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- $Unique_ID{BRK00040}
- $Pretitle{}
- $Title{Post-Traumatic Stress Disorder}
- $Subject{stresses veterans post-trauma Mental Emotional Conditions Condition
- Post-traumatic Stress Disorder wars Vets Nam autonomic nervous system jobs
- combat dreams sweaty palms jumpiness irritability fatigue palpitations
- guerilla warfare atrocities terrorism psychotherapy pharmacotherapy Post
- traumatic Disorders war veteran Vet Vietnam}
- $Volume{E-1}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Post-Traumatic Stress Disorder
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- QUESTION: I didn't go to Vietnam, but a group of my old buddies did. Well,
- it's nearly 20 years since they got out, but they still seem to be messed up
- and stressed out because of it. Several of them are still into drugs, while
- others are alcoholics. Some of them seem to be in trouble with the law all
- the time, and can't hold jobs. I've been told this is typical. Is it, and
- what can be done to help?
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- ANSWER: It sounds to me like some of your friends are suffering from
- post-traumatic stress disorder. The disorder is seen in some veterans of all
- wars, but seems to be most common in Vietnam Vets. Those who suffer from this
- problem experienced an unusual, life-threatening experience that evoked
- extreme distress. Since life-threatening experiences were a regular way of
- life for combat vets in Nam, this disorder is associated with abnormal
- autonomic nervous system conditioning, high unemployment, marital problems,
- alcoholism, drug abuse and the inability to adjust after war-induced trauma.
- Doctors who've studied vets with post-traumatic stress disorder say the
- victims report recurrent dreams of combat, sweaty palms, jumpiness,
- irritability with children, family problems, fatigue, palpitations, started
- responses and difficulty in holding jobs. Studies in which combat vets and
- university students were subjected to combat sounds and light flashes, showed
- distinctly different responses in the nervous system. The vets reacted to the
- combat sights and sounds with increased pulse and respiratory rates. In
- another similar study, the combat vets reacted with intense feelings of fear,
- rage, sadness and guilt. Noncombat veterans did not react with intense
- emotions.
- Some of the reasons Vietnam veterans suffer from this problem more often
- than other vets include the continuous stress of guerilla warfare, atrocities,
- terrorism, language barriers, the limited and vague military objectives of the
- war in Vietnam, and the failure to debrief troops returning to the U.S.
- A national survey of more than 1,300 Vietnam Vets showed combat
- experienced soldiers had a 23% post-combat arrest rate and 12% conviction
- rate--much higher than for noncombat soldiers. Treatment of post-traumatic
- stress disorder involves a combination of psychotherapy and pharmacotherapy
- (drug therapy). Readjustment depends on integrating the vets' pre-Vietnam and
- post-Vietnam experiences.
- Some veterans are getting disability benefits that would end if they
- recover. Some drugs appear to be promising in treating this disorder, helping
- the patients to feel more relaxed, and less angry. The psychotherapy must
- also take into account severe feelings of guilt that many combat vets suffer.
- Many are haunted with thoughts that they might have killed innocent people.
- There's also something called survivor guilt--feeling guilty that they
- survived the war, while their friends in the battlefields were killed.
- We are learning now that all of the statistics of the costs of war are
- not easily added up into neat columns that provide mere dollar amounts and
- casualty numbers. The pain and human suffering continues long after the
- battles have ceased and affect civilian and combatant alike.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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