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Military.com Forums Health and Fitness Post Traumatic Stress Disorder - Information and Links PTSD Resource Center|
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Donut Afficionado |
Challenges for Anger Interventions
Veterans with PTSD frequently report that anger is one of their most troublesome problems, and anger often prompts their treatment entry. However, evidence suggests that anger and violence are often the precipitants for early termination from treatment, and higher anger levels are associated with poorer outcomes in treatment for PTSD more generally. This section highlights a number of important challenges for intervention with PTSD-positive veterans who have anger regulation problems. For many who have served in Operation Iraqi Freedom, the thought of openly discussing their difficulties with anger and finding alternatives to threatening or intimidating responses to everyday frustrations may seem to have life-threatening implications. The individual’s anger and aggressive behavior may have been very functional in the military and in combat situations and may serve as a valuable source of self-esteem. Therefore, attempts to change an anger response may be met with considerable resistance. The advantages of disadvantages of the individual’s anger expression style should be discussed in order to move him or her in the direction of behavior change. Education on anger and PTSD. In order for veterans to better understand their anger dysregulation and to develop skills to better manage anger, it is important that they understand the constructs of anger and PTSD, and how the two are related. Veterans have often been noted to experience considerable relief upon the realization that their anger problems are directly related to their PTSD symptoms, and that others are experiencing the same difficulties. In addition to providing definitions of anger and PTSD, group leaders discuss the different components of the anger response (thoughts, emotions, physiology, and behaviors), and how these components are inter-related and negatively affected by PTSD. Further, it should be stressed that the goal of treatment is not to eliminate anger completely, since the anger response is a survival response that when communicated in a constructive manner, can be very useful and healthy. Therefore, group leaders stress that the goal of anger treatment is to learn to manage anger better and express anger in an assertive manner. Self-monitoring. In order for veterans to learn new ways of handling their anger, they must first come to recognize when they are beginning to get angry, and recognize the thoughts and feelings associated with anger, as well as changes in their physiology. Many veterans returning from the war in Iraq may find this to be a difficult task, as their anger responses may be conditioned to respond immediately to the slightest risk of threat in their environment. That is, they may view their anger and aggression occurring instantly upon exposure to a perceived threat. However, upon completion of self-monitoring homework and in-group exercises, most group members will learn to identify signs of anger (e.g., heart racing, thoughts of revenge, feelings of betrayal) prior to an angry outburst. It is very important for veterans to develop this recognition as early as possible in the anger cycle, so that they may take active steps to avoid escalation to aggression (e.g., by taking a time-out, using relaxation strategies, etc.). Self-monitoring exercises also provide important information regarding the veteran’s perceptions of threat in his or her environment, which may be appropriately challenged in the therapy context. Assertiveness training.Many veterans have learned to respond to threats or other potentially anger-provoking stimuli either in an aggressive manner (e.g., physical or verbal assaults) or in a passive manner. Veterans may fear their own aggressive impulses and may lack self-efficacy with respect to controlling their anger, and therefore, they are more likely to “stuff” their anger and avoid conflict altogether. Not surprisingly, this overly passive behavior often leads to feelings of resentment and a failure to resolve problems, which in turn, leads to a higher likelihood of subsequent aggressive behavior. Therefore, considerable time in treatment is devoted to making the distinctions clear between passive, aggressive, and assertive behavior, and group members are encouraged to generate and practice assertive responses to a variety of situations. Stress management. In combating anger regulation problems, stress management interventions are critical to reduce the heightened physiological arousal, anxiety, depression, and other comorbid problems that accompany PTSD and contribute to anger problems. In our protocol, we implement an anger arousal exercise followed by a breathing-focused relaxation exercise to assist the veteran in becoming