The thing is, I sought help with the same symptoms while I was still in the military back in November of 1967. Well, it has been 41 years now and I am still waiting to see a psychiatrist. WHY??? Now I don’t want to go on a rant or anything but I thought that a combat paratrooper just might be allowed some help for medical attention. My unit was awarded a Presidential Unit Citation for the battle of Trung Luong in June of 1966. My outfit,” A Company” and the rest of 2/327 of the 101st Airborne spent more time hunting down the VC in more varieties of terrain than any other out fits. Always in the boonies, as much as 57 days non- stop. More than other any combat veterans of the war. The 2nd Battalion 327th Infantry earned the reputation of an outstanding combat unit because of their "No Slack" fighting spirit. Operations of the battalion in the republic of Vietnam were conducted in Trung Luong, Dak To, An Khe, Phan Rang, and Ashau. Being selected as the last infantry unit of the division to leave Southeast Asia distinguished the battalion with the record for the longest continuous combat service in Vietnam of any infantry battalion in the United States Army. Am I becoming soft for seeking help after 41 years? Maybe it is time to cut some slack for a No Slacker? Please speak out for warriors still waiting for help for their service. Servicemen who found themselves in harms- way should Be treated first and fast. As you very well know, a very small number Of soldiers actually see any ‘face to face’ combat. For ‘their’ duty, citizens Would not mind seeing to it that ‘they’ were cared for up front… ( I want to believe that) It’s a moot point as it won’t happen anyway. I do not understand however why the VA does not want to spend the monies For “psychiatrist” to cover PTSD cases. I was, a paratrooper with the 101st Airborne in the mid 1960s. The warrior’s elite. In the back of my mind, I always knew that there was a chance I might end up in a prison camp. A chance I might be tortured, starved, beaten, stripped of all human dignity… I just never thought it would happen in my own country. In 1965, the Vietnam War was in full swing. Since I had theater experience, I decided to enlist as an “entertainment specialist.” After surviving boot camp, I found myself in Advanced Infantry Training, learning the art of killing. Not the job description of a wannabe “master of ceremony.” Numerous protest and inquiries were fruitless. The military would not admit they had made an error. – A characteristic of them I was to become very familiar with. Within the week in Vietnam, I had made my first kill. Over half of my company was wiped out. And I was scared. Had it not been for the leadership and inspiration of my commanding officer, I would never have made it. After several months, life in the jungle fell into a pattern. I was befriended, by my new platoon leader, Leone, and I went on to survive numerous firefights, ambushes, hand-to-hand combat, booby traps, a shark attack, three helicopter crashes and more. I thought I was fighting to save my country from the communist threat. I thought I was doing the right thing…. Until an unexpected encounter with “HIM” in the mountains of the Nam set me straight as to just what this war was all about. It had nothing to do with defending the U.S. From foreign threats. It had nothing to do with the oath I had taken as a soldier. And it sure as Hell, had nothing to do with honor. I was unable to deal with what I had learned. That combined with my company commander’s reassignment off the line, prompted me to question my place in this war of debauchery. Unable to get out of being a grunt, my only alternative was to change my combat duty assignment. I became a door gunner on a helicopter. If I was going to die, I’d rather die in the air than on the ground. I survived my tour of duty, receiving top commendations and medals for my skills as a warrior. After returning home I did further research into communism and Vietnam. While serving out my term in the states, I spoke out against the “Unconstitutional Use” of our servicemen over there, to my comrades-in-arms. They asked me about what I saw over there and what I learned. And so I told them. I gave them the facts in black and white… And I refused to stop speaking out. Because of this, I was arrested and my real battle began. was held on trumped up charges. Charges of murder… Murder I had committed while in Vietnam. My record, “exemplary” until then, began turning black. The madness continued through threats, abuse and kangaroo courts. Seeing no other option, I demanded a “dishonorable discharge.”