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"Has Been 5"

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quote:
Originally posted by 6386612:
Hello,

I really only have one quick question.

Does the VA use the same DSM criteria to
Dx persons with PTSD as do civilian/private
hospital facilities?

Thanks

Yes.
The DSM-IV is the same. Diagnostic Statistical Manual of Mental Disorders 4th edition. The interpretation is still the human factor and that is where we have some problems with private clinicians (also some newbies in VA) and the language or terminology used by veterans.
PTSD was not listed in the first DSM, or DSM II. The closest definition was Anxiety Neurosis, adult anxiety situation. In DSM III about 1980 PTSD was first given a definition with specific criteria. Later DSM III-R (revised) better defined the criteria. Finally DSM-IV addressed the issues of PTSD with additional issue of "learning of the loss" etcetera.
You can find this discussed on my website.
Here is a link to the DSM-IV:
http://psyweb.com/Mdisord/DSM_IV/jsp/dsm_iv.jsp



I will cast no stones.
Another proud member, Derelict Veterans Group.
“OF MUNERIS UT TOTUS”

 
Posts: 15965 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete MessageReport This Post
"Has Been 5"

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2007 FEDERAL BENEFITS FOR VETERANS BOOKLET ON LINE
The 2007 edition of the Federal Benefits for Veterans and Dependents is now online. Printed copies expected in April. This annually updated desk reference covering federal benefits programs for veterans and their families is available at http://www1.va.gov/OPA/vadocs/current_benefits.asp and http://www1.va.gov/OPA/vadocs/current_benefits.asp.



I will cast no stones.
Another proud member, Derelict Veterans Group.
“OF MUNERIS UT TOTUS”

 
Posts: 15965 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete MessageReport This Post
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As a side note; the DSM-IV is taken much more seriously than earlier editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM). That's because the diagnostic criteria were field tested to insure that they coincided with actual diagnoses in practice.

That's a big difference from the Vietnam Era where they diagnosis simply didn't exist!

Thanks all.


"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...
 
Posts: 8843 | Registered: Mon 23 February 2004Reply With QuoteEdit or Delete MessageReport This Post
"Has Been 5"

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Good point OldAFcop. We are working together, for the veterans!!!

I appreciate your support. Cool



I will cast no stones.
Another proud member, Derelict Veterans Group.
“OF MUNERIS UT TOTUS”

 
Posts: 15965 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete MessageReport This Post
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wow,I have never seen so much info on PTSD anywhere.Thanks everyone for your efforts on the subject that has affected my life since 1969.
 
Posts: 215 | Registered: Tue 06 February 2007Reply With QuoteEdit or Delete MessageReport This Post
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Vernon, welcome aboard. Always nice to have another fisherman/hunter around.

I did Vietnam in 68 and 69, and it took me over 30 years to realize I had a "PROBLEM".

I've been getting treatment at the VA now for about 9 years, both counseling and meds.

PTSD is a monster with many heads. We all have to learn to cope with the different symptoms we have.

Some symptoms are common to most, and some people have different responses than anyone else. It's kind of trial and error sometimes to work out a plan that works best for you, but with good VA assistance, group sessions, anger management and other therapy, life can be better.

Come back some more and meet the rest of us.

Welcome,

Bill
 
Posts: 343 | Registered: Mon 31 October 2005Reply With QuoteEdit or Delete MessageReport This Post
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Cherryread - Thanks for your great PTSD comments. There are quite a few VA sources to assist the military. Are you aware of sources for assistance for a DoD and Dept of State civilian who served in Iraq for 2 years? I contacted the docs at Tinker and they are ltd to mil. Many thanks
 
Posts: 2 | Registered: Sat 02 June 2007Reply With QuoteEdit or Delete MessageReport This Post
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I am British Falklands War veteran with PTSD and I have added your message board to my Blog. This condition is very misunderstood in the UK and leads to a higher percentage of veterans taking their own lives. Thanks for a very informative board,