more aware of how thoughts are related to anger arousal and how relaxation exercises can assist in defusing the anger response. The aim is to assist the veteran in creating an early warning system that will help him or her recognize and cope with anger before it escalates to aggressive behavior. In addition to the implementation of relaxation strategies, several other stress management strategies are discussed and emphasized (e.g., self-care strategies, cognitive strategies) and the importance of social support in managing anger (e.g., talking with a friend or family member when angry) is stressed throughout the course of treatment. Communication skills training.Anger dysregulation often results from a failure to communicate effectively and assertively, and likewise, heightened anger and PTSD hinder communication. In our group treatment for anger problems, we cover several communication strategies (e.g., active listening, the “sandwich technique”) and tips (e.g., using “I statements,” paraphrasing, refraining from blaming or using threatening language) for effective communication. In this regard, is important to emphasize both verbal and nonverbal communication, as veterans with PTSD often unknowingly use threatening or intimidating looks or gestures to maintain a safe distance from others. FROM: Assessment and Treatment of Anger in Combat-Related PTSD Casey T. Taft, Ph.D. and Barbara L. Niles, Ph.D. POW/MIA: WHEN ONE AMERICAN IS NOT WORTH THE EFFORT TO BE FOUND, WE AS A COUNTRY HAVE LOST. This message has been edited. Last edited by: cherryread, |
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Fibromyalgia Syndrome and PTSD
-------------------------------------------------------------------------------- I am one of those who has both Fibromyalgia and PTSD. I am also diagnosed with Major Depressive Disorder. Today my 25 year old daughter finally received a Fibromyalgia diagnosis. Like me it took nearly ten years. Like me she was sexually molested as a child, in fact her abuser was also one of my abusers. When she told me about his actions I had what I today know was a full blown PTSD episode that led to me giving my ex-husband custody of my two boys who were younger than my daughter. I also ran over 600 miles away from them and the area I had grown up in. I have been reading about the link between Fibro and PTSD and thought perhaps I would post some information on it here. If it is on the wrong board please let me know. This article comes from WebMD at http://my.webmd.com/content/Article/88/99964.htm?pagenumber=1 Posttraumatic Stress, Fibromyalgia Linked Chronic Pain Condition Seen in Half of Veterans With PTSD By Salynn Boyles WebMD Medical News Reviewed By Brunilda Nazario, MD on Thursday, June 10, 2004 June 10, 2004 -- The mysterious chronic pain condition fibromyalgia is widely thought of as a woman's disease, but new research suggests it is also common among men with posttraumatic stress disorder. In a study of male Israeli war veterans, half of the men with combat-related PTSD also had the tenderness and pain characteristic of fibromyalgia. The findings were reported today in Berlin at a European rheumatology meeting. There is a growing body of research linking posttraumatic stress and chronic pain, but the Israeli investigation is the first to limit its study population to males. "A consistent relationship has been seen between PTSD and chronic pain conditions like fibromyalgia," says psychologist John D. Otis, PhD, who is also studying the link in veterans. "The fact that the pain is often independent of the traumatic event leads us to believe that there is something else going on." Pain and Trauma While the cause of fibromyalgia remains unknown, the condition often occurs following physical trauma -- such as an illness or injury -- which may act as a trigger. In 1990, the American College of Rheumatology developed a standardized diagnostic evaluation for fibromyalgia, which includes a history of widespread pain for a minimum of three months and pressure-associated pain at 11 of 18 specific sites on the body. The ACR standards were used in the Israeli study to evaluate 55 war veterans with severe PTSD, along with 20 veterans with major depression and 49 veterans with neither condition. About half -- 49% -- of the PTSD patients met the criteria for fibromyalgia, but only 5% of the patients with major depression did. None of the men who had neither condition had fibromyalgia. In his presentation to the European League Against Rheumatism, lead investigator Howard Amital, MD, notes the fibromyalgia-PTSD link was much stronger than that for PTSD and major depression, despite the fact that the severity of the two psychiatric conditions was similar. "Psychiatric illness is (not) necessarily correlated with fibromyalgia, but PTSD certainly is," he notes. "The symptoms may overlap, but the degree and the intensity of these disorders are so closely related that it cannot be just a