Friday, April 5, 2013

Post-Traumatic Stress Disorder: The Fatal Dangers


February 2006: Sgt. Jon Trevino shot his estranged wife, Carol Trevino, five times, the last time in the head. Then he shot himself. The couple’s nine year old son sat in bed and watched his father kill his mother in cold blood (Alvarez & Sontag, 2008).

September 2008: 19 year old Jacqwelyn Joann Villagomez was beaten and choked to death by her boyfriend, John Wylie Needham. Needham was a 25 year old Iraqi veteran who suffered combat injuries. His family reported that he returned home with severe mental problems, pain from the shrapnel in his legs and back and struggled with nightmares that left him screaming (Esquivel and Hanley, 2008).

August 2008: Jessie Bratcher, Iraqi war veteran and National Guardsman, shot (10 times) and killed Jose Ceja Medina, the man he believed had raped his girlfriend. It was later learned that Bratcher's Humvee was hit by a roadside bomb in Iraq in 2005 but the team reported no injuries, though Bratcher and his team leader both had headaches.  It was not until 2008 that Bratcher’s recurring anxiety, depression and mood swings were classified as a traumatic brain injury from the blast -- symptoms which overlap and mimic post-traumatic stress disorder (Sullivan, 2009).

April 2009: Less than a year after returning from combat in Iraq, Nick Horner shot and killed Raymond Williams, a retired 64 year old in Pennsylvania. Horner also killed a teenager and wounded a woman at a store in the same town. Horner did not know any of these victims. After he returned from Iraq, Horner was a different person, his mother said. He barely left his home and, oftentimes, “his wife would find him crying in the corner of the basement” (Lawrence & Rizzo, 2012).

How many more of these stories will it take before the effects of war on our veterans are taken seriously?
                                                                                                                  (Lee, 2013)   

Nearly 20 percent of all Operation Enduring Freedom and Operation Iraqi Freedom veterans screened positive for Post-Traumatic Stress Disorder (PTSD) in 2008 (Banai, Maxwell, O’Neal, & Gallagher, 2011). The actual rate of veterans with PTSD is probably much higher. The symptoms of PTSD, according to the VA, are reliving the event, avoiding situations reminiscent of the event, feeling numb, and hyperarousal. Hyperarousal is the feeling jittery and always being on alert and on the lookout for danger (PTSD) (National Center for PTSD, 2013). The effects of hyperarousal have been blamed for the high rates of violence among veterans. Service members with PTSD (who sought therapy) found that 80 percent committed a violent act within the past year. This is six times higher than the civilian population (Banai et al., 2011). Iraq and Afghanistan veterans who struggle with anger are twice as likely as other vets to be arrested for crimes, according to the Journal of Consulting and Clinical Psychology, which published a study last year (Fantz, 2013).  In 2009, at least 122 soldiers who served in Iraq and Afghanistan had been charged in or convicted of a killing. A 2009 Army study of 11 killings committed by members of Fort Carson, Colorado concluded that those soldiers were affected “by combat in Iraq, alcohol and drug abuse, previous mental health issues and PTSD” (Sullivan, 2009).


                                                                                                                (Lee, 2013)

The mental instability, anxiety and anger associated with PTSD are destructive for most military families. PTSD increases the chance of family violence, divorce and drug and alcohol abuse.  A veteran suffering from PTSD may be unable to fulfill his or her roles as a parent, spouse or contributing member of society. This puts a considerable amount of strain on the family. Despite the fatal effects of PTSD, most military families do not seek treatment for PTSD because of the stigma associated with mental disorders (Banai et al., 2011).  Unfortunately, treatment for this condition is not readily available for those veterans willing to reach out for help.
                                                                                                              (Lee, 2013)
                                                                                               
Take the story of Jessie Bratcher (the Vet who killed the alleged rapist of his girlfriend): After returning home from war, his grandfather heard him at night, "hollering, a bunch of mumbo jumbo, like a frightened child” and Jessie continuously asked for guns (Sullivan, 2009). Bratcher went to the VA for help because he was unable to work but his attempt to collect benefits was denied. The VA decided that his PTSD symptoms were "too mild." Though it's widely treated, the number of Iraq and Afghanistan vets compensated for PTSD is fewer than 2 percent of veterans receiving benefits. “Nationally, almost 4 percent of World War II and Korean vets and 7 percent of Vietnam vets receive money for PTSD” (Sullivan, 2009).  Not only is compensation for symptoms of PTSD difficult for vets to receive, but proper counseling is also scarce. There are not a high number of therapists who are experts in PTSD and who understand how to really help the victims. Vets may not want to talk to a civilian who has no idea about the terror he/ she has gone through. More research needs to be put into different strategies to help these vets.

