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Being Cured

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Jimmy1

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I had an hour long session yesterday with my therapist. He has his finger on the pulse when it comes to PTSD, ten years worth of experience helping veterans. We talked about that wanker in the local paper saying people can be cured of PTSD.

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That wanker Major Lane said we could be cured in a military paradigm.

This is my therapists explanation.

Hypothetically.

Lets say we had a veteran who has spend two years overseas, an infantry soldier who had been in Army for ten years with two years overseas on operations, and those years were at a FOB. Daily patrols, incoming mortar and rocket fire, rounds coming zipping past his ears. He has seen quite a few of his mates either wounded or killed. He has had to kill men, women, and children who have been armed and shooting at him. He has seen bits of bodies as a result of IED's.

How do you fix that.

First of all he would need a therapist or psychologist who he felt comfortable with, then the right type of therapy whether it be EMDR, CBT, etc, and the right medication to keep him in a calm enough state of mind.

Then he would have to talk through each and every incident, sometimes it could take multiple sessions just to cover one particular incident. Once he has talked through each incident enough times it would become a memory ( a horrible one), rather than something he thinks about every other day. Now he has to do that for each and every incident until he is desensitized to every single incident/trauma he has been through.

Then he has to be deprogrammed. This is the military paradigm. Every morning at dawn when his body clock wakes him, or in the middle of the night, a superior would be there to order him to go back to bed, do this enough times and he will be sleeping normal times.

Now lets tackle the hypervigilence. Take him among large crowds. When his anxiety creeps up and he starts looking for exits and patrolling for the enemy he would be spoken to by his superior and ordered to stand down. Do this enough times and he would be chilled when walking in large crowds.

..........................................................................................................................................................................

I hope you can see where I am going here.

1. There is not enough therapists out there to enable this to happen. It would take hundreds upon hundreds of sessions, and at the current rate we get appointments, it would take ten or more years.

2. There are not the facilities to desensitize a soldier.

Even after all that and lets say he has been deprogrammed and desensitized. He will still have a stress cup which is vulnerable. Too much stress and things will go pair shaped all over again.

Now don't get me wrong. I have had four years worth of therapy and I very rarely have nightmares or think about what happened over there. Yet on days of high stress I don't cope well. I still get angered very easily even though I have done two anger management courses.

Why

Because our brains have had a physiological change to it and that can't be changed back. Well I don't think it can.

You see it all the time. Veterans will get through their therapy and get on with life. They are doing well with their family and career, then way down the track, maybe 15 or 20 years something in their life changes and wham, they go off the rails.

The word CURE should be erased and the word MANAGE inserted.

Just my waffle.
 
The word CURE should be erased and the word MANAGE inserted.

Spot on Jimmy. I think your therapist and mine are like minded. They understand that what we have will be with us for life. They help us to learn to manage our condition.

It's still unfortunate that members of the military are still saying that we can be cured. I believe that it's part of the reason that a great number of vets absolutely refuse to get the help they need due to the stigma that's still attached to mental issues.
 
I'm missing out on decent therapy.

I think you're absolutely right. There is never going to be the resources. Good thoughts mate.
 
My current therapist decided to take a different tack. We are working on basics. Like identify and listing reactions to emotions. This should help me to learn better coping skills. Things are fast paced at the VA its only 8 sessions long. I think I can get some good out of it.
The VA wont give me unlimited time with a therapist. They want you to spend the majority of time in groups. I need the one on one time. I think a break from therapy will happen after I finish these 8 appointments.
Most of the VA's are overwhelmed and getting one on one time with a therapist is difficult.
You know guys I think most of us with PTSD have other issues as well and that's what made us susceptible to getting the PTSD in the first place. So that has to be taken into account as well. You cant fix the PTSD without addressing any lingering issues that person has. Its more involved than just facing the therapy for PTSD. I think managing in the best we can do. The best we can expect to obtain.
 
.......................We are working on basics. Like identify and listing reactions to emotions. This should help me to learn better coping skills..................

It is a damn good place to go Red cocker. emotions give us a heads up to what is going on. It is the best Intel you will ever get before going on a mission and dealing with an enemy (The Beast)

Once you have the basics you can build it up no end on your own.
 
I'm missing out on decent therapy.

I think you're absolutely right. There is never going to be the resources. Good thoughts mate.

One reason I don`t miss blighty.

The NHS could be so damn good, I mean Every body has access to it, it`s just the matter of "How f*cking long do I have to wait"

I realy don`t envy you Dan cocker. The German system is so much better than what any of you guys be it in the UK, USA, Canada or Africa or else where, have to put up with.