coincidence." Integrating Treatment Peter Roy-Byrne, MD, who is chief of psychiatry at Seattle's Harborview Medical Center, has also studied the association between posttraumatic stress and chronic pain and fatigue. He tells WebMD that patients with fibromyalgia should be evaluated for PTSD, and PTSD patients should be evaluated for the chronic pain condition. Roy-Byrne is also professor and vice chairman of the department of psychiatry at the University of Washington School of Medicine. "Even though the pharmacological treatment of these conditions may be similar, the behavioral and cognitive approaches to treatment may differ in patients with both," he says. Otis says his own VA experience also suggests a very high incidence of unexplained chronic pain among veterans with PTSD. He is evaluating the effectiveness of cognitive behavioral therapy for the treatment of patients with both conditions. "Our thinking is that that we will do a better job of treating both conditions using an integrated, behavioral approach," he says. -------------------------------------------------------------------------------- SOURCES: Annual European Congress of the European League Against Rheumatism, Berlin, June 9-12, 2004. Howard Amital, MD, Hadassah-Hebrew University School of Medicine, Jerusalem. Peter P. Roy-Byrne, MD, professor and vice chairman, department of psychiatry and behavioral sciences, University of Washington School of Medicine; chief of psychiatry, Harborview Medical Center, Seattle. John D. Otis, PhD, director of psychology pain management, VA Boston Healthcare System. |
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Friends are awesome. |
 Some places to look for help when you need help. I have used these myself. Phone book with both yellow pages and white pages. You can find help by calling the VA 1-800 number in the phone book. Call state health agencies, adult care, medical care . Call the crisis hotline number and have paper and pen ready. If that is not your thing, the greatest resource is the internet , search the web! You can find your answer to any question. For claims, 1. get a good VSO,have a face to face meeting, make sure that you can work with that person! 2. File a claim, get your own copy of your claim folder. 3. Keep tract of what is going on with your claim , at least monthly by phone or email to your VSO. 4. Get a Comp& Pen exam done, you can take someone with you, I took my VA social worker. 5. Be patient with your VSO, they are overworked and under paid! Your VSO is your voice to the people processing your claim ! Also, veterans have more resources than non veterans. Check out the Veteran Centers. To get started, write down the toll free number for the VA office! Also , take care of yourself and be good to yourself ! |
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"Wanderer of the PTSD Road" |
Food and Diet affects sleep
Alternative and Integral Therapies Food and Diet Diet is especially important when treating sleep disorders, and it is essential to rule out food intolerances as a cause. In one study of infants, sleeplessness was eliminated by removing cow's milk from the diet and then reproduced by its reintroduction. See Food Intolerance for more information. Certain types of food promote sleep while others inhibit it. Foods to Eat Chlorophyll-rich foods, such as leafy, green. vegetables, steamed or boiled. Microalgae, such as chlorella and spirulina. Oyster shell can be purchased in health food stores and taken as a nutritional supplement. Whole grains: Whole wheat, brown rice, and oats have a calming and soothing effect on the nervous system and the mind. Carbohydrates also boost serotonin, which promotes better sleep. Mushrooms (all types) Fruit, especially mulberries and lemons, which calm the mind. Seeds: jujube seeds are used to calm the spirit and support the heart. Chia seeds also have a sedative effect. Dill Basil Foods such as bread, bagels, and crackers that are high in complex carbohydrates have a mild sleep-enhancing effect because they increase serotonin, a brain neurotransmitter that promotes sleep. A glass of warm milk with honey is one of the oldest and best remedies for insomnia. Milk contains tryptophan which, when converted to seratonin in the body, induces sleep and prevents waking. Lettuce has a long-standing reputation for promoting healthy sleep. This is due to an opium-related substance combined with traces of the anticramping agent hyoscyarnin present in lettuce. Lettuce should be an integral part of your evening diet if you are suffering from sleep disorders. The meal should also include legumes, peanuts, nutritional yeast, fish or poultry. These foods contain vitamin B3 (niacin). Niacin is involved in seratonin synthesis and promotes healthy sleep. Mixed with a little lemon juice for flavor, lettuce juice is an effective sleep-inducing drink highly preferable to the synthetic chemical agents in sleeping pills. Foods to Avoid Coffee Tea Spicy foods