Wednesday, September 14, 2011

Post-traumatic Stress sufferers need security
Insecurity at root of fear, overreactions
Stress for Success
September 13, 2011


The American Legion has supported veterans suffering from combat stress since World War I, when returned vets were turning up in jails, hospitals, asylums and on street corners, haunted by battles long-gone. Legion research exposed this problem, which helped create the VA.

Decades of wars and research later combat stress is now known as post-traumatic stress disorder, PTSD. The Legion dropped “disorder” because of its stigmatizing implication since many soldiers avoid treatment for fear it will hurt their careers. So I’ll refer to the condition as PTS.

About 20% of Iraq/Afghanistan soldiers are returning with PTS or depression, which is compounded by traumatic brain injury (TBI) and sexual assaults, states a 2008 study by the RAND Corporation. Approximately half have sought treatment from the VA.

According to the cover story of the September 2011 The American Legion magazine, “The War Within: the battle against post-traumatic stress,” today’s vets have benefitted from earlier vets’ experiences. Upon returning home, Viet Nam veterans rejected the diagnosis of paranoid schizophrenia says Ken Jones, a veteran of that war. He says, “We don’t know what we are, but we aren’t that.” Back before PTS was understood, clinicians diagnosed many vets with paranoid schizophrenia due to their reported symptoms like flashbacks and hyper-vigilance that resembled schizophrenia’s diagnostic criteria of hallucinations and paranoia. Viet Nam era soldiers’ experiences brought PTS to the attention of the medical and research communities and has helped all sufferers of post-trauma stress.

What struck me from the article was a statement made by returning soldier’s wife, Melissa Seligman, when her husband described the aftermath of a suicide bombing he witnessed in Iraq. She said, “There’s something so horrible about somebody being so traumatized … (and) there’s no emotion attached.”

Imagine what the brain must do to detach so from the trauma.

I spoke about PTS with a dear friend, Dr. John Klebba, PhD, Physiological Psychology, a retired Naval Reserve Captain in Naval Intelligence. Jack participated in debriefing of prisoners of war from Viet Nam in 1973 so has first-hand experience with survivors of war trauma.


Dr. Klebba said, “I believe the essential aspect of treating PTSD is the rebuilding of self-confidence and security. Fear is a severe feeling of insecurity. After experiencing the traumas associated with combat those personnel afflicted with PTSD are sensitized to endocrine-neurologically over-react to almost any event they perceive as threatening their sense of security.

“The civilian aspects of coping (achieving security) involve good relationships with family, friends and co-workers. The more competently the PTSD person can handle these situations, the less fearful will be their life-space, and less often will the sympathetic (fight-or-flight) nervous system be called into play.

“In many cases there will be instances when the chimeras come storming back, so it is important that the PTSD person be given ‘go-to’ strategies such as whom to call (e.g., VA crisis line: 800-273-8255, press 1), Transcendental Meditation, physical exercise, etc. The more secure and the better they cope the less anxious, misbehaved or depressed they’ll be.”

Jacquelyn Ferguson, M. S., is an international speaker and a Stress and Wellness Coach. Order her book, Let Your Body Win: Stress Management Plain & Simple, at http://www.letyourbodywin.com/bookstore.html. Email her to request she speak to your organization at jferg8@aol.com.