…The just desserts for an “honorable warrior” participating in a “dishonorable war.” No one would oblige. They said, “ I was simply confused.” So, I deserted the army. ( did you know about SPD's) ? There were over “half a million” less than honorable discharges given from 1966 to 1973. It was as though many of us who had been in the war realized there was something wrong with what our country was doing and wanted out. Because the system was so overcrowded, makeshift “concentration camps” were set up around the country. {Aka, S.P.Ds. / Special Processing Detachment} After being hounded by the FBI and government authorities I was turned in by my own family and friends. Being from Orange County, California, they were doing their duty and thought it was for my own good. Once in the grips of the military system, my life became worse than it had ever been in combat. Sadistic guards wanted to make an example of me because they believed I was a veteran who disgraced his uniform. I was tortured, stripped, and had a gun put to my head. I was thrown naked into solitary confinement where the shadow of the stars and stripes --{designs cut into the ceiling} – covered my body. Where I was forced to eat cereal and water from a bowl like a dog while others watched. I witnessed other prisoners being tortured and murdered. By the time I attended my final trial. I was facing twenty years in prison. This including five years for my escape from Leavenworth and for trying to destroy government property –[ I tried to commit suicide} – I would have served that time had it not been for my ex comrade-in-arms from the past. Leone, my old platoon leader, sat on the court. After excusing himself from the bench because he knew me, Leone went on to defend me in front of the court. I was finally discharged from the madness… Now, I proudly show my military records. Because they illustrate the hypocrisy and the immorality of our country’s involvement the Vietnam War. My discharge states that I was “unable to adapt to military service,” that I had a history of not being able to work with the system. On many other pages in the records. I’m said to be, “the perfect warrior.” The grand paradox, which was the conflict of the Vietnam War, is illustrated in black and white. THANKS Richard F. Denne Toluca Lake, CA. 91602 On December 20, 2004 the Department of Veterans Affairs, diagnosed me as having PTSD. Actually I was diagnosed in April of 2001 however it took the VA another few years to put it in writing. Hurry and wait right? We know the drill. The thing is, I sought help with the same symptoms while I was still in the military back in November of 1967. Well, it has been 41 years now and I am still waiting to see a psychiatrist. WHY??? Now I don’t want to go on a rant or anything but I thought that a combat paratrooper just might be allowed some help for medical attention. My unit was awarded a Presidential Unit Citation for the battle of Trung Luong in June of 1966. My outfit,” A Company” and the rest of 2/327 of the 101st Airborne spent more time hunting down the VC in more varieties of terrain than any other out fits. Always in the boonies, as much as 57 days non- stop. More than other any combat veterans of the war. The 2nd Battalion 327th Infantry earned the reputation of an outstanding combat unit because of their "No Slack" fighting spirit. Operations of the battalion in the republic of Vietnam were conducted in Trung Luong, Dak To, An Khe, Phan Rang, and Ashau. Being selected as the last infantry unit of the division to leave Southeast Asia distinguished the battalion with the record for the longest continuous combat service in Vietnam of any infantry battalion in the United States Army. Am I becoming soft for seeking help after 41 years? Maybe it is time to cut some slack for a No Slacker? Please speak out for warriors still waiting for help for their service. Servicemen who found themselves in harms- way should Be treated first and fast. As you very well know, a very small number Of soldiers actually see any ‘face to face’ combat. For ‘their’ duty, citizens Would not mind seeing to it that ‘they’ were cared for up front… ( I want to believe that) It’s a moot point as it won’t happen anyway. I do not understand however why the VA does not want to spend the monies For “psychiatrist” to cover PTSD cases. I was, a paratrooper with the 101st Airborne in the mid 1960s. The warrior’s elite. In the back of my mind, I always knew that there was a chance I might end up in a prison camp. A chance I might be tortured, starved, beaten, stripped of all human dignity… I just never thought it would happen in my own country. In 1965, the Vietnam War was in full swing. Since I had theater experience, I decided to enlist as an “entertainment specialist.” After surviving boot camp, I found myself in Advanced Infantry Training, learning the art of killing. Not the job description of a wannabe “master of ceremony.” Numerous protest and inquiries were fruitless. The military would not admit they had made an error. – A characteristic of them I was to become very familiar with. Within the week in Vietnam, I had made my first kill. Over half of my company was wiped out. And I was scared. Had it not been for the leadership and inspiration of my commanding officer, I would never have made it. After several months, life in the jungle fell into a pattern. I was befriended, by my new platoon leader, Leone, and I went on to survive numerous firefights, ambushes, hand-to-hand combat, booby traps, a shark attack, three helicopter crashes and more. I thought I was fighting to save my country from the communist threat. I thought I was doing the right thing…. Until an unexpected encounter with “HIM” in the mountains of the Nam set me straight as to just what this war was all about. It had nothing to do with defending the U.S. From foreign threats. It had nothing to do with the oath I had taken as a soldier. And it sure as Hell, had nothing to do with honor. I