Cola Chocolate Stimulant drugs Alcohol Refined carbohydrates (They drain the B vitamins.) Additives Preservatives Non-organic foods containing pesticides. Canned foods or any source of toxicity or heavy metals. Sugar and foods high in sugar and refined carbohydrates. These raise blood-sugar levels and can cause a burst of energy that disturbs sleep. Foods that are likely to cause gas, heartburn, or indigestion, such as fatty or spicy foods, garlic-flavored foods, beans, cucumbers, and peanuts. Foods such as meat that are high in protein can inhibit sleep by blocking the synthesis of serotonin, making us feel more alert. Monosodium glutamate (MSG), often found in Chinese food. This causes a stimulant reaction in some people. Avoid cigarettes and tobacco. While smoking may seem to have a calming effect, nicotine is actually a neurostimulant and can cause sleep problems. Alcohol and caffeine are two beverages/food that you must avoid for a healthy sleep. Avoid caffeine in all forms (tea, coffee, cola, chocolate). See Also: Caffeine Content of Common Beverages for a table of caffeine in common beverages. The sensitivity to the stimulant effects of caffeine varies greatly from one person to the next. This is largely a reflection of how quickly the body can eliminate caffeine. Even small amounts of caffeine such as those found in decaffeinated coffee or chocolate, may be enough to cause insomnia in some people. Alcohol produces a number of sleep-impairing effects. In addition to causing the release of adrenaline, alcohol impairs the transport of tryptophan into the brain, and, because the brain is dependent upon tryptophan as the source for serotonin (an important neurotransmitter that initiates sleep), alcohol disrupts serotonin levels. Avoid too many ingredients in a meal and too much food late at night. Recommendations If you want to fall asleep more easily, eat a high-carbohydrate snack and avoid high-protein foods in the hour or two before bed time. In the evening, eat turkey, bananas, figs, dates, yogurt, milk, tuna, and whole grain crackers or nut butter. These foods are high in tryptophan, which promotes sleep. Eating a grapefruit half at bedtime also helps. Avoid bacon, cheese, chocolate, eggplant, ham, potatoes, sauerkraut, sugar, sausage, spinach, tomatoes, and wine close to bedtime. These foods contain tyramine, which increases the release of norepinephrine, a brain stimulant. Our digestive system slows at night. So, it is harder to digest late meals. Avoid heavy meals before bedtime. How To Avoid Nocturnal Hypoglycemia Nocturnal hypoglycemia (low nighttime blood glucose level) is an important cause of sleep-maintenance insomnia. When there is a drop in the blood glucose level, it causes the release of hormones that regulate glucose levels. These compounds stimulate the brain. They are a natural signal that it is time to eat. Many people suffer from faulty glucose metabolism, either hypoglycemia or diabetes, because of overeating refined carbohydrates. Good bedtime snacks to keep blood sugar levels steady throughout the night are oatmeal and other whole grain cereals, whole grain breads and muffins, and other complex carbohydrates. These foods will not only help maintain blood sugar levels, they actually can help promote sleep by increasing the level of serotonin within the brain. http://www.holistic-online.com/REMEDIES/Sleep/sleep_ins_food-and-diet.htm : This message has been edited. Last edited by: cherryread, |
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"Wanderer of the PTSD Road" |
Potatoes Not Prozac
(Note-- sugar is a mood altering drug not a food) Older people after consuming sugar in various forms thru a life time have a growing Sugar Sensitivity issues. From a book by Kathleen DesMaisons, Ph.D. Introduction: A Natural seven-step Dietary Plan to stabilize the level of sugar in your blood, control your cravings and lose weight and recognize how foods affect the way you feel. Forward: While we think of sugar as a food, it is actually a drug--an eternal substance action throughout the brain and body on cellular receptors designed for an internal chemical called glucose. Since glucose is usually the only fuel the brain can ever use, and is critical to mental clarity, mood states and the controlled release of energy in the body, it is astounding how cavalierly we sprinkle sugar, or its inferior substitute, into everything from children’s breakfast food to ketchup. If sugar were to be put on the market for the first time today, it would probably be difficult to get it past the FDA. Like many drugs that work through receptors, sugar has a paradoxical effect characterized by two phenomena: First, the more of the drug you take, the less of the drug’s internal analog is produced in you brain and body. Second, the receptors for sugar or any other drug become less sensitive--sometimes actually decreasing in number--as protection against the drug bombarding them. We can easily become