Veterans’ PTSD options are lacking

The Department of Veterans Affairs is being criticized for the shortfall in care for almost a million veterans who can’t get timely compensation and have been waiting hundreds of days for help, often to no avail, reports NPR today.images

“Frustration with the agency came to a head last Thursday when VA Secretary Eric Shinseki was called before a closed-door meeting of the House Appropriations Committee.”We are aggressively executing a plan that we have put together to fix this decades-old problem and eliminate the backlog, as we have indicated, in 2015,” Shinseki said after the meeting.“So this is a challenge [and] we’re making tough decisions that make it possible for more people to apply for and receive benefits.

“Glenn Smith, a 28-year-old Army veteran from St. Louis, joined the military in 2004.”I joined because I loved tanks, believe it or not,” Smith tells Jacki Lyden, host of weekends on All Things Considered.Smith was deployed to Iraq twice between 2006 and 2010; he spent most of four years in combat. He now has an irregular heartbeat, and attributes it to one of the many IED blasts he went through. The irregular heartbeat, discovered during a routine training exercise, led to him being discharged last spring.

“Smith described an anxiety attack in March in which “things just [closed] in” on him. It’s even happened while he was driving.”I didn’t feel like I had any release or way to break free of it,” he says. “I’ve had memories and nightmares of my experiences while I was in Iraq. Any all that just came rushing to the surface.”Smith also says he has a bad case of PTSD. His PTSD has been so debilitating, he needs help navigating the VA. He submitted his initial claim about a year ago, but still lacks regular treatment for the disorder. Continue reading “Veterans’ PTSD options are lacking”

Traumatic times

Each American generation has its characteristic psychiatric diagnosis, and, typically, a drug or medication that represents the times, states Salon.com

“When the world was on the verge of blowing up in the Dr. Strangelove 1960s, we lived in the Age of Anxiety. Valium, the drug that symbolized that period, was celebrated in books and movies like “Valley of the Dolls” and songs like the Rolling Stones’ “Mother’s Little Helper.” The 1970s was the Age of Malaise, and the drug that attempted to mediate that malaise was cocaine. Starting in the Prozac-fueled late 1980s and 1990s, the omnipresent diagnosis was depression. Later, the diagnosis was attention deficit disorder and the representative drug was Adderall.images

“If this is so, the appropriate diagnosis of the last decade — since Sept. 11, 2001, to be exact — may be PTSD: post-traumatic stress disorder. Of course legions of American soldiers have received the diagnosis, and enormous resources, appropriately, have gone into its treatment. The Department of Veterans Affairs estimates that nearly 30 percent of the more than 800,000 Iraq and Afghanistan War veterans treated in veterans’ hospitals and clinics are diagnosed with PTSD.

“But in the past 10 years, even non-veterans have been engaged in an ongoing narrative of American trauma. After 9/11 came Katrina, then the economic meltdown and the recession that never seems to end. This past year saw Sandy followed by Newtown. Along the way there’s been the mass killings at Virginia Tech, at Northern Illinois University, and in a Colorado movie theater. There also seems to be a deepening sense that one can never fully escape from potential catastrophe, not on a Boston street on a promising spring day or in a Connecticut elementary school a few weeks before Christmas.

“In the popular perception, the locus, both psychologically and geographically, of the tragedies has shifted. They’ve gone from being “out there” — in, say, the remote parts of the South or West, or the inner cities — to “right here,” in respectable, suburban America. The latest chapter is the bombing in Boston, with its indelible images — the 70-year-old runner laid out on the ground; the impossibly innocent smiling face of the 8-year-old boy who was killed. And it further cements post-traumatic stress in the popular psyche and lexicon in a similar way in which depression, bipolar disorder and ADD — and the drugs to treat them — were popularized in earlier eras. Continue reading “Traumatic times”

Diagnostic quandaries and PTSD

In what follows, Elspeth Cameron Ritchie discusses PTSD with a degree of nuance not always seen in mainstream journalism. Ritchie notes her ambivalence over the frequency with which the diagnosis is assigned to milirary personnel, inasmuch as other disorders can go untreated as a consequence. As she writes, “This is the last in my series of posts on the ethics of treating posttraumatic stress disorder (PTSD) (the first simply outlined ethical issues for military mental-health personnel; then I wrote about the right time to send a service member back into combat; Continue reading “Diagnostic quandaries and PTSD”