Give`s me a real guilt trip every now and then. I would so love to swap with some of you guys now and again, just so you can get the basics.
 
I have to wait until remembrance day until can see the doc for meds again, how ironic.

The therapy I get just feels like nothing.
 
Thats like 2 weeks ? What are the f*cking doing, 2 min appointment, "hi it`s me I need..., thanks, see you later" and they can`t fit that in between something else.
 
I think most of us with PTSD have other issues as well and that's what made us susceptible to getting the PTSD in the first place.

I completely agree with that. There's no doubt that our previous lives, before the military, has a major effect in how we react and deal with our combat experiences.

And you're correct about the VA. They do want to limit us to only about 8 individual therapy session visits. Mine will at least see me if I have a problem or a need. I know she probably gets some shit about it but she has concern for us in a way that goes beyond being a VA employee. Group can be good also, just depends on the people in it.
 
When the US VA finally coined the name PTSD, they immediately began announcing "cures". Some so totally absurd, most would be embarrassed to voice them. They hated us Nam Vets and fawned all over the WWII guys but then there were horror stories coming out of the nursing facilities about the terrible treatment of even them.

The VA would come out with a "cure" and the private psychiatric community would point up the idiocy of the VA's claims. Treatment was a joke. The working environment in most VA's was so bad that there was constant turnover and just about the time you got used to a therapist, he'd split and you started all over with a new. one.

Finally, a VA "doctor" told me she wasn't going to treat me, to go out and find my own Drs. I was lucky enough to work long enough to have "tenure" in the system which also included healthcare. I started going to private providers and even tho' they had little experience with Veterans, the quality of my treatment soared.

I have an excellent psychiatrist and therapist. I received the head meds I needed and regular, meaningful "tuneups" from my therapist.

Another treatment modality was the Vet Centers. I started one on one's with a combat Vet and learned valuable ways to deal with the beast. He suggested group sessions. At first I didn't like them, too much shit flying from too many directions. But slowly I started opening up to them and they turned out to be some of the finest Brothers I've ever had.

I'm still in group. There are some Vets there that are simply going to pad a claim for PTSD to supplement their retirement. I cut them zero slack because they are occupying a chair where a true sufferer should be sitting. They talk about everything BUT PTSD. Me being the asshole I am, I cut in a loud voice, "can we get back to PTSD issues, please!". They being the pretenders they are don't like that because they are way over their heads and haven't the least to say about it.

So, we can point to the pretenders as a big part of the problem in getting regular treatment. I wish they would start prosecuting some of them for lying on their claim paperwork. I've got one that is dogging me to help him phoney up a claim that he was in the same outfit as I when he can't even get the Air Force wing number correct.

Sorry to blather on, but this really bothers me. We have so many young folks coming home really messed up and we have some pretender standing in the way of their treatment. Makes you want to stake them out on an anthill and pour honey all over them.

Sarg
 
I have a solution. The DVA revolves around the DSM V. So I have a two pronged solution.

1. There are veterans coming home now that are in desperate need of help whether it be for an adjustment disorder or PTSD, TBI, etc, etc, and it all needs to be a free handout from our governments. There should be mass veteran help centres opened up, with free psychs on hand to dispense initial meds as well as appointment cards for the VA. They could hand out information brochures and offer advice to spouses. Call it a preliminary assessment. This should also weed out some of the wannabe's.

You are always going to get that guy that was safe the whole time, the guy that worked in the HQ who never went out side the wire or did anything where his life was in danger, nor witnessed anything, yet he will claim through DVA. Proving it is another matter, but it slows the whole process down for the ones that need it.

2. I think when any veteran returns home they should be provided with not only their medals, which are useless, but they should all be provided with a piece of official paper that states whether their life was threatened or whether they witnessed death, etc, all the stuff in the DSM, the criteria the VA work off. There are contact reports for every situation whether it is in the boonies, out in the desert, in a FOB, or even in the main HQ area. If detailed logs are kept of who was present, then it would make life a whole lot easier.
f*ck I don't even care if they tattoo a star on their forehead, but the veteran if he had a problem down the track could go to the VA or the brand new veteran centre, tell them he is having problems and hand in his contact card, or, show them the little star on his forehead.

No card, or star, and you would have to wait in line and prove every single thing. They have it for medical, if you twist your knee and go to the aid post for some pain relief, there is a record, so why not for an incident.
 
No matter what they say, every unit keeps a diary of what went on everyday that that unit is deployed. I found unit diaries from when I was in 'Nam with the 27th. So, they're out there. Even for 'covert' missions. Record keeping is at the core of what the military does to keep track of everything. If they say they don't have it, they're lying, flat out. You might have to do some snooping to get them but they're there.
 
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