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The Struggle Does Not End When the Combat Does: How are PTSD suffering veterans living when they return home?

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Criteria of Traumatic Event: Intensity/Time Injuries/Losses Distance Control Support

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Reliving the event Nightmares Flashbacks Change in cognitive thinking Negative views and perceptions Trust issues Avoidance and isolation Anything that could remind you of the event Withdrawing from social relationships Hyperarousal Insomnia, guilt, difficulty concentrating, hyper vigilance Emotional numbing

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Adjusting to life back at home is a process, not a step Family and friends have to recognize difference in veterans and understand Trauma prevents people from having the ability to objectively evaluate the reality of life All symptoms of PTSD are displayed in character, conspicuously affecting the people around them Intimacy is the essence of peace with another person, and therefore finds itself on the far end of the spectrum from a war zone (Dean, 114).

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Dear Dad, Ive personally blown up five Iraqi tanks in the air sorties Ive flown over here. Dad, I know there were people inside those tanks, but I cant afford to think about that right now and still do my job. I know that when I get home Ill have to face who was inside those tanks. Im not looking forward to that. ~U.S. Pilot, Persian Gulf War

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Talking Writing Medication Avoid self-medication Relaxation Support groups

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Civil War Soldiers heart 44% World War I Shell shock British Army- 80,000 World War II Combat fatigue 37% Vietnam Revolved around relaxation therapy Prevalence of PTSD: 31% men; 27% women Iraq and Afghanistan Wars 4-17%

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Anderson, Pamela June B. "Getting Ahead of the Storm: PTSD." ProQuest. Michigan Chronicle, n.d. Web. 10 Apr. 2014.. Campell, Mindy. "Duty to Soldiers, oneself: Combat veterans seek out behavioral health services to help with PTSD." U.S. Army. N.p., n.d. Web. 10 Apr. 2014.. Cantrell, Bridget C., and Chuck Dean. Down Range to Iraq and Back. Seattle: Word Smith, 2005. Print. "Civil War PTSD." Science. American Association for the Advancement of Science, n.d. Web. 10 Apr. 2014.. David, Daniella, et al. "Cognitive Functioning and the Early Development of PTSD." Wiley. N.p., n.d. Web. 10 Apr. 2014.. "The HONOR Center Hosts Support Group for Depression, Bipolar Disorder." U.S. Department of Veteran Affairs. U.S. Department of Veteran Affairs, n.d. Web. 10 Apr. 2014.. Kotz, Deborah. "Recognizing PTSD." Factivia. Globe Newspaper Company, n.d. Web. 10 Apr. 2014.. Langer, Ron. "Combat Trauma, Memory, and the World War II Veteran." WLA Journal. WLA Journal, n.d. Web. 10 Apr. 2014.. "Post-Traumatic Stress Disorder (PTSD)." X-Plain Patient Education. Patient Education Institute, n.d. Web. 10 Apr. 2014.. "Shell Shock WWI." YouTube. YouTube, n.d. Web. 10 Apr. 2014.. Sullivan, Edith V., ed. "War-Related PTSD, Blast Injury, and Anosognosia." Ebscohost. Springer Science + Business Media, n.d. Web. 10 Apr. 2014.. Taylor, John G., and Stanley L. Baker. "Psychosocial and Moral Development of PTSD-Diagnosed Combat Veterans." Wiley. Journal of Counseling and Development, n.d. Web. 10 Apr. 2014.. "What Is PTSD?" U.S. Department of Veteran Affairs. U.S. Department of Veteran Affairs, n.d. Web. 10 Apr. 2014..