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Veterans Day: The Misunderstood Mental Health Consequences of War

Posted: 11/11/10 07:00 AM ET

On Veterans Day our nation honors the men and women who have served our country. Cities host parades, department stores have sales, schools and the Federal Government close. Most of us are thankful for a day off. Rarely do we stop to think about the tremendous sacrifices made by those in the military community -- the risks they take and the burdens they carry. Rarely do we reflect on how families and lives are forever changed as a result of war.

Since September 11, 2001, over 2 million men and women have deployed to fight the wars in Iraq and Afghanistan. Many of these men and women have deployed multiple times -- and many family members have suffered through multiple separations and reintegrations. Thus far 5,798 men and women have died during these wars and the number of those who have come home with significant physical injuries is approaching 40,000.

In addition to the thousands who must deal with physical injuries, many of our returning troops are coming home with the invisible -- but expected -- injuries of war including post traumatic stress, traumatic brain injury, depression and anxiety. Some studies suggest that as many as 35 percent of those who experience combat will eventually develop some symptoms of post traumatic stress. In addition, approximately 20 percent of those coming home will experience a traumatic brain injury as a result of their service. Sadly, a large number of those who suffer these invisible injuries fail to seek the care that they so need and deserve.

Unfortunately, the stigma associated with seeking mental health care -- in addition to our cultural reluctance to admit mental health concerns -- prevent many of the brave men and women in our armed forces from obtaining proper treatment.

Families are suffering. A recent study in the journal, Pediatrics, found that young children in military families are about 10 percent more likely to see a doctor for a mental health difficulty when a parent is deployed than when the parent is home. Social scientists have long known that the cycle of deployment and reintegration puts a significant strain on the families of those who serve -- particularly spouses. This study of more than a half a million children provides critical information about the impact on the youngest members of our military community. Given that the conflict in Iraq has been underway for over seven long years, tens of thousands of military children have only known the experience of war.

While most civilians are familiar with the terms "post traumatic stress" and "traumatic brain injury" it is striking how little the average person knows about these very understandable -- yet potentially devastating -- consequences of war.

Movies and television programs have often portrayed veterans suffering with post traumatic stress as out-of-control and hyper-aggressive. While difficulties with impulse control and rage are indeed possible manifestations of these painful conditions, those who suffer mental health consequences as a result of their service experience a range of symptoms and reactions. Some withdraw and become numb to their surroundings. They are disengaged from those around them and have difficulty finding meaning in life. Our Army is currently battling a dramatic increase in the number of suicides reported by active duty personnel as well as those who have separated from the military.

Others experience anxiety, flashbacks and severe sleep disturbance. They are hyper-vigilant and hyperactive. Sometimes the painful mental health symptoms that result from the experience of war lead to self-medication and substance abuse. Traumatic brain injuries are sometimes hard to identify or diagnosis but leave those who have suffered them with difficulties with concentration, focus and memory.

Some members of our military community come home to families that cannot possibly understand what they have seen or done. Unable to bridge the gap between who they were when they deployed and who they are upon return, our service members find themselves in relationships that falter and marriages that fail.

But there is reason to hope. Many within the Obama administration, the Departments of Defense and Veterans Affairs, the greater military community, the academic community, the nonprofit sector, the veterans service organization community, the entertainment industry, and caring individuals in communities across the country are stepping up to assist those who serve our country and their families.

President Obama, our First Lady, our Vice President and Dr. Jill Biden have focused considerable energy on issues affecting our military families. And they have opened their offices and offered support to creative initiatives designed to coordinate care for those who serve. Secretaries Gates and Shinseki, Admiral Mike Mullen and General Peter Chiarelli are working tirelessly to change the current military culture so that those who experience the understandable psychological injuries of war are able to seek and receive proper care and treatment in a timely manner.

In addition, programs such as HBO's documentary "Wartorn" -- that depicts the reality of post traumatic stress among those who fought in wars from 1860 to the present day -- are educating our nation and providing the knowledge necessary to properly receive those who are coming home. Research is providing additional tools to assist our returning troops and their families and non profit and veteran service organizations are coordinating efforts and services like never before.

Indeed, there is reason to hope -- and reason to believe that we can stem the tide of suicides and save hundreds of thousands of service members who have come home from war with injuries that they alone cannot heal. In order to be successful in this mission, however, we must harness the goodwill, the knowledge, the resources and the commitment of a thankful nation that recognizes the sacrifices made by so few for so many.

 
On Veterans Day our nation honors the men and women who have served our country. Cities host parades, department stores have sales, schools and the Federal Government close. Most of us are thankful fo...
On Veterans Day our nation honors the men and women who have served our country. Cities host parades, department stores have sales, schools and the Federal Government close. Most of us are thankful fo...
 
