Sunday, March 27, 2011

P.T.S.D.

Most of us don't have an anxiety attack when we we're driving and see a pop can or a dead animal by the side of the road. Most of us don't have the impulse to drive back and forth across lanes of traffic when we're going under a bridge. You might if you've served military duty in Iraq or Afghanistan and wached in horror as one of the vehicles in your convoy was exploded by and I.E.D. (Improvised Explosive Device).... or had someone try to drop a grenade on your vehicle when you were driving under a bridge. Symptoms of Post Traumatic Stress Disorder. Back before there was a proper clinical diagnosis, this post-war phenomenon was simply known as "Battle Fatigue", or "Shell Shock". Soldiers from all nations have suffered from PTSD after confronting the mayhem of war. PTSD occurs when any person, military or not, has been confronted with a traumatic event which involved actual or threatened death or serious physical injury to themselves or others. This is a point in their lives when they responded with intense fear, horror or helplessness. The most recent primary diagnostic criteria for PTSD falls into three groups and are summarized as follows: * Re-experiencing the trauma through nightmares, flashbacks and intrusive thoughts. * Numbing and avoidance of reminders of the trauma. (Avoidance of situations, thoughts and feelings, etc.) * Persistent increased arousal (sleep difficulties, irritability, anger outbursts, startled responses, etc.) Post Traumatic Stress Disorder can happen to anyone, even those not in a war zone. Examples might include, rape, a mugging, child abuse, etc. (Consider what the people of Japan are now enduring with the tsunami and the earthquake and nuclear plants).... Any "event" that leaves lasting scars on the memory. One of the men in our church group who has served three terms in Iraq (one as a civilian, still working for the army as a private contractor), recently told us of his own unique challenges since coming home and striving to return to a "normal" life. One of the symptoms he described since coming back from the war is his "hyper-alertness"... always on-guard, watch the people and his surroundings....always looking for the "attack" that could happen at any time. He shared with us that one time, his car was re-ended in an accident. It brought back a flashback of the convoy he was in while Iraq and how the enemy sought to "block in their vehicle" so that they were helpless to escape a fire-fight. Suddenly, just with the impact, as small as it was, to the rear of his vehicle, he found himself back in Iraq, getting ready to fight for his life. Below are the major symptoms of someone suffering from Post Traumatic Stress Disorder. Some of them may reveal clues that you, or a loved-one, might be dealing with the results of PTSD. *Depression *Cynicism and mis-trust of government and authority *Anger *Alienation *Sleep disturbances *Poor Concentration *Tendency to react under stress with survival tactics *Psychic or emotional numbing *Negative self-image *Memory impairment *Emotional constriction *Hypersensitivity to justice *Loss of interest in work and activities *Problems with intimate relationships *Survivor guilt *Difficulty with authority figures *Hyper-alertness, Hyper-arousal *Avoidance of activities that arouse memories of trauma in war zone *Emotional distance from children, wife and others *Self-deceiving and self-punishing patterns of behavior, such as an inability to talk about war experiences, fear of losing others, and a tendency to fits of rage. *Suicidal feelings and thoughts *Flashbacks to dangers and combat *Fantasies of retaliation and destruction *High-risk employment and/or recreation Just by acknowledging some of the traits mentioned above can have healing effects for you and your loved-ones. If you or someone you know are exhibiting some of these behaviors you should consider addressing some of these problems in a timely manner. There is help available. For combat veterans I highly recommend the book, "Down Range" to Iraq and Back, written by Bridget C. Cantrell and Chuck Dean (WordSmith Publishing). We'll be looking at this issue further next week in my next Monday Morning Blog.

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