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The Injured Marine Semper Fi Fund, hosted by Marine Corps Base Camp Pendleton, screened the film, "Cover Me," at the South Mesa Club here, March 5, to help raise awareness and educate Marine leadership about combat operational stress. The film's conception was centered on the Corps' need to let Marines know it is all right to seek medical help for combat operational stress and in doing so, their careers will not be adversely affected.

Chris Tucker received a medical discharge from the Army last year and he now is Officer Chris Tucker of the Savannah-Chatham Metropolitan Police Department. "You still get to serve your community and your country in other ways," he said. At age 26, he is a veteran of three combat tours. The patrol skills he learned on the streets of Baghdad, Fallujah and Sadr City come in handy as he drives his police cruiser around the neighborhoods of his Savannah precinct.

On this day, they are laboring at one of many small wetlands created by developers to compensate for marshland filled in for housing. Most of these spots are overgrown with blackberries and other invasive species, and the restoration work is tough labor that often leaves scratched-up arms. "It's been like a breath of fresh air," said Jeremy Grisham, the leader of the crew. "When I first got back, I couldn't find work and gained so much weight. When I started getting outside, it was the first time I felt good about things." Grisham was a Navy medic who took part in the initial U.S. invasion of Iraq. One of his most harrowing tasks was helping civilians suffering from burns and wounds. As Grisham was medically retired in 2005, he was diagnosed with a disabling case of post-traumatic stress disorder (PTSD). Grisham is now in his second year in the conservation corps, taking classes and field work at Green River Community College, which offers a two-year degree in natural-resources management. He is one of about 70 Washington veterans who have been able to attend Green River and four other community colleges around the state with the help of the conservation corps, which pays $1,000 per month in living expenses.

Paul Culkin

"For the first time, medical professionals serving on the sidelines of sports and front lines of war are huddling with gadget geeks, neuroscientists and rehabilitation experts at confabs regularly called by the Pentagon. The results are promising new approaches to curbing the silent epidemic of traumatic brain injury."

The men crewed .50-calibers through Iraq neighborhoods, survived roadside bomb blasts, attended memorial services for buddies. Now they were being asked to cut cattle, on foot, in front of one another and a handful of real cowboys. It's safe to say there wasn't exactly a rush to start. But within a few minutes, the 15 veterans of Iraq and Afghanistan-almost all of them self-described city boys whose experience with livestock extends only to the dinner plate-had learned a thing or two about patience and teamwork, and for a few minutes of laughter and sweat, they could forget about the war that still haunts them. "It's like we're back in the field now," said Jeremy Williams, a 26-year-old who lives in a small town near Huntsville and served three tours in Iraq with the Marines. The veterans came from throughout the United States to spend four days at the stylish Wildcatter Ranch, invited by the Wounded Warrior Project and the owners of the ranch to help restore their spirits. Some of the men have physical injuries, but each of them is struggling to deal with combat stress and their return to civilian society. The men went canoeing and rode horses. They got massages and shot skeet. They stayed in luxurious rooms and they visited an elementary school, where the children gave them Graham Steers ball caps. "I have never seen anything like this before," said Harvey Stubbs Jr., 32, a Chicago-area native who was medically retired from the Army because of his injuries. "The outpouring of love ... has been amazing. A lot of people give lip service to supporting the troops, but these people have opened their hearts to us in ways I can't believe."

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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 Washington D.C.-based radio reporter says his audio storage device was inappropriately confiscated Tuesday by Veterans Affairs officials after he interviewed a patient at a VA Medical Center forum.

Advocates for the integrated approach in the treatment of PTSD at both Ft. Hood (El Paso, Texas) and Ft. Bliss (Killeen, Texas) were convinced that the traditional methods of treating PTSD weren't long enough in duration, intense enough or comprehensive enough. A program was created that would address all aspects of PTSD and treat the whole soldier. This integrative approach treats many of the symptoms of PTSD that are not addressed through the standard mental health protocols, including cognitive-behavioral therapy and pharmacotherapy. The concept eventually led to the implementation of the Ft. Bliss Restoration & Resilience Center and the Warrior Combat Stress Reset Program at Ft. Hood that incorporated medical massage, meditation, yoga, acupuncture, marital/family therapy and reiki with the standard treatment protocols of cognitive-behavioral and cathartic psychotherapies and pharmacotherapy.

As of 2007, the Military Health System had recorded 43,779 patients with traumatic brain injuries from the wars in Iraq and Afghanistan. It had recorded 39,365 patients with Post-Traumatic Stress Disorder, according to a Department of Defense report to Congress. By the end of September 2008, the number of patients with a preliminary diagnosis of Post-Traumatic Stress Disorder from Veterans Affairs doctors had risen to 101,882 - more than 10 percent of veterans who have left the military and more than 20 percent of those who have gone to Veterans Affairs for medical treatment, according to a spokeswoman for Veterans Affairs.

"* In July 2009, Army Sgt. Ryan Schlack of Oshkosh, Wis., died after being shot while trying to break up a fight at Fort Hood. Spc. Armando Ray Baca has been charged with first-degree murder. * In September 2008, Spc. Jody Michael Wirawan of Eagle River, Ala., who was scheduled to soon be discharged, fatally shot 1st Lt. Robert Bartlett Fletcher of Jensen Beach, Fla. When Killeen police arrived, Wirawan killed himself, Fort Hood officials said at the time. * In July 2007, the wife of a Fort Hood soldier was killed as part of a murder-for-hire plot. Hidi Gower was shot to death outside a Veterans of Foreign Wars pool hall in Kempner, 18 miles from Killeen. Army Sgt. 1st Class Donald Dean Gower was sentenced to life in prison without parole in August 2008. * In March 2005, Fort Hood Army Sgt. Jason Cline flew from Texas to California and plotted with Sharonmarie Ball to kill her husband, Navy Petty Officer John Ball, who was stabbed in the chin and right hand but survived, according to news reports on KWTX-TV in Waco. Cline was sentenced to 12 years in prison in February 2006, according to the San Diego Union-Tribune. * In April 2005, former Army medic John D. Mayer Jr. of Fort Hood pleaded guilty in federal court in Waco to charges in the death of his 2-year-old stepdaughter. Mayer had been watching the child while the girl's mother was deployed to Iraq, according to news reports on KWTX. * In July 2004, Fort Hood officials identified the bodies of Fort Hood soldiers Sgt. Erin Elizabeth Edwards and her estranged husband, Sgt. William McKinley Edwards. Police investigated the shooting deaths as a murder-suicide, the Texas A&M University student newspaper, The Battalion, reported in 2004. "

"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. "

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Pfc. Jordan May, a 26-year-old gunner, fell into a deep sleep that night and never woke up. In the six years since the war in Iraq began, it's been standard practice to honor troops who die overseas as patriots. But for the families of May and other Fort Hood soldiers who died on post or close to home, there typically are no news reports and no flags lowered to half-staff. The hidden demons that follow troops home - mental stress, depression and traumatic brain injury, to name a few - don't always go away. When left unresolved, they can lead to divorce, drug or alcohol abuse and suicide. And as the March 19 anniversary of the start of the war draws near, there are more questions than answers in the stateside deaths of May and 13 other Fort Hood troops in the past eight months. The Army typically releases general details of how a soldier has died in Iraq, usually from small-arms fire, an explosive, an accident or an unspecified noncombat incident. But when a soldier dies at Fort Hood, friends and relatives often can only speculate about any role the war might have played.

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.