Treatment for co-ocurring disorders fall under the outpatient spectrum for addiction rehabilitation, however, it is an essential and successful form of treatment specifically for veterans. For many civilians who have not been to combat it is difficult to comprehend the toxic combination of pride, anger, duty, anguish and anxiety many veterans feel after their time in the service. Consequently, adjusting back to civilian life is a difficult task to accomplish; while some veterans sustain only minor physical and psychological wounds from combat, others aren’t as lucky. As mentioned above, for veterans, PTSD is considered a mental health condition caused by the traumatic events experienced in wartime. Thus often causing veterans to drugs or alcohol to self-medicate. If left unaddressed, PTSD and substance abuse in veterans can be
Practice: This article first identifies the scope of the problem, followed by the effect of dual diagnosis on treatment outcome, followed by how individual PTSD treatments work and how they view substance abuse, followed by addressing the problems with sequential treatment of PTSD/SUD, lastly addressing the integrated treatment approaches. These implications are supported by empirical data collected from various studies.
Memories of war are like poison in the minds of the broken soldiers calling for help, only to find out that their voices have become a distant echo. Their words lost in the society of the land they've slaved to protect, robbed of the aid, and crippled by their illness. Post Traumatic Stress Disorder (PTSD), became a documented mental disorder in 1980, when the American Psychiatric Association (APA) added PTSD to the third edition of its Diagnostic and Statistical Manual of Mental Disorders. For about 30+ years, since the Vietnam war began, veterans have experienced the pain of this ailment. Human beings experience PTSD in varying degree, but often we associate it with war. Since the recognition of PTSD as an illness, the government has failed
In the United States (US) posttraumatic stress disorder (PTSD) affects 8 out of every 100 persons (United States Department of Veterans Affairs [USDVA], 2015). In which account for about 8 million people that include the military veterans (USDVA, 2015). About 10% of women and 4% of men will develop PTSD during some course of their lives (USDVA, 2015). Veterans are more susceptible to PTSD due to longer exposures to trauma, danger, or witness a violent life threaten incidence during their military service periods (USDVA, 2015). The development of PTSD becomes chronic after no longer seeing or under the “fight-or-flight“ experiences causing a psychological and/ or mental breakdown (National Institutes of Health [NIH], n.d). Such
“Treatment for PTSD is usually based on a combination of therapy and medication to manage symptoms”(SocialChoice). Some veterans may be embarrassed to get help. Group therapy is a good option for these people. During “group therapy members of the service talk about the trauma they have been through. They also learn skills to cope or manage their symptoms of PTSD”(military.com). Family and couples therapy is also an
Although American service members have felt the lasting effects of combat throughout the history of the nation, it was not until 1980 that Post-Traumatic Stress Disorder was formally added to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. Once referred to as “irritable heart” or “shell-shock,” PTSD made its way into the national spotlight in the years following the wars in both Iraq and Afghanistan due to U.S. military members having difficulty reintegrating into civilian life. High rates of suicide, depression, and elevated levels of violent crime within the veteran community made the need to find an effective treatment of this disorder a top priority for the Veterans Health Administration. While it is widely accepted by medical professionals that there is no single, definitive cure for PTSD, many different methods have been cultivated within the past 15 years that make coping with it an easier process; some to a greater extent than others. While medications, namely antidepressants and benzodiazepines, usually find themselves at the forefront of any discussion regarding mental debilitation, they are not a one-size-fits-all solution to the problems that combat veterans face. As this particular disorder is attached to a certain memory or traumatic occurrence, alternative methods of rehabilitation such as Cognitive Behavioral Therapy (CBT) and Prolonged Exposure (PE) have also shown promise in
PTSD can affect people in different ways due to the circumstance they went through, for example, “a young woman gets mugged and hit over the head with a pipe. Years later, she is still afraid to go out at night by herself. She has trouble making friends and she is slow to trust people. She has gotten several warnings at work for missing days; sometimes she just can’t seem to get out of bed. A former soldier, when he finally sleeps, finds himself back on the dusty roads of Afghanistan. He awakes in a panic and struggles futilely to return to sleep. Days are hardly better. The rumble of garbage trucks shatters his nerves. Flashbacks come unexpectedly, at the whiff of certain cleaning chemicals. He is imprisoned in his own mind” (Brainline,
Posttraumatic Stress Disorder, or PTSD, affects many of our nation’s veterans. The U.S. Department of Veterans Affairs estimated that in the Vietnam War, almost thirty-one percent of its veterans, when they came back to the United States, developed PTSD. In recent history, eleven percent of veterans from the Afghanistan War and twenty percent of veterans from the Iraqi War have developed PTSD after arriving back in the states. Posttraumatic Stress Disorder, though brought into the light recently by veterans, is still widely unknown, mainly in what the symptoms are, diagnosis, and treatments.
