Posts Tagged ‘PTSD’
In the first study of its kind, researchers with the Defense Department have found that pilots of drone aircraft experience mental health problems like depression, anxiety and post-traumatic stress at the same rate as pilots of manned aircraft who are deployed to Iraq or Afghanistan.
The study affirms a growing body of research finding health hazards even for those piloting machines from bases far from actual combat zones…
…Air Force officials and independent experts have suggested several potential causes, among them witnessing combat violence on live video feeds, working in isolation or under inflexible shift hours, juggling the simultaneous demands of home life with combat operations and dealing with intense stress because of crew shortages.
“Remotely piloted aircraft pilots may stare at the same piece of ground for days,” said Jean Lin Otto, an epidemiologist who was a co-author of the study. “They witness the carnage. Manned aircraft pilots don’t do that. They get out of there as soon as possible…”
Since 2008, the number of pilots of remotely piloted aircraft — the Air Force’s preferred term for drones — has grown fourfold, to nearly 1,300. The Air Force is now training more pilots for its drones than for its fighter jets and bombers combined. And by 2015, it expects to have more drone pilots than bomber pilots, although fighter pilots will remain a larger group.
Those figures do not include drones operated by the C.I.A. in counterterrorism operations over Pakistan, Yemen and other countries.
The Pentagon has begun taking steps to keep pace with the rapid expansion of drone operations. It recently created a new medal to honor troops involved in both drone warfare and cyberwarfare. And the Air Force has expanded access to chaplains and therapists for drone operators…
Well, then, we’re all OK, right?
The emotional toll of a heart attack can be so severe that an estimated 1 in 8 patients who survive the experience develop post-traumatic stress disorder, a condition that doubles the risk of dying of a second heart attack…
While it has long been known that a heart attack affects both physical and mental health, most doctors and patients are not aware that the emotional stress of a life-threatening heart event can develop into full-blown post-traumatic stress disorder, or P.T.S.D. The disorder, which more typically affects combat veterans and victims of violent crime, can be particularly insidious in heart patients, who live with constant trepidation about their own bodies, frequently paying anxious attention to each heartbeat or twinge of chest discomfort.
…In the new report, researchers from Columbia University Medical Center combined the results of 24 studies that had documented post-traumatic stress in a total of 2,383 heart patients. Their analysis…found not only that P.T.S.D. after a heart attack was far more common than previously believed, but also that the disorder doubled the risk of dying of a second event over the next one to three years, compared with those who did not have P.T.S.D…
“I think that the broader cardiology community and medical community haven’t really paid attention to this issue,” said Donald Edmondson, assistant professor of behavioral medicine at Columbia and the study’s lead author. “When you think of P.T.S.D. due to combat or a traumatic event, the patient experiences intrusive memories reliving an external event. But this type of trauma is something that is internal…”
In the Columbia study, the severity of the heart event was not a factor in a patient’s risk of developing P.T.S.D. Instead, the research found that patients who were relatively young when they experienced their first heart event, and those who subjectively felt that their lives were in danger and that they had lost control, were at greatest risk for the disorder…
Post-traumatic stress disorder is typically treated with behavioral therapy and antidepressants. Dr. Edmondson said he hopes that future research will focus on ways to minimize the trauma for patients at the time of the heart attack to prevent patients from developing P.T.S.D. symptoms later.
Wow. Think about this. Especially in cases of younger heart attack victims or folks who’ve rarely been near a hospital environment – going through the extremes of a screeching ride in an emergency vehicle, crashing through ER doors into immediate intensive care certainly could be as intimidating as the heart attack itself. Scary stuff.
Playing with dogs at Nowzad
Spot made the clandestine journey from the Afghan Taliban stronghold of Helmand to the capital Kabul, where he is undergoing medical treatment before moving to the United States to live with the family of the Marine who rescued him.
His ears clipped and tail severed from his days as a fighting dog, the surprisingly docile ginger and white mutt is one of hundreds being adopted in increasing numbers by foreign soldiers, who pay vast sums to take their new pets home.
“Dogs have been proven to help post-traumatic stress and the soldiers who adopt them are addressing this,” said Pen Farthing, founder of British charity Nowzad, an animal shelter on the outskirts of Kabul.
A former Royal Marine, Farthing adopted his dog Nowzad, named after a Helmand district, during his tour there in 2006. He then set up the charity, where dogs and some cats are neutered and vaccinated against rabies before their journeys abroad…
“We’re seeing more soldier rescues than ever before. When you’re being shot at by the Taliban every day, dogs give you that little bit of normality,” Farthing said by a row of outdoor pens holding black and yellow puppies.