physically dependent on exogenous sugar for mood boosts--but our habit now results in depression instead of well-being, exhaustion and anxiety instead of a burst of energy. CH 1 Dr. Jekyll and Mr. Hyde Are you aware of yourself, smart and sensitive to others’ feeling? Are you committed to your own personal growth? Do you care about things deeply? Do your friends value you and respect your opinion? Are you successful in your work? Are you usually confident and hopeful about your future? But do you sometime feel your confidence slip away, leaving you in self-doubt and despair? Does it seem “crazy” that you can be so clear one day and so desperate the next? Worse, you may drop from the heights to the depths in the same day. It’s almost as if another person were inside you. You hate to admit it, but you can be moody and impulsive. You want to get things done, but your attention drifts. You lose energy and get tired. You crave sugar and turn to sweets and snack foods to get yourself going again. Sometimes you eat compulsively. You put on weight. You seem to have no self-discipline. You often feel depressed and overwhelmed. …If this description fits you, you may be sugar sensitive. Your body chemistry may respond to sugars and certain carbohydrates (such as bread, crackers, cereal and pasta) differently than other people’s. Diagnosing Sugar Sensitivity How can I know if I am sugar sensitive? The core issues are: I really like sweet foods. I eat a lot of sweets. I am very fond of bread, cereal, popcorn, or pasta. I now have or have had a problem with alcohol or drugs. One or both of my parent are/were alcoholic. One or both of my parents are/were especially fond of sugar. I am overweight and don’t’ seem to be able to easily lose the extra pounds. I continue to be depressed no matter what I do. I often find myself overreacting to stress. I have a history of anger that sometime surprises even me. This message has been edited. Last edited by: cherryread, |
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"Has Been 5" Lead Moderator Sound Off Forums  |
A few new articles:
http://www.geocities.com/dave_barker_amvet/index.html I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS”  |
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"Has Been 5" Lead Moderator Sound Off Forums |
Posttraumatic Stress Disorder: Diagnosis and Assessment Jun 16,2006
At the request of the Department of Veterans Affairs, the Institute of Medicine conducted a study on Post-Traumatic Stress Disorder (PTSD). The committee reviewed and commented on the diagnosis and assessment of PTSD and known risk factors for its development. The committee found that PTSD is a well characterized medical disorder and that the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for diagnosing PTSD are evidence-based, widely accepted, and widely used. According to the committee’s report, PTSD should be diagnosed and assessed by a health professional with experience in diagnosing psychiatric disorders (e.g., primary care physicians, nurses, social workers) using the DSM-IV criteria. Ideally, this diagnosis should take place in a private setting with a face-to-face interview that can last an hour or more. Additionally, while screening and diagnostic instruments might help in the diagnosis and assessment of PTSD, these tools cannot substitute for an evaluation by an experienced professional. The committee wrote that because all veterans deployed to a war zone are at risk for the development of PTSD, it would be prudent for health professionals to query veterans about their wartime experiences and their symptoms, when presenting at primary care and other health facilities (inpatient or outpatient). I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS” |
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New Member |
http://www.myspace.com/feathertouchtherapy
FREE TO MILITARY,THEIR FAMILIES AND VETERANS |
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Forums Metrics Management |
Yup, this is so obvious that we would all 'assume' that such data would be part of any interview or diagnostic procedure. Sadly, that is not the case! Non-VA and non-military diagnosticians and mental health workers do not have the training or expertise to imagine the military experience of their clients for the most part and often times, their treatment misses the target of identifying and treating PTSD. So it's important for veterans to seek out informed sources; Vet Centers, get a good service officer to assist them in their path to recovery and management. "There are those who believe there are two types of people in the world: Those who believe there are two types of people; and those who don't." John Mahoney... |
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"Has Been 5" Lead Moderator Sound Off Forums |
The VA has 207 Vet centers nation wide that provides counseling and outreach services to all veterans who served in any combat zone, and their families.