(1) “Post Traumatic Stress Disorder is an anxiety disorder than can develop after a person witnesses a traumatic event. A traumatic event can take many forms; a natural disaster, sexual abuse or a terrorist attack such as 9/11, but for veterans, PTSD is most often related to combat or military exposure. In wars prior to Vietnam, the disorder was referred to as “shell shock” or “battle fatigue” and was not very well understood beyond the fact that it limited the soldier’s performance on the battlefield. Today, the disorder is more widely studied. We know that Post Traumatic Stress Disorder can lead to other mental health problems such as depression, social withdrawal, and substance abuse.” This disorder is such a heavy price to pay for our soldiers. Many come home and can not function in normal society and never really get the help they need to cope with their problems. Many more soldiers suffer in silence and never even tell anyone that they may have these issues because so many of them feel they are ‘macho’ and can handle it alone, but the truth is that they simply can
PTSD or Post-Traumatic Stress Disorder is an increasing problem in our country. PTSD has its roots in the military, but the entire populace is subject to its effects. I served my country for the past 21 years and have seen the before and after of the effects of combat, so any discussions about PTSD, diagnosis, treatments, and cures is likely to catch my eye. In this paper, we will discuss the basics on PTSD, current rates in society, and list the possible cures and or treatments that are currently in use. The prevalence in society should show that all people should be familiar with the signs and systems, as well as knowing some of the basic treatments to assist afflicted individuals. The goal of this paper is to provide just that for the reader.
The fast paced, often demanding world of life in the military, and the experiences of combat and death, create situations in which many veterans experience psychological stress. These stressful situations are typically complicated further by the self-medication of substance use, and other psychological disorders that may be present. There is a large number of military personnel that are facing stressful issues such as homelessness, suicide, and substance abuse, which could lead to them getting involved with the criminal justice system. There is approximately 18.5% of service members returning from Iraq or Afghanistan that suffer from post-traumatic stress disorder or depression, and about 19.5% of military personnel report experiencing a traumatic brain injury during their deployment in the middle east (Veterans and Military Families, 2014).
Post Traumatic Stress Disorder (PTSD) is a condition that causes anxiety and distress due to an extremely terrifying event. PTSD occurs in people who have experienced an event that is life-threatening, terrifying to include seeing someone they personally know or don’t know endure death (Kalat, 2013, p. 383). Recently the Veterans Affairs Administration (VA) has seen significant rises in diagnosing and treating PTSD sufferers in returning combat soldier from Iraq and Afghanistan. According to the National Center for PTSD out of 100 veterans 20 are likely to return with PTSD symptoms (Veterans Affairs Administration, 2010). This is out of the roughly two million soldiers that have fought in the Iraq and Afghanistan war. It is noteworthy that
After seeing many terrible things while serving in the military, many soldiers will have to deal with post traumatic stress disorder or PTSD. Many will try a variety of therapy methods, but many say they don’t really help. Without help, some will turn to alcohol or other things that lead to an addiction.
One challenge to treating this population is due to the lack of clarity as to why the comorbidity of PTSD and SUDs frequently occur (Meisler, 1996). Gulliver and Steffen (2010) suggest the causation of co-occurrence may be due to concepts of self medication, common vulnerability to both disorders, or the presence of one disorder increasing the risk or likelihood
The treatment of posttraumatic stress disorder (PTSD) through cognitive and Exposure therapies is one of the most effective ways to treat and help patients cope with past traumas. Cognitive behavioral therapy (CBT) consists of the therapist first putting the patient into a very calm state through breathing and relaxation exercises. They then challenge the negative thoughts and ideas about past events. Specifically, trying to “decatastrophize his/her interpretations of intrusive recollections” (Paunovic, & Ost, 2001). This involves challenging faulty thinking and thoughts connected with a certain catastrophic event. This learned uncoupling of negative thoughts attached to those events is the core to cognitive therapy. Exposure therapy