PTSD Combat

Date / Length: 7/14/2009 10:30 PM UTC - 30 min Description: h:34685 s:607634 Lindy Kyzer, strategist with the Army's Online and Social Media Division, will join us to discuss how the U.S. Army is implementing social media to better tell the Army Story.

I'll begin occasionally saving and sharing some of the facts and figures I stumble upon during my research that I'd like to ferret away. Welcome to the first dose of random Combat Clips.

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.

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.

While most in Washington have been busily paying attention to the Sotomayor hearings this week, the Senate Veterans Affairs' Committee met Tuesday morning to consider the quality of VA care provided to our nation's 1.8 million female veterans.

In the Madison, Wisc., Rockford or Chicago, Ill., area and interested in supporting a returning veteran on an inspiring and, frankly, novel home front mission? Well, your chance arrives in early August in the form of Tyler Boudreau's 'The Other Side' Cross-Country Cycle Tour.

Trevor Hogue

Neuron Culture covers a new study on predictors of PTSD in deployed American combat troops. Predicting whether a soldier will break down through combat has been one of the Holy Grails of military psychiatry and the impressive results of this study suggest that this may be getting closer.

Joseph Brian Odom

Roy Brooks Mason, Jr.

MENTALLY UNFIT, STILL FIGHTING Gaps In Mental Health Screenings Still Haunt Military Little Progress In Expanding Screenings By MATTHEW KAUFFMAN | The Hartford Courant May 12, 2009 Chad Barrett had attempted suicide and was suffering post-traumatic stress disorder by the time his unit prepared for a third combat tour in Iraq. A psychiatrist had recommended the staff sergeant be separated from the military for his own good, but Barrett wanted to stay with his Army colleagues. And when it came time for deployment, Army commanders were happy to oblige. Barrett, who had spent a dozen years in the Army, shipped out in December 2007 with prescription bottles of Klonopin for anxiety, Pamelor for depression and migraines, and Lunesta and Ambien for sleep problems. But the drugs did not control his despair and mood swings. And less than two months after arriving in Iraq, Barrett popped open some of the bottles and committed suicide by overdose. He was 35.

Michael E. Yates Jr

May 12, 2009: Moving a Nation to Care among Sandy Cook's distinguished reading recommendations at Veterans Today.

Army Spc. Thomas Woolly, a Fort Carson soldier arrested Sunday in the shooting death of a 19-year-old woman, served two tours in Iraq with an infantry unit that suffered heavy casualties in combat and has been responsible for violent crime since returning home\nWoolly, 24, was a heavy machine gunner in the 4th Infantry Division's 2nd Battalion, 12th Infantry Regiment.\n\nMembers of the 500-soldier unit, nicknamed the Lethal Warriors, have been involved in stabbings, beatings, brawls, domestic violence, shootings, at least two attempted murders and four homicides in Colorado Springs. Another soldier who served with the unit in Iraq has been accused of murder in California.\n\nThe unit has also been plagued by drug abuse and suicide. The most recent suicide was Spc. Leland "Cal" Tyrone, 23, who killed himself in a barracks at Fort Carson on Dec. 20, 2008.\n\nWoolly, who was arrested on suspicion of manslaughter in the death of Lisa Baumann, is only the latest soldier from the unit to be involved in violence after returning from Iraq:\n\n * Louis Bressler, Bruce Bastien and Kenneth Eastridge were charged with killing two soldiers and stabbing a woman on her way to work in the fall of 2007.\n * Jomar Vives and Rudolfo Torres were charged in random drive-by shootings of three people on Colorado Springs streets in May and June of 2008. Two died.\n * John Needham is charged with beating a woman to death in San Clemente, Calif., in September 2008.

Marine Week will be hosted by different cities each year offering residents and visitors a chance to attend any number of free events. It also offers Marines a chance to give back directly to and interact directly with their own communities.

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.

Ricky McShan

I am pleased to announce the inaugural Marine Week activities held in partnership with the great city of Chicago from 11-17 May 2009. This is the first of many celebrations honoring country and Corps in cities across the Nation. Established to recognize the contributions of local Marine heroes, their families, and the cities from which they came, Marine Week also showcases the rich history and traditions of our beloved Corps. During the week, citizens will find Marines volunteering at local food kitchens and community parks, inspiring students by sharing their stories of service to their country, conducting intense physical fitness challenges and martial arts demonstrations, and performing with local musical groups. The Marine Corps will also display aircraft, vehicles, and the latest technology and equipment used to protect and preserve our Nation and its citizens.

The most wonderful of spring days to all of you who have put your time and love and energy into caring for your children, making sure they have the tools and confidence to go out into the world and live a full, healthy and productive life. For our military mothers, the pride of seeing her child -- now, all grown up -- in uniform, must be an enormous one.

Researchers are now starting to understand the physiological origins of this cognitive "fog of war", finding that the severity of soldiers' symptoms correlates with the levels of various hormones and neurotransmitters. This work has revealed why some soldiers manage to keep their head amid the chaos while others are clouded in confusion, and it has even suggested drugs and supplements which could one day help all troops to think more clearly under fire. Such intervention might also reduce the number of lives - like Wells's - that have been shattered by post-traumatic stress disorder, since it seems soldiers who experience the greatest cognitive disturbance during combat are most likely to suffer subsequently from PTSD. Although war leaves its mark on almost every combatant (see "Battle lines drawn in the brain"), drugs that clear the mental fog during battle might significantly reduce the severity of the symptoms that linger long after the soldiers have returned home. "If we understand the physiology, that gives us clues as to where and how we might intervene," suggests Charles "Andy" Morgan, a psychiatrist at Yale University and the US Department of Veterans Affairs National Center for PTSD in West Haven, Connecticut.