 
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07:24 PM on 11/14/2010
-Everyday Suicide Prevention by Caregivers-

We now have tens of thousands of -Military Veterans- returning home with mental disorders (PTSD) and depression etc. and horrible brain injuries (IED'S) etc. Are we going to allow these brave injured veterans to be used as guinea pigs for future experimentation with antipsychotic drugs and inhuman medical procedures by the mental health industry? Are we going to condemn these veterans and their families to a living hell, just like the mental health clients that have been used as guinea pigs for the last hundred years? Almost half the homeless people on the streets are military veterans with mental disorders and addicitions, how many of these human beings just give up and overdose on drugs and alcohol etc, or die slowly by not taking care of themselves, physically, mentally and medically etc.this is called -Passive Suicide-?
You can contact me for more information on the above ideas and opinons concerning mental health issues and or the details of a -Program of Everyday Suicide Prevention- by -Caregivers- using a
-Program of Everyday Continuous Kindness- to help stop almost all -Suicides-? A step by step detailed -Program- will be sent to anybody that wants it mailed (name & address) to them at no charge! Please use the following e-mail address listed below and I will get back to you as soon as possible! John Lickun johnspeaks@optonline.net
06:32 AM on 11/12/2010
Killing someone accidentally is horrible, doing it on purpose--even if it's war and it's honorable--must be torture. I can't imagine what soldiers go through.
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rotorhead1871
who are you jivin' with that cosmic debris?...
10:48 PM on 11/11/2010
its pretty much NOT understood.....but please keep trying..
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SinfullySublime
I can't help it if the truth has a liberal bias.
06:02 PM on 11/11/2010
PTSD is not considered a mental illness, but a psychic INJURY.
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Vajara
vajara
08:52 AM on 11/12/2010
You are so right about PTS(d) not being exclusively mental health illness, rather it is a whole body, mind, emotion and spirit injury. The trauma effects every cell, organ, sensory and nervous system. The behavioral health system in the military probably know this; however, they have few integrative or holistic health programs to treat and empolwer our injured warriors and their families. Unfortunately, they still believe in giving out the mental health labels that stick with our SM's, often for a life time, and treat with drugs that only cover over the trauma--a bandaide approach. Do visit our Ft. Bliss Restoration & Resilience Center to learn about how effective this injury can be treated with the proper and sustainable resources. http://jerryvest.pages.qpg.com
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SinfullySublime
I can't help it if the truth has a liberal bias.
08:30 PM on 11/12/2010
Thank you for all the good work you're doing, Vajara. Stigma stinks. I wish I could hang with those guys but mine is the result of a much more "domestic" war. I've learned to quit trying to fix it and just deal with it, but it's no way to live - especially for the guys out there fighting for our (remaining) freedoms.
04:32 PM on 11/11/2010
For what they do for our country, Veterans don't deserve to have the mental health stigma keep them from getting help. It is just as serious as the physical.
04:26 PM on 11/11/2010
Could some veterans perhaps be having problems because they watch movies full of glory and heroism and valor, where bullets only hit bad guys and excitement reigns, only to find reality . . . shall we say, not precisely reflected therein?
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saami
Cranky old lady
03:56 PM on 11/11/2010
We ask our service men and women and their families to pay a price that stays with them forever. Words escape me as my dad committed suicide due to PTSD after Korea and WWII. They are asked to kill in our name and to risk their lives in our name. They enter a bizarre "place" called war and come home damaged, but you can't see the damage it is on the inside. My thanks to all who serve and who have served and to their families and friends who also bear the burden.
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SinfullySublime
I can't help it if the truth has a liberal bias.
06:07 PM on 11/11/2010
Very sorry for you loss.
03:06 PM on 11/11/2010
My brother got back from Iraq this summer. He's always been a bit of a loner, we connect deeply on that level and i love him so much. And while he is my Bubs I can't say he didn't change coming back, and from what i've heard him talk about... i can't blame him. They really do create machines to fight but don't guide them back into civility after the fact. You can't live a normal civilian life as a machine. I do believe he found a way to cope at times, but all in all, something is missing. But now it's up to him to find help when it should be part of a very strict system to ensure they are helped before going home.

Travis, thank you for fighting for this country, I love you Bubs!
04:02 PM on 11/11/2010
erikankie , you might want to read this, and Bubs also. about veterans who were affected by their experience but use meditation as a way to overcome it: http://www.huffingtonpost.com/jeanne-ball/clint-eastwood-russell-si_b_781840.html
07:15 PM on 11/11/2010
Thanks for sharing your observations about the affect on your brother, after his service to our country.

I agree, there should be more support to guide soldiers back into civility. This is part of the "cost of war".

I think there are many new things known about how to help people with ptsd and with other mental health problems. I don't know whether all of these leading edge treatments have found there way into the military, especially if, as you said it's up to him to figure this all out.

