Post Traumatic Stress Disorder: Post Vietnam War

“My mind is on fire as I fear that any second, another enemy round will rip into my body and finish me off” (Johnson 2). Post-Traumatic Stress Disorder (PTSD) effects the lives of many soldiers after returning home from war. PTSD is a psychiatric condition described in the DSM-IV as, a condition that requires a specific event to have occurred as a criterion for the diagnosis. The criteria for this disorder, according to the book Combat Trauma, can include flashbacks, times where you feel as if you are reliving the traumatic event, shame or guilt, upsetting dreams about the traumatic event, trying to avoid thinking or talking about the traumatic event, feeling emotionally numb or not feeling at all, anger or irritability, poor or destructive relationships, self-destructive behavior, trouble sleeping, memory problems, hallucinations, not enjoying activities you one enjoyed and feeling as if you no longer know who is living your day-to-day life.

Post-Traumatic Stress Disorder (PTSD) is a psychiatric sequel to a stressful event or situation of an exceptionally threatening or catastrophic nature. It develops after a person is involved in a horrifying ordeal that involved physical maltreatment or the threat of physical harm. These events can include combat or military experience, abuse during childhood or adulthood (physical or sexual), terrorist attacks, serious accidents or natural disasters. This person may have been the one that was harmed, witnessed a harmful event or had a loved one who was harmed. It is normal for the body’s fight or flight mechanism to engage in times of danger. With a person who has PTSD, that mechanism is damaged and the person feels this even when they are not in danger. Symptoms can be categorized into four different areas – re-experiencing symptoms (flashbacks, bad dreams, frightening thoughts) , avoiding situations that remind the person of the event, negative changes in beliefs and feelings (may be fear, guilt, shame or losing interest in those activities that once were enjoyable) and hypervigilence (always feeling keyed up, trouble concentrating or sleeping). There are also feelings of hopelessness, despair, depression or anxiety, alcohol or substance abuse, physical symptoms or chronic pain and problems with employment and relationships.

Many Symptoms for PTSD are Things or events act as triggers which remind you or resemble your traumatic event, Worrying about coping with everyday situations and Feeling that the traumatic event was happening again (hallucinations, flashbacks) etc. The everyday effects that it cause for veterans is trauma, withdraw etc. (POSTTRAUMATIC STRESS DISORDER (PTSD), 2001)

There have been many diagnoses of PTSD in American soldiers. As Mark Thomas said in a magazine article, “The National Academy of Sciences have report estimated that up to 20% of 2.6 million US men and women who have served in Afghanistan and Iraq may have it (PTSD)”(Thomas). This quote expresses that nearly 520,000 US families have been affected by this disorder. It also shows that PTSD has become a large enough issue that more and more people and

The symptoms of PTSD, while generally not life threatening, can be very distressing and have serious effects on a person’s health and well-being. There are three classes of symptoms related to PTSD, re-experiencing symptoms, avoidance symptoms, and hyperarousal symptoms. The re-experiencing symptoms are generally flashbacks, bad dreams and frightening thoughts. These symptoms are produced from the persons own thoughts and can be triggered by anything reminding them of the experience. The second classification of symptoms are called the avoidance symptoms and they include staying away from places and other objects that remind the person of the experience, as well as feeling strong guilt, depression, worry, emotional numbness, and a loss of interest in the world around you. The final classification, hyperarousal symptoms, includes being easily startled, feeling tense, having angry outbursts, and insomnia. These symptoms are

Post-traumatic stress disorder (PTSD) can produce emotional responses caused by the trauma endured during combat operations. It does not have to emerge immediately, but can actually happen weeks, months, or even years after the traumatic event. PTSD was often referred to as “combat fatigue” or “shell shock” until 1980 when it was given the name post-traumatic stress disorder. According to

PTSD is listed among a group called Trauma-and-stressor-Related Disorders. For a person to be diagnosed with PTSD, they must have been exposed to, witness, or experience the details of a traumatic experience (e.g., a first responder), one that involves “actual or threatened death, serious injury, or sexual violence” (APA, 2013, p. 271). (PRU, 2016, p. 66). The aforementioned definition of PTSD relates to soldiers; the manifestations and causes experienced with traditional PTSD can look somewhat different. Obvious causes of PTSD in soldiers stem from exposure to stressful circumstances within combat, exposure to the suffering and death of others, destruction, personal danger, and injury. A study on Vietnam soldiers provides insight on less obvious causes of PTSD. The study suggests

PTSD is defined as an "anxiety disorder that can occur after you have been through a traumatic event. A traumatic event is something horrible and scary that you see or happens to you” (United States). In these types of events one can feel that they are not in control of what is going on around them and may feel helpless or in great danger. The Department of Veterans Affairs has listed various life threatening events that can evolve into PTSD. These events include but are not limited to "Combat or Military exposure, child sexual or physical abuse, terrorist attacks, sexual or physical assault, serious accidents, such as a car wreck, natural disasters, such as a fire, tornado, hurricane, flood, or earthquake” (United States).