Nearby stood Dshka, an affectionate grey hound rescued by a U.S. Marine sergeant in Kajaki in Helmand, where British forces handed security to the U.S. in 2010 as part of the American troop surge. His neighbor, Poppy, a small black dog from Kandahar, will soon go to a British soldier’s home…
Workers at Nowzad are now hoping that Afghans will begin to adopt dogs, banking on a changing attitude to owning pets. Poverty prevents many Afghans from having dogs and cats at home, and some Muslims believe dogs are unclean and therefore unfit for keeping. Kabul is home to thousands of stray dogs, and many are shot and killed…
Afghan families are beginning to adopt dogs from Nowzad, they said, giving promise to the charity’s goal to become Afghan-led in the future.
One can only hope. And help when you can afford it.
In many ways this is a global battle worth fighting for. And it doesn’t require billions of dollars for bombs and bullets, rockets and rifles.
Medical aid in the snow — does it matter which war?
The Army has removed the head of the Madigan Army Medical Center in Washington state during an investigation into whether soldiers had diagnoses of post-traumatic stress disorder reversed to reduce medical costs.
“This is a common practice during ongoing investigations and nothing more,” Maj. Gen. Phillip Volpe, who heads the Western Region Medical Command, said Monday about the removal of Col. Dallas Homas.
Homas is a West Point graduate whose career has included deployments to Afghanistan and Iraq, where he served as command surgeon. His military honors include two Bronze Stars…
The focus of the Army Medical Command investigation is a Madigan forensic psychiatric team that has the lead role in screening soldiers being considered for medical retirement due to PTSD, a condition that results from experiencing or seeing a traumatic event, such as a battlefield casualty.
Symptoms can include recurrent nightmares, flashbacks, irritability and feeling distant from other people. Soldiers diagnosed with PTSD gain at least a 50 percent rating of disability, and qualify for pensions, family health insurance and other financial benefits.
In 2011, an ombudsman investigated complaints from soldiers who said the forensic psychiatric team had reversed earlier diagnoses of PTSD and tagged some of them as possible malingerers.
The ombudsman also wrote a memo about a lecture in which a member of the forensic psychiatric team talked about the need to be good stewards of taxpayer dollars and not rubber stamp PTSD diagnoses that could result in a soldier earning $1.5 million in benefits over a lifetime…
I didn’t know there was a specific field of psychiatric study dedicated to oversight by beancounters.
The ombudsman investigation resulted in more than a dozen soldiers getting a chance for a second PTSD screening by doctors from Walter Reed National Military Medical Center outside Washington, D.C.
Fourteen of those soldiers will have the results of their Walter Reed reviews detailed in individual meetings at Madigan with Col. Rebecca Porter, chief of behavioral health, Office of the U.S. Army Surgeon General.
One would hope the analysis reverts to psychiatric concerns rather than saving the budget.
I’ve mentioned my closest friend being the most decorated WW2 veteran from our home state and the months he spent in hospital after the war. That helped his physical wounds. There wasn’t any broad definition of PTSD available for those vets. So, he received nothing – either for what he suffered in battle – or what he saw and felt at the liberation of Hitler’s Death Camps.
But, I shall never forget the times he woke in the middle of the night and rolled under his bed because he thought there was incoming artillery fire – and that he was back in Bastogne in the winter of 1944-45.
The act of killing is as fundamental to war as oxygen is to fire. Yet it is also the one thing many combat veterans avoid discussing when they return home, whether out of shame, guilt or a deep fear of being misunderstood.
But a new study of Iraq war veterans by researchers in San Francisco suggests that more discussion of killing may help veterans cope with an array of mental health problems stemming from war.
The study, published in The Journal of Traumatic Stress, found that soldiers who reported having killed in combat, or who gave orders that led to killing, were more likely to report the symptoms of post-traumatic stress disorder, alcohol abuse, anger and relationship problems…
Shira Maguen…the principal investigator on the study, said the results suggested that mental health professionals need to incorporate killing more explicitly into their assessments and treatment plans for veterans. That would include finding ways to discuss the impact of killing, in public forums and in private treatment, to reduce the stigma and shame, she argued…
Mental health experts said the new study confirmed findings from research on Vietnam veterans and did not break much new ground. But they said it underscored that treating stress disorder among veterans is often very different from treating it in people who, say, have been raped or have been in car accidents.
“People don’t understand the moral ambiguity of combat and why it is so hard to get over it,” said Rachel Yehuda, a professor of psychiatry at Mount Sinai School of Medicine in New York. “What makes combat veterans ill is not always about being a victim, but, in some instances, feeling very much both a perpetrator and a victim at the same time…”
Some experts said military law had also complicated therapy by having unclear rules about when a soldier’s conversations with a therapist are protected from legal action. The mere threat that those conversations could be used in war crimes prosecutions discourages many troops and veterans from seeking counseling, those experts say.
My closest friend was our home state’s most decorated soldier in WW2.
He was in parachutes reconnaissance – dropped behind enemy lines to work his way back and record everything of military importance. Still, the toughest memory he tried to excise from those missions was crawling through a field up to a German sentry apparently sleeping against a tree – plunging a knife into his chest to kill him – and discovering that he already was dead from a bullet wound.
Something we revisited time and again.