Mack

http://rogue-gunner.blogspot.com/
 
Posts: 1 | Registered: Wed 08 August 2007Reply With QuoteEdit or Delete MessageReport This Post
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Mack--after reading your blog all I can say is wow. --thanks for posting and wish you the best
 
Posts: 102 | Registered: Sat 04 March 2006Reply With QuoteEdit or Delete MessageReport This Post
"Has Been 5"

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quote:
Originally posted by CLOUDPUNCHER:
I am British Falklands War veteran with PTSD and I have added your message board to my Blog. This condition is very misunderstood in the UK and leads to a higher percentage of veterans taking their own lives. Thanks for a very informative board,

Mack

http://rogue-gunner.blogspot.com/


Welcome Mack. We all work together here serving our fellow veteran.



I will cast no stones.
Another proud member, Derelict Veterans Group.
“OF MUNERIS UT TOTUS”

 
Posts: 15965 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete MessageReport This Post
"Adapt...Improvise...Overcome"
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quote:
Originally posted by DaveBarker:
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.
In reference to Dave's post, you can sign up for newsletters from the CTU-Online, the Clinician's Trauma Update. It is an electronic newsletter
produced by the VA National Center for PTSD. CTU-Online provides summaries of clinically relevant publications in the trauma field with
links to published abstracts or full text articles when available.
quote:
CLINICIAN'S TRAUMA UPDATE, 1(4), AUGUST 2007
~~~
CTU-Online, the Clinician's Trauma Update, is an electronic newsletter produced by the VA National Center for PTSD. CTU-Online provides
summaries of clinically relevant publications in the trauma field with links to published abstracts or full text articles when available.

For COMPLETE summaries, see this CTU-Online in html format on our website:

http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
~~~
Editor: Paula P. Schnurr, PhD Associate Editors: Susan Stevens, PsyD, Robyn Walser, PhD
Editorial Manager: Elizabeth Forshay, MSW
~~~
This issue of CTU-Online contains 9 summaries:
~~~

TREATMENT

1. Does Self-Management Group Therapy work for PTSD?


Group therapies are attractive because they are perceived to be cost-effective and well-received by participants. However, there is no strong evidence base showing that group therapy can reduce symptoms of PTSD. There have been relatively few controlled studies (compared with individual therapy) and limited findings, even though almost all studies have used analytic strategies that overestimate the effects of treatment. A recent VA study examined a type of group treatment that is effective for depression, Self-Management Group Therapy (SMT), because depression is often comorbid with PTSD. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#one

Dunn, M.J., Rehm, L.P., Schillaci, J., Souchek, J., Mehta, P., Ashton, C.M., Yanasak, E., and Hamilton, J.D. (2007). A randomized trial of
self-management and psychoeducational group therapies for comorbid chronic PTSD and depressive disorder. Journal of Traumatic Stress, 20,
221-237. PILOTS ID 80924.

2. Telehealth and the future of PTSD treatment-Using technology to reach veterans:

Accessing mental health services has been a long-standing struggle for many veterans. Veterans in rural areas can experience even greater difficulty due to the distance of the nearest VA services. Telehealth may be one solution to this problem. Veterans can gather as a group or come to an individual session and work with a therapist, in real time, by videoconferencing. But is this effective for PTSD? Investigators at the Charleston VA conducted a randomized clinical trial in an effort to answer the question. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#two

Frueh, B.C., Monnier, J., Yim, E., Grubaugh, A.L., Hamner, M.B., and Knapp, R.G. (2007). A randomized trial of telepsychiatry for posttraumatic stress disorder. Journal of Telemedicine and Telecare, 13, 142-147. PILOTS ID:
29644.