was unable to deal with what I had learned. That combined with my company commander’s reassignment off the line, prompted me to question my place in this war of debauchery. Unable to get out of being a grunt, my only alternative was to change my combat duty assignment. I became a door gunner on a helicopter. If I was going to die, I’d rather die in the air than on the ground. I survived my tour of duty, receiving top commendations and medals for my skills as a warrior. After returning home I did further research into communism and Vietnam. While serving out my term in the states, I spoke out against the “Unconstitutional Use” of our servicemen over there, to my comrades-in-arms. They asked me about what I saw over there and what I learned. And so I told them. I gave them the facts in black and white… And I refused to stop speaking out. Because of this, I was arrested and my real battle began. was held on trumped up charges. Charges of murder… Murder I had committed while in Vietnam. My record, “exemplary” until then, began turning black. The madness continued through threats, abuse and kangaroo courts. Seeing no other option, I demanded a “dishonorable discharge.”…The just desserts for an “honorable warrior” participating in a “dishonorable war.” No one would oblige. They said, “ I was simply confused.” So, I deserted the army. ( did you know about SPD's) ? There were over “half a million” less than honorable discharges given from 1966 to 1973. It was as though many of us who had been in the war realized there was something wrong with what our country was doing and wanted out. Because the system was so overcrowded, makeshift “concentration camps” were set up around the country. {Aka, S.P.Ds. / Special Processing Detachment} After being hounded by the FBI and government authorities I was turned in by my own family and friends. Being from Orange County, California, they were doing their duty and thought it was for my own good. Once in the grips of the military system, my life became worse than it had ever been in combat. Sadistic guards wanted to make an example of me because they believed I was a veteran who disgraced his uniform. I was tortured, stripped, and had a gun put to my head. I was thrown naked into solitary confinement where the shadow of the stars and stripes --{designs cut into the ceiling} – covered my body. Where I was forced to eat cereal and water from a bowl like a dog while others watched. I witnessed other prisoners being tortured and murdered. By the time I attended my final trial. I was facing twenty years in prison. This including five years for my escape from Leavenworth and for trying to destroy government property –[ I tried to commit suicide} – I would have served that time had it not been for my ex comrade-in-arms from the past. Leone, my old platoon leader, sat on the court. After excusing himself from the bench because he knew me, Leone went on to defend me in front of the court. I was finally discharged from the madness… Now, I proudly show my military records. Because they illustrate the hypocrisy and the immorality of our country’s involvement the Vietnam War. My discharge states that I was “unable to adapt to military service,” that I had a history of not being able to work with the system. On many other pages in the records. I’m said to be, “the perfect warrior.” The grand paradox, which was the conflict of the Vietnam War, is illustrated in black and white. THANKS Richard F. Denne Toluca Lake, CA. 91602
17 May 2008
Send an emailKay - View my profile
What you went through sounds too much like Abdu Gharaib, I can't imagine the militrary treating their own troops like that it almost sounds like psychosis. This leads me to think the military cannot be trusted and should never be trusted,That anyone who is thinking about signing up for military duty better have second thoughts, if something like this happens like what happened to you.The american people also supported the Vietnam war like they did this war in Iraq, so before they come down on our troops maybe they need to think about their role and complicity in it, why they are not doing more to end this current war and why they aren't doing more to help our troops.
16 May 2008
Send an emailHazel Davis - View my profile
I'm wondering, "Since all the talk, about the Symptoms of PTSD is discussed, that

NO ONE HAS WRITTEN OR STATED, THE BOTTOM-BASIC-CAUSE, OF PTSD". There is "always an Underlying Cause" to everything, so "there Must Be An Underlying Cause, to PTSD, besides...Viewing the Negative Side of Visual Scenes / Reacting to the Environment, in which a person is in". After-Trauma is Post-Trauma...but then, "what are All The Contents / Substances / Circumstances, OF THE TRAUMA...& has this Effected *More Than*, the Central Nervous System ??" What is there, THEN, that Can Cause "Adverse Reactions" to the Central Nervous System, ENOUGH TO CAUSE, the Beginning of Degeneration to the Vital Organs of the Body.???? Agent Orange, cause a Soldier / Veteran, to have PTSD & then Did Cause, Degeneration to the Vital Organs of the Body... Makes a Person Wonder, "if There Is More To This PTSD, than Just the Visual Part of Viewing the Negative Side of Environment, in Which the Person is in. (Hazel Davis)
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