Sunday, August 22, 2010

THE ELEPHANT IN THE ROOM

I decided today to try to help others to perhaps better understand this elephant called Combat Post Traumatic Stress Disorder. I was given a manual filled with related articles when I took the 7 week Family Ed course on PTSD at VA Mental Health Clinic in Portland. It suddenly dawned on me today that this is not information that many people have access to. Though, our family has been dealing with it for 40 years, we were not aware of any of this until the past few months. I hope if you know veterans returning from combat situations who are struggling with the aftermath of war or if you know families who are struggling with their beloved vets, please share this information and encourage them to seek help through Veteran's Administration. There is help available.

PSTD above all is a SOUL WOUND and is a reaction to extreme stress from modern warfare.

COMMON SYMPTOMS OF POST TRAUMATIC STRESS DISORDER

Intrusive Thoughts and Falshbacks

    • Replaying combat experiences in their minds, searching for alternative outcomes

    • Flashbacks triggered by everyday experiences: hilicopters, the smell of urine, the smell of diesel fuel, the smell of mold, the smell of Asian food cooking, green tree lines, popcorn popping, rainy days and refugees.

Isolation

    • He has few friends

    • isolates families emotionally, some geographically

    • Fantasies about being hermits, moving away fromt heir problems

    • Believes no one can understand, and no one would listen, if he tried to talk about his experiences

    • Isolates himself from his partner, family, and others with a “leave me alone” attitude—he needs no one

Emotional Numbing

    • Cold, aloof, uncaring, detached

    • Constant fear of “losing control,” “I may never stop crying.”

    • Emotional distance from children—concern about anger.

Depression

    • Sense of helplessness, worthlessness, and defection

    • Lacks self-esteem and suffers from great insecurity

    • Feels undeserving of good feelings

    • Seems unable to handle it when things are going well, and may appear to try to be sabotaging

Anger

    • Quiet, masked rage which is frightening to the veteran and to those around them

    • Sublimating the rage agains inanimate objects

    • Unable to handle or identify frustrations

    • Unexplainable, inappropriate anger

Substance Abuse

    • Used primarily to numb the “pain”, the memory, the guilt

    • Heavy use of either alcohol or drugs

Guilt—Suicidal Feelings and Thoughts

    • Self-destructive behavior: hopeless physical fights, single car accidents, compulsive blood donors.

    • Self-inflected injuries to “feel” pain—many “accidents” with power tools

    • High suicide rate

    • Financial suicide. As soon as things are well off, doing something to lose it all, or walk away from it

    • Survivor's Guilt—when others have died around them ask, “How is it that I survived when others more worthy than I did not? (pertains especially to medical personnel)

Anxiety or Nervousness

    * Startled responses

    • Uncomfortable when people walk close behind them, or sit behind them

    • Conditioned suspicion, they trust no one

Emotional Construction

*Unresponsive to self, therefore unresponsive to others

    • Unable to express or share feelings, cannot talk about personal emotions

    • Unable to achieve intimacy with family, partner, or friends