3. Can acupuncture reduce symptoms of PTSD?

Acupuncture has been reported to be effective for treating symptoms that often occur in PTSD patients, including depression, anxiety, and insomnia. The effects of acupuncture are thought to be mediated by systems involved in the pathophysiology of PTSD, including the autonomic nervous system, prefrontal and limbic areas of the brain, and opioid system. However, until recently, there had been no published randomized clinical trial of acupuncture for treating PTSD. In a new study, investigators randomly assigned 84 men and women with PTSD to receive acupuncture or
cognitive-behavioral group therapy, or to a waiting list. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#three

Hollifield, M., Sinclair-Lian, N., Warner, T.D., and Hammerschlag, R. (2007). Acupuncture for posttraumatic stress disorder: A randomized
controlled pilot trial. Journal of Nervous and Mental Disease, 195, 504-513. PILOTS ID 29609.

OIF/OEF VETERANS

4. No gender differences in PTSD among UK military personnel:


The expanded role for women in the military has led to increasing questions about whether women have higher risk than men for developing PTSD. In civilian samples, the risk of PTSD is typically twice as high among women. Findings for military personnel have been inconsistent. Direct gender comparisons have been difficult to make because men and women often have such different types of traumatic exposure even when deployed. A report from the United Kingdom provides new information on military samples from recent conflicts in which exposure for men and women is more similar than in prior conflicts. The investigators studied two random samples of UK military personnel, a Gulf War sample drawn in 1997 and an Iraq sample drawn between 2004-2006. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#four

Rona, R.J., Fear, N.T., Hull, L., and Wessely, S. (2007). Women in novel occupational roles: Mental health trends in the UK Armed Forces.
International Journal of Epidemiology, 36, 319-326. PILOTS ID 29646.

(Also, see the following story for more information about US military personnel.)

5. No differences in PTSD among OIF/OEF personnel either:

As indicated in the prior story, the risk of PTSD among women is elevated in civilians, but results have been much less consistent among military and veteran samples-no doubt in part to the differences between men and women in warzone exposure. The absence of a defined front line for the conflicts in Iraq and Afghanistan means that even personnel assigned to noncombat or combat support roles can be extensively exposed to combat stressors. Consequently, women are increasingly exposed to stressors more traditionally experienced by men in combat roles, making gender comparisons more interpretable. A published commentary on the study of gender differences in UK military personnel by Rona et al. (2007) reports a similar absence of gender differences among US forces serving in OIF/OEF. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#five

Hoge, C.W., Clark, J.C, & Castro, C.A. (2007). Commentary: Women in combat and the risk of posttraumatic stress disorder and depression.
International Journal of Epidemiology, 36, 327-329. PILOTS ID 29647.

6. Readjustment and relationship difficulties help to explain elevations in PTSD symptoms in UK reserve forces deployed to Iraq:

Increased numbers of reservists in the UK deployed to Iraq have raised concern about their ill health upon return. Deployed reservists have worse health outcomes and more mental health disorders than both regular military personnel who are deployed and non-deployed reservists. However, little research has been done to determine why deployment has such relatively greater effects on reserve forces. A recent questionnaire study in the UK of 4,722 military personnel deployed to Iraq and 5,550 nondeployed personnel attempted to address this question. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#six

Browne, T., Hull, L., Horn, O., Jones, M., Murphy, D., Fear, N.T., Greenberg, N., French, C., Rona, R.J., Wesseley, S., and Hotopf, M.
(2007). Explanations for the increase in mental health problems in UK reserve forces who have served in Iraq. British Journal of Psychiatry,
190, 484-489. PILOTS ID 29597.