We earned this right, let us use it. Each state has Vet centers. To find the one close to you, click on www.va.gov or call 1-800-905-4675. The VA operates the National Center for PTSD which provides information about PTSD and its treatment. The center's web site has links to other support services for veterans and their families at www.ncptsd.va.gov. I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS” |
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"Has Been 5" Lead Moderator Sound Off Forums |
This forum had been locked, for what reason I do not know. It has now been moved to its new home and is open for business. Be careful of what links you post and be careful of what information you receive, on the many links provided. As we all know, internet does have some bad advice. If in doubt, ask!
I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS” |
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"Adapt...Improvise...Overcome" |
"Why should psychiatry be different? I think that somehow behind this argument lurks the notion that mental disorders are not the same as physical disorders. That treating them or not is more of an optional thing," Pitman says.
The point is well taken! Dave PS: Would you post this on the PTSD forum? -----Original Message----- From: Cyn Sent: Nov 27, 2006 6:42 PM To: Subject: CBSNews.com A Pill To Forget? www.cbsnews.com/stories/2006/11/26/60minutes/A Pill To Forget? Semper Fidelis, Cyn~ "The Modern Patriotism, the True Patriotism, the only Rational Patriotism is Loyalty to the Nation all of the time, Loyalty to the Government when it deserves it."~Mark Twain |
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"Has Been 5" Lead Moderator Sound Off Forums |
Here is a great website:
www.deepstreams.org/cominghome Please refer this to all of our returnees. I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS” |
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New Member |
[URL=http://www.patiencepress.com]
Written by the wife of Vietnam helicopter pilot, Robert Mason (author of the memoir Chickenhawk) from the point of view that there is nothing weak or wierd about PTSD. It is proof of survival and a set of solutions to the problem of war which can later become your biggest problem. Patience Mason has also written Recovering From the War (book) Why is Daddy Like He Is? for kids, and pamphlets for vets and other trauma survivors. Offers hope and suggestions for healing as well as reframing PTSD symptoms as appropriate and effective survival skills. |
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"Has Been 5" Lead Moderator Sound Off Forums |
Patience Mason has also written Recovering From the War (book) Why is Daddy Like He Is? for kids, and pamphlets for vets and other trauma survivors. The book has been in use in the Chillicothe PCT for quite some time. It has my highest recommendation for reading.
http://www.patiencepress.com I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS” |
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"Has Been 5" Lead Moderator Sound Off Forums |
Here is a very important link for VA Mental Health. Please click on and review: http://www.mirecc.va.gov/
I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS” |
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"Has Been 5" Lead Moderator Sound Off Forums |
Do you need healthcare? The finest in Mental Health Care is provided by the VA, the Department of Veterans Affairs. Here is a location link: http://www1.va.gov/directory/guide/map_flsh.asp
Click on your state and find the facilities nearest you. The list includes Vet Centers. I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS” |
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"Has Been 5" Lead Moderator Sound Off Forums |
Copied by me from Donald Schwanke post on "PTSD question" thread:
Schwanke Basic Training Posted Wed 14 February 2007 17:44 For Mike 3121 and anybody else who is doing research, I have found a wealth of information from this site: http://www.index.va.gov/search/va/va_search.jsp?SQ=vt_vetapp06_ext&QT=PTSD It is the Board of Veterans Appeals site, and if you put in PTSD for instance, you will see every case that went to them, the reasons, and the final decision with reasons. If nothing else, you can see the issues that DON'T work to avoid making the same mistakes, as well as the arguments that are successful. Posts: 40 | Registered: Thu 28 August 2003 Got lots of respect for the W's! Salute  I will cast no stones. Another proud member, Derelict Veterans Group. “OF MUNERIS UT TOTUS” |
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