Post-traumatic stress is estimated to afflict more than 300,000 veterans of Iraq and Afghanistan, but until now, it’s been labeled a “soft disorder” — one without an objective biological path to diagnosis.
That may have changed this week, after researchers at the University of Minnesota and the Minneapolis VA Medical Center announced they’d found a distinct pattern of brain activity among PTSD sufferers.
The team used magnetoencephalography (MEG), a brain imaging method that measures how the brain processes information.
They scanned the brains of 74 U.S. veterans with PTSD, and 250 civilians without the disorder, and say that by spotting specific brain biomarkers, they managed to accurately diagnose PTSD sufferers with 90 percent accuracy.
The study could be a breakthrough for the military, which has been scrambling to address a surge in post-traumatic symptoms among newly returning vets. Right now, troops are evaluated by mental health experts, but diagnosis is a crapshoot: Symptoms can take years to show up, and they vary from person to person, even among those exposed to the same traumas.
Of course, a study of 74 vets is only a start. Next up, the researchers want to evaluate 500 vets, alongside 500 civilians, to further validate their findings.
It’s a start. I lived and worked with PTSD-afflicted veterans all the way back to WW2 – through a long period when the Veterans Administration wouldn’t even admit it was an ailment.
Researchers working with Iraq and Afghanistan war veterans have found that post-traumatic stress disorder, the current most common mental disorder among veterans returning from service in the Middle East, is associated with an increased risk for thoughts of suicide.
Results of the study indicated that veterans who screened positive for PTSD were four times more likely to report suicide-related thoughts relative to veterans without the disorder.
The research, published in the Journal of Traumatic Stress, establishes PTSD as a risk factor for thoughts of suicide in Iraq and Afghanistan war veterans. This holds true, even after accounting for other psychiatric disorder diagnoses, such as substance abuse and depression. Veterans who screened positive for PTSD and two or more comorbid mental disorders were significantly more likely to experience thoughts of suicide relative to veterans with PTSD alone.
As many as forty-six percent of veterans in the study experienced suicidal thoughts or behaviors in the month prior to seeking care, and of those veterans, three percent reported an actual attempt within four months prior to seeking the care. Suicide-related thoughts and behaviors discovered in a returning veteran who has been diagnosed with PTSD, especially in the presence of other mental disorders, may suggest an increased risk for suicide.
I don’t know if you ever “get over” PTSD. My closest friend for most of my life provided his own therapy by becoming an activist against war. He was the most decorated soldier in WW2 from our home state. Had 16 months to think about it in a VA hospital after he came home on a stretcher.
Everyone thought he was cool with what he had been through. D-Day. At Bastogne. At the liberation of Buchenwald.
I knew better.
A retired general at a Barack Obama campaign event said Republican presidential candidate and former prisoner of war John McCain’s support of the Iraq war could be due to a “lack of adequate psychological care” after McCain returned from Vietnam.
Retired Major Gen. Melvyn Montaño, a former head of the New Mexico National Guard, made his remarks during a “roundtable” in Santa Fe headlined by Michelle Obama, wife of the Democratic presidential candidate.
The crowd at the College of Santa Fe’s Greer Garson Theater roared. Michelle Obama didn’t comment on Montaño’s statement.
During the campaign event, at which Montaño appeared on stage with Michelle Obama, several wives of soldiers in Iraq spoke — sometimes emotionally — of their difficulties, including combat-related psychological problems.
Montaño served in the Air Force in Vietnam in 1968. His statement about McCain came after one of the Iraq veteran’s wives said that all members of the military should undergo mandatory psychological tests along with their physical examinations upon leaving the military.
Michelle Obama responded [to the topic]: “War is costly. That’s the first thing the commander in chief should be saying to us: that if we’re going to war, it’s going to cost a whole lot of money. And if we’re not going to pay for the whole thing — not just bullets and tanks — but for medical care and mental-health support and support for veteran’s families … that’s part of the cost of war and we have to, as a nation, have to say ‘yes we are either going to do that, or we’re not going to war.’ “
When fools with no appreciation or understanding of the horrors of war start one – they should be required to lead the charge into battle.
“I can’t find the right words to describe when you are homeless,” says Iraq war veteran Joseph Jacobo. “You see the end of your life right there. What am I going to do, what am I going to eat?”
Jacobo is one of an increasing number of veterans of the wars in Iraq and Afghanistan who come home to life on the street. The Department of Veterans Affairs is fighting to find them homes.
Veterans make up almost a quarter of the homeless population in the United States. The government says there are as many as 200,000 homeless veterans; the majority served in the Vietnam War. Some served in Korea or even World War II. About 2,000 served in Iraq or Afghanistan…
As strongly as I have fought against our nation’s imperial wars, I resent in equal proportion the sleazy treatment afforded veterans of those conflicts.
Politicians who deny our veterans unemployment compensation, education opportunities, the panoply of cheapskate fiscal hypocrisy – are only worthy of contempt.