PTSD IN PRIMARY CARE

7. New information about PTSD screening instruments:


With the return of increasing numbers of OIF/OEF veterans and greater awareness of the prevalence of PTSD in primary care patients, detecting the presence of PTSD has been a major focus of VA care. Screening for PTSD in primary care is an essential component of detection and can lead to timely and appropriate interventions that decrease symptoms and improve quality of life. Researchers recently evaluated the performance of two screening instruments, the 17-item PTSD Checklist (PCL) and the 4-item SPAN (a brief screen developed by Duke University), in an effort to enhance PTSD diagnostic accuracy in primary care settings. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#seven

Yeager, D.E., Magruder, K.M., Knapp, R.G., Nicholas, J.S., and Freuh, B.C. (2007). Performance characteristics of the PCL-C and SPAN in Veterans Affairs primary care settings. General Hospital Psychiatry, 29, 294-301. PILOTS ID 29645.

8. Do we go far enough in detecting and treating PTSD in depressed primary care patients?

The increased focus on PTSD in primary care populations has been accompanied by increasing recognition that PTSD is a common comorbid condition in patients identified as being epressed. The comorbidity may have important implications for treatment, especially if PTSD is actually the primary disorder. In order to understand more about the comorbidity between depression and PTSD, a group of investigators used data from 677 patients at 10 VA primary care clinics. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#eight

Campbell, D.G., Felker, B.L., Liu, C., Yano, E.M., Kirchner, J.E., Chan, D., Rubenstein, L.V., and Chaney, E.F. (2007). Prevalence of
depression-PTSD comorbidity: Implications for clinical practice guidelines and primary care-based interventions. Journal of General Internal Medicine, 22, 711-718. PILOTS ID 29643.

UTILIZATION

9. How does filing a PTSD disability claim affect treatment utilization?


A rise in PTSD disability claims filed by veterans over the past several years has focused attention on the application process itself, as well as on the relationship between filing a claim and treatment participation. Concerns have been raised that some veterans engage in treatment only up to the point of pursuing a successful claim, dropping out once they receive an award. However, we know little about the complex interplay between treatment-seeking and claim-seeking. We need to understand what actually happens when veterans file a claim. A recent study of 922 veterans applying for PTSD disability compensation at the
Minneapolis VA offers important insights and provides some answers. Read more...
http://www.ncptsd.va.gov/ncmain/publications/publications/ctu_online.jsp
#nine