(Lee, 2013)


Sergeant Trevino had been treated twice for mental health problems before the war: once for serious depression as his first marriage crumbled, and then again for post-traumatic stress disorder stemming from the childhood sexual abuse and also marital problems with his new wife, Carol. He was counseled and treated with medication both times. The Air Force was fully aware of the instability of Trevino’s mental state yet military doctors certified that he could handle the job. The Air Force considers the stress disorder to be treatable and is willing to deploy an airman with a history of it. When Trevino returned home from his deployment, Trevino began taking a mix of antidepressants and therapy prescribed by the military. However, the damage had already been done (Alvarez & Sontag, 2008). The Air Force, the institution that Trevino had dedicated his life and loyalty to, had greatly betrayed him and his family by failing to safeguard the health of their soldier before anything else. Unfortunately, this is not a common occurrence since the need for soldiers overseas is greater than our actual numbers.

                                                                                                      (Lee, 2013)

The reality of PTSD within our military population is overwhelming.  Not only does PTSD increase the likelihood of violence for families and society, it also increases the incidence of self-inflicted violence. These images give us a clear picture of the effect of PTSD on the well-being of our nation’s heroes.


                                                                (Lee, 2013)


I hope that within the next few years we will see an increase in PTSD specialists and funding for rehabilitation programs. Although not all returning vets have PTSD, a significant amount does and they need our attention and support.

Questions:
1.       Why would military families not want to seek out treatment for PTSD?
2.       Should universities offer concentrations or specializations in PTSD therapy?

*If you enjoy watching those surprise coming home videos, here is the video of when one of my best friends surprised us on Christmas last year. Enjoy!*


Leandra Furtado

References:

Alvarez, L. & Sontag, D. (February 2008). When Strains on Military Families Turn Deadly. New York Times. Retrieved from http://www.nytimes.com/2008/02/15/us/15vets.html?pagewanted=all&_r=0

Banai, M., Maxwell, B., O’Neal, J., Gallagher, M. (2011, December ). Unsung Heroes: Military Families after 10 Years of War. In IAVA Issue Report: December 2011. Retrieved from https://my.lesley.edu/courses/1/13-SP.CSOCL.2402.01.73885/content/_1124354_1/Unsung_Heroes.pdf

Esquivel P. & and Hanley, C. (September 2008). 'Mentally unstable' Iraq veteran arrested in death of girlfriend, 19. Los Angeles Times. Retrieved from http://www.latimes.com/news/local/la-me-beating3-2008sep03,0,6026971.story

Fantz, A. (February 1013). Sniper Killing Aftermath: 5 Things to Know about PTSD. CNN Health. Retrieved from http://www.cnn.com/2013/02/05/health/ptsd-five-things

Lawrence, C. & Rizzo, J. (May 2012). Under Fire: Wartime Stress as a Defense for Murder. CNN Justice. Retrieved from http://www.cnn.com/2012/05/05/justice/ptsd-murder-defense

Lee, J.(January 2013). Charts: Suicide, PTSD and the Psychological Toll on America's Vets. Mother Jones. Retrieved from http://www.motherjones.com/politics/2013/01/charts-us-veterans-ptsd-war-iraq-afghanistan



Sullivan, J. (October 2009). Trauma in Iraq leads to drama in Oregon. The Oreganian. Retrieved from http://www.oregonlive.com/news/index.ssf/2009/10/post_25.html.

National Center for PTSD. (2013). What is PTSD? United States Department of Veteran Affairs. Retrieved from http://www.ptsd.va.gov/public/pages/what-is-ptsd.asp


Leandra Furtado




No comments:

Post a Comment