I wish you and your brother all the best. He is very lucky to have you as a sister. We, as a country, are lucky and thankful to have him serve our country.
01:26 PM on 11/11/2010
There should be a tax imposed on any company who profits directly from these wars of choice. The proceeds funding the treatment and care of those affected and their families. I know it won't ever happen. Too logical, too "socialist" and the usual trough feeders can't make a buck at it.
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Vajara
vajara
09:35 AM on 11/13/2010
No one should profit from war. Anyone who puts their life on the line every day for our Country and for us should receive all of the benefits and services along with their families. We will probably continue to have wars as long as our government officials and big corporations profit from them.
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ChuckChuckerson
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12:19 PM on 11/11/2010
Their should be some mental anguish for anyone that has volunteered to fight a war against an innocent civilian population... except it should be guilt.

The decision to volunteer to fight in Iraq or Afghanistan is morally wrong and totally indefensible. Nobody drafted them, and they should be intelligent enough to realize how heinously wrong Americas participation in these wars is.

Sorry, but heroes are people that do what is right regardless of the consequences. There is nothing right or just or morally acceptable about invading countries that have done nothing to us.

I want to believe these soldiers are just misguided kids, but most people know the difference between right and wrong before they are 18 years old.
01:03 PM on 11/11/2010
Well said...and absolutely true...
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BlackWidowPilot
"Fu! Rin! Ka! Zan!"
01:15 PM on 11/11/2010
The human male brain hasn't reached full physical and cognitive maturity before the age of 23, citizen.

Soldiers do not get to choose what wars they are sent to fight. They are taught to bond with one another, they fight for one another. It is their nature.

The politicians who take advantage of this for no other cause but cynical personal gain either political, financial, or both are the true villains in this whole sad campaign in Iraq.

Castigating the soldiers, sailors, airmen, and Marines in the rank and file who simply went where they were sent and tried to honestly perform the missions they were trained and told to do are not villains by any stretch of the imagination.

Too many of our fellow Americans in the civilian world believed the 900+ *documented* lies told by George W. Bush and his toadies, and yet they had the benefit of not having a command structure hanging over their heads that told them to look neither left nor right, but forward, and I think you and I at least damn well know it, and know who the real villains are in this war.

Leland R. Erickson

Citizen

Proud Son of a WW2 US Marine
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chipchuck
Rethink that...
11:59 AM on 11/11/2010
This is why I don't say "Happy Veteran's Day" to my vet friends. I thank them, and tell them they are special to me, but I know for many especially those who've seen combat, ain't nothing happy about it.

They stood between us and war's desolation. We're not stained because they are, but purple hearts only go to the physically wounded? The mind; just another casualty lost on the battlefield.
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grn1
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jenna2929
Keep On Keepin' On
11:29 AM on 11/11/2010
great article. this article definitely hits home for my family and i.
and since it's veterans day, i have to say that most veterans don't want a lot of recognition. most just want to know that people are really, truly reflecting on the sacrifices that are made. as a veteran, that just annoys the heck out of me when people show such apathy. i don't want a pat on the back. i just hope, in your own time, you stop and think of all the sacrifices. notice the homeless veterans (the numbers are rising), or try and understand why some people act the way they do (PTSD), and think of the affects on military children. for this era of veterans, yes, we volunteered, but remember, there would be a draft if we didn't volunteer.
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wonketteRAWKS
Hypocrisy is prevalent in BOTH parties!
11:26 AM on 11/11/2010
Rather than wait for someone to volunteer for counseling, why not require that all those serving in a war zone get counseling before returning to civilian life?
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chipchuck
Rethink that...
12:03 PM on 11/11/2010
Becasue GOP'ers don't really want to spend money on that, even when they ask for it, but it would look bad to not do anything.

On a serious note, sometimes PTSD and other conditions don't present right after service. Sometimes it takes a while to crop up. Now with that said, I've got no problem making it available and adding regular mental health checkups for post war vets. If they're okay right after combat, let's check up on them at 3 months, 6 months and a year. See how things are going and if they need anything.
01:29 PM on 11/11/2010
Actually all Service Members are required to take both physical and mental health screenings, not just before they leave combat, but also a three-six months once they are back. This includes speaking with a health care provider. Then, if needed, follow on counseling or treatment is prescribed.
10:54 AM on 11/11/2010
What a change from 2005 when the Army denied the existence of mental/PTSD in veterans and soldiers. For those in the throes of untreated or poorly treated PTSD, alcohol, tranquilizers and drugs such as heroin or cannabis make sense in providing temporary relief to the hypervigilance which keeps the nervous system on overdrive. Psychosis will result in 10 or 15% when the state of discomfort lasts long enough. Many tightly wired victims will be further damaged by the incorrect diagnoses of schizophrenia and addiction disorders.
We have a nucleus for the next homeless, mentally ill population.