Spoont, M.R., Sayer, N.A., Nelson, D.B., and Nugent, S. (2007). Does filing a posttraumatic stress disorder disability claim promote mental
health care participation among veterans? Military Medicine, 172, 572-575. PILOTS ID 80954.

~~~
Tell a friend:
Subscribe at:
http://www.ncptsd.va.gov/ncmain/publications/subscribe_ctu.html

Questions or comments?

Please send them to the CTU-online mailing list administrator at ctu-online-owner@four.pairlist.net. You can also make such changes via email by sending a message to: ctu-online-request@four.pairlist.net with the text HELP in the subject or body. The automatic reply will contain more detailed instructions.


"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
 
Posts: 4724 | Registered: Mon 30 January 2006Reply With QuoteEdit or Delete MessageReport This Post
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I am a recovering alcoholic,that went thru the VA ARP program years and was wondering if this would
quilify me as PTSD. I am a Veit Vet,with high combat action in67-68-69. Any in put would be helpful.
 
Posts: 3 | Registered: Sun 30 September 2007Reply With QuoteEdit or Delete MessageReport This Post
"Has Been 5"

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Welcome beeman1. Please review the featured items. We have topics for as many issues as possible. You will find much help on PTSD Info and Links, with a lot of people who will become your brothers and sisters. This particular topic is for informatin sources.
General questions go here: http://forums.military.com/eve/forums/a/tpc/f/423002698...941001#8820080941001



I will cast no stones.
Another proud member, Derelict Veterans Group.
“OF MUNERIS UT TOTUS”

 
Posts: 15965 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete MessageReport This Post
"Has Been 5"

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Mark this one!
HEALTH, VOL. 6" -- Finds sufficient evidence to associate deployment in a war zone with PTSD, depression, alcohol abuse, marital conflict and suicide.
The full Institute of Medicine report is available here...
http://www.nap.edu/catalog.php?record_id=11922#toc

-------------------------

SUMMARY OF CONCLUSIONS

Table S.1 provides a summary of the committee’s conclusions for each health effect discussed in the report by category of association. No health effects were found for two categories of association, sufficient evidence of a causal relationship and limited but suggestive evidence of no association. Of all the long-term health effects reviewed, the strongest findings were on psychiatric disorders, including PTSD, anxiety, and depression. Alcohol abuse, suicide and accidental death in the early years after deployment, and marital and family conflict also appear to be adverse sequelae of deployment-related stress.

The committee found limited but suggestive evidence of an association between deployment-related stress and chronic fatigue syndrome, fibromyalgia and chronic widespread pain, gastrointestinal symptoms, skin disorders, incarceration, drug abuse, and increased symptom reporting, unexplained illness, and chronic pain.

Finally, it should be repeated that the committee was charged with reviewing scientific data, not with making recommendations regarding VA policy.

Sufficient Evidence of a Causal Association

Evidence from available studies is sufficient to conclude that there is a causal relationship between deployment to a war zone and a specific health effect in humans. The evidence is supported by experimental data and fulfills the guidelines for sufficient evidence of an association (below). The evidence must be biologically plausible and satisfy several of the guidelines used to assess causality, such as strength of association, dose-response relationship, consistency of association, and temporal relationship.

• No effects.

Sufficient Evidence of an Association

Evidence from available studies is sufficient to conclude that there is a positive association. That is, a consistent positive association has been observed between deployment to a war zone and a specific health effect in human studies in which chance and bias, including confounding, could be ruled out with reasonable confidence. For example, several high-quality studies report consistent positive associations, and the studies are sufficiently free of bias and include adequate control for confounding.

• Psychiatric disorders, including PTSD, other anxiety disorders, and depressive disorders.

• Alcohol abuse.

• Accidental death in the early years after deployment.

• Suicide in the early years after deployment.

• Marital and family conflict.

Limited but Suggestive Evidence of an Association

Evidence from available studies is suggestive of an association between deployment to a war zone and a specific health effect, but the body of evidence is limited by the inability to rule out chance and bias, including confounding, with confidence. For example, at least one high-quality study reports a positive association that is sufficiently free of bias, including adequate control for confounding, and other corroborating studies provide support for the association (corroborating studies might not be sufficiently free of bias, including confounding). Alternatively, several studies of lower quality show consistent positive associations, and the results are probably not due to bias, including confounding.

• Drug abuse.

• Chronic fatigue syndrome.

• Gastrointestinal symptoms consistent with functional gastrointestinal disorders, such as irritable bowel syndrome or functional dyspepsia.

• Skin disorders.

• Fibromyalgia and chronic widespread pain.

• Increased symptom reporting, unexplained illness, and chronic pain.

• Incarceration.

Inadequate/Insufficient Evidence to Determine Whether an Association Exists

Evidence from available studies is of insufficient quantity, quality, or consistency to permit a conclusion regarding the existence of an association between deployment to a war zone and a specific health effect in humans.

