Group items tagged

"The findings also complement evidence from imaging and clinical studies in humans and other mammals that link depression and PTSD with decreased hippocampal volume. In those studies, researchers had no way of knowing which came first: environmental stress that caused the hippocampus to shrink, or an inherently smaller hippocampus that predisposed certain individuals to depression or PTSD under stressful conditions."

We might be on our way out of Iraq but things are just starting to pick up in Afghanistan. With record-high number of veteran suicides and rising rates of post-traumatic stress disorder and clinical depression in every branch of the armed forces, is the nation headed for a mental-healthcare crisis?

"Marines treated at Camp Lejeune for post-traumatic stress had to undergo therapy for months in temporary trailers where they could hear bomb blasts, machine-gun fire and war cries through the thin walls, according to servicemen and their former psychiatrist. The eight trailers were used for nearly two years, until a permanent clinic was completed in September in another location on the base, said a Camp Lejeune medical spokesman, Navy Lt. j.g. Mark Jean-Pierre. The allegations became public after the dismissal of Dr. Kernan Manion, a civilian psychiatrist who says he was fired for writing memos to his military superiors complaining of shoddy care of Marines returning from Iraq and Afghanistan with PTSD, a condition that can make patients jumpy, fearful of loud noises and prone to flashbacks. "

Legislation introduced recently by Rep. John Hall, D-Dover Plains, would lift the burden of proof from veterans who served in combat zones and have a diagnosis of PTSD, allowing them to receive disability benefits without having to prove that a specific incident caused the disorder. In the Iraq and Afghanistan wars alone, more than 100,000 veterans have been found to have PTSD, but only 42,000 have been granted service-connected disability for their condition, said Hall, chairman of the Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs. The disability claims backlog at the VA tops 800,000. A large percentage of that number are Vietnam veterans seeking compensation for PTSD, Hall said.

What exactly is a "mental disorder"? For that matter, what criteria should determine whether any condition is a "disease" or a "disorder"? Is "disease" something like an oak tree-a physical object you can bump into or put your arms around? Or are terms like "disease" and "disorder" merely abstract, value-laden constructs, akin to "injustice" and "immorality"? Are categories of disease and disorder fundamentally different in psychiatry than in other medical specialties? And-by the way-how do the terms "disease," "disorder," "syndrome," "malady," "sickness," and "illness" differ? Anyone who believes there are easy or certain answers to these questions is either in touch with the Divine Mind, or out of touch with reality. To appreciate the complexity and ambiguity in this conceptual arena, consider this quote from the venerable Oxford Textbook of Philosophy and Psychiatry: "The term 'mental illness' is probably best used for those disorders that are intuitively most like bodily illness (or disease) and, yet, mental rather than bodily. This of course implies everything that is built into the mind-brain problem!"1(p11) In a single sentence, we are already grappling with the terms "illness," "disorder," and "disease," not to mention Cartesian psychology! And yet-daunting though these issues are-they are central to the practical task now before the DSM-V committees: figuring out what conditions ought to be included as psychiatric disorders.

A U.S. service member opened fire on fellow members of the military, killing four and wounding several others, at the main U.S. base in Baghdad, officials told NBC News on Monday.

"Some top notch educational combat trauma and PTSD programming is available online. Here are a few, specifically aiming their education at the patient/counselor level."