(Rosenthal, J. Z., Grosswald, S., Ross, R., & Rosenthal, N. 2011) Veterans presenting with symptoms of PTSD will often engage in behaviors which can be dangerous for themselves, their families and socity. Lack of effective treatment can place the veteran at increased risk for drug and alcohol abuse or dependence, suicide ideations or attemps, and bouts violence toward others. (National Center for PTSD, 2010) PTSD can occur anytime anytime one has have been through the experience of a traumatic event. PTSD has been referred to by many names in past years such as post-combat disorders, shell shock, post-traumatic stress disorder, disordered or heavy heart, and war neurosis. In DSM-I PTSD was referred to as ‘‘gross stress reaction’’ this was the name of the diagnoises given to those individuals who had suffered combat exposure, and their minds had become psychologically altered. It was very helpful to have a name to the sympotms of military or civilian individual that had been exposed to combat exposure, ex-prisoners of war, and rape victims. This term had also been helpful in diagnosing Nazi Holocaust

Some veterans experienced feelings of depression and distrust, and that the war impacted them negatively. PTSD is a severe emotional disorder that an individual can get after a traumatic life event they experienced, and for the veterans it was the Vietnam War. War includes witnessing terrible violence, the feeling of guilt of having to kill people and seeing your friends injured or dead, and the mixed emotions in the battlefield. In 1988, the National Vietnam Veterans Readjustment Study reported that 481,000 men and 716 women currently suffer from some degree of PTSD as a result of their experience in war, and overall 40% of Vietnam veterans have suffered from PTSD at some time of their life. In addition, it has been estimated that 900,000 Vietnam spouses and partners, and approximately 1,098,000 children are affected by their respective partner's and father's combat-related PTSD. These statistics showed that the Vietnam War extremely affected the veterans', and not in a good way. PTSD could have been very common among the veterans', because of the traumatic experiences they went through in the war. The war was not to be treated like a game. The war was a reality for the soldiers, and they could have constantly had the feeling of "I am going to die any minute now". Another issue that they developed was domestic violence. About one-third of six hundred men were reported of physically violating their partners. Their violent behaviour towards their partner/family could have also linked to PTSD. Veterans who were reported to perform domestic violence were treated with therapy to help them reduce their threatening behaviour. They either had group therapy with their family, or individual therapy. Not only was PTSD terrible for the veterans', but it was also bad for their children. Due to their children being raised in a home with their father having PTSD, the disorder could have

Veterans suffer from PTSD in multiple ways with sleeplessness, nightmares, and flashbacks (Bender). Veterans use different coping mechanisms to prevent themselves from triggering memories of the traumatic event. It has been found that veterans may become emotionally detached. Mintze reports, the Veterans Administration estimates that 830,000 Vietnam vets suffered symptoms of PTSD; of that number, 480,000 were so deeply affected that they were considered disabled. The effect of such cruel attacks has made it difficult for soldiers to adjust to life post combat (Price). This sickness can happen within three months to years after the unpleasant event. Frequently, veterans and victims of war suffer relentlessly from PTSD. Many poets, authors, and directors write to portray the lasting memories that cause one to suffer from this disorder.

Posttraumatic Stress Disorder (PTSD) is "an anxiety disorder, characterized by distressing memories, emotional numbness, and hyper vigilance, that develops after exposure to a traumatic event" (Doyle-Portillo, Pastorino 490). Traumatic events include physical abuse, rape, military combat, death of a close friend or family member, natural disasters, or witnessing events such as terrorist attacks, a violent crime, or a horrible accident (Doyle-Portillo, Pastorino 490). All these different events lead men and women to have nightmares, flashbacks, and tormenting memories, especially the men who fought in the Vietnam War. Around "19% of Vietnam veterans developed PTSD at some point after the war" (Doyle-Portillo, Pastorino 491) from the events they witnessed out in the Vietnamese jungles during combat that it would have been highly unlikely for them not to develop PTSD.

PTSD is usually caused by severe stress and anxiety. Military.com Benefits (n.d.) concluded that “Post-traumatic Stress Disorder can occur following a life-threatening event like military combat, natural disasters, terrorist incidents, serious accidents, or violent personal assaults like rape”. Hence, being send into a war zone would create such conditions.

In 2004 Operation Iraqi Freedom became the deadliest American military conflict since the Vietnam War. Military operations in Iraq and Afghanistan and Vietnam have brought heightened awareness of military related PTSD, as well as the relationship and family problems that accompany the disorder. Studies have shown that 11% - 20% of Veterans that served in Iraq and 6% - 11% of veterans that were deployed to Afghanistan have suffered from PTSD. Veterans of operation Desert Storm suffer at a rate of about 10% and Vietnam veteran estimates have been as high as 30% – 50%.

“When I was in serious danger I was almost completely paralysed by fear, I remember sitting with a coffin (a fellow soldier) on the fire-step of a trench during an intense bombardment, when it seemed certain that we must be killed”(The Psychological Effects Of The Vietnam War). Our soldiers that we send to war to protect us against the countries trying to harm us are put into dangerous situations that affect them physically and mentally and leave them with permanent damage to their minds and bodies. The server damage that our military soldiers faced when returning from war is PTSD which stands for post traumatic stress disorder and is the most common disorder that returning soldiers are diagnosed with , but a more tragic diagnosis from war