• Cancer.

• Diabetes mellitus.

• Thyroid disease.

• Neurocognitive and neurobehavioral effects.

• Sleep disorders or objective measures of sleep disturbance.

• Hypertension.

• Coronary heart disease.

• Chronic respiratory effects.

• Structural gastrointestinal diseases.

• Reproductive effects.

• Homelessness.

• Adverse employment outcomes.



Limited but Suggestive Evidence of No Association

Evidence is consistent in not showing a positive association between deployment to a war zone and a specific health effect after exposure of any magnitude. A conclusion of no association is inevitably limited to the conditions, magnitudes of exposure, and length of observation in the available studies. The possibility of a very small increase in risk after deployment cannot be excluded.

• No effects.

RECOMMENDATIONS

The committee recommends that DOD conduct predeployment and postdeployment screening for medical conditions, including psychiatric symptoms and diagnoses, and for psychosocial status to help collect direct evidence about the causal nature of the effects of deployment-related stress. Predeployment screening would also help to identify at-risk personnel who might benefit from targeted intervention programs during deployment and would establish a baseline against which later health and psychosocial effects could be measured after deployment. Postdeployment screening and assessment would provide data that could be analyzed to determine the long-term consequences of deployment-related stress and would allow VA and DOD to implement intervention programs to assist deployed veterans in adjusting to postdeployment life. Such assessments should be made shortly after deployment and should identify those exposures most stressful to the veteran. The assessments should be made at regular intervals thereafter (such as every 5 years) to identify the long-term health and psychosocial effects. The committee further recommends that any longitudinal assessments also be conducted in a representative group of nondeployed veterans to allow appropriate comparisons between deployed and nondeployed veterans regarding health and psychosocial effects.



I will cast no stones.
Another proud member, Derelict Veterans Group.
“OF MUNERIS UT TOTUS”

 
Posts: 15965 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete MessageReport This Post
"Has Been 5"

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A gentle reminder. this is a topic for posting resource links. Please do not post questions, for questions go to Open Discussion, or a topic thread that covers your issue.
Thanks,
Dave Barker

Open Discussion http://forums.military.com/eve/forums/a/tpc/f/4230026980001/m/7790084090001



I will cast no stones.
Another proud member, Derelict Veterans Group.
“OF MUNERIS UT TOTUS”

 
Posts: 15965 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete MessageReport This Post
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how about someone that suffers from PTSD but the va says no Confused
 
Posts: 19 | Registered: Thu 10 February 2005Reply With QuoteEdit or Delete MessageReport This Post
"Has Been 5"

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quote:
Originally posted by DaveBarker:
A gentle reminder. this is a topic for posting resource links. Please do not post questions, for questions go to Open Discussion, or a topic thread that covers your issue.
Thanks,
Dave Barker

Open Discussion http://forums.military.com/eve/forums/a/tpc/f/4230026980001/m/7790084090001



I will cast no stones.
Another proud member, Derelict Veterans Group.
“OF MUNERIS UT TOTUS”

 
Posts: 15965 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete MessageReport This Post
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Mr Barker i had a freacky experiance this afternoon....I was walking in Manhattan in a busy crowded uptown street.There was popping noises from construction going on..The temperature was about 81 and hot ..my mind began thinking of bullets rippinhg thru green leaves and hitting treas with thumps...I started to sweat and suddenly beacme scared....i tried focusung on reality of my surroundings ,but it took a while to divert my thaughts from harmful
combat to the reality of the the moment...i went into a Starbucks for an ice latte to take my mind off that scary combat dream walk....can you explain why that happens to me ,out of the clear blue ? Is this normal with combat
vets in their 60,s .....thanks Dave for a reply
 
Posts: 41 | Registered: Tue 05 June 2007Reply With QuoteEdit or Delete MessageReport This Post
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Halrow:

What you may be experiencing is an automatic response to stimuli (sorry for the fancy words), to which you are responding in the civilian world.

This is normal.

It's a good idea, if you are having continuing difficulties such as that which you describe, to check in with a local Vet Center and have a chat with a counselor there. They are very well experienced, it's free, all you need is your DD 214 and you are GTG.

Thanks for posting here.


"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...
 
Posts: 8843 | Registered: Mon 23 February 2004Reply With QuoteEdit or Delete MessageReport This Post
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From 1989 - 1993, William Kimball (a Vietnam veteran) traveled around the United States giving seminars about how to identify and deal with PTSD from a biblical perspective. With his permission, we copied 5 audio tapes from his seminars to .mp3 files and have made them available as free downloads at the link below. You may freely copy these mp3 files and share them with others. However, you may not sell them under any circumstances. There is also a FAQ link about PTSD from the same link below:
www.creationists.org/ptsd.html

Gary Martin
Web site administrator
 
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