{"id":2786,"date":"2017-11-09T11:05:16","date_gmt":"2017-11-09T17:05:16","guid":{"rendered":"https:\/\/wholeperson.com\/blog\/?p=2786"},"modified":"2017-11-09T11:05:16","modified_gmt":"2017-11-09T17:05:16","slug":"understanding-ptsd-as-we-honor-veterans","status":"publish","type":"post","link":"https:\/\/wholeperson.com\/blog\/understanding-ptsd-as-we-honor-veterans","title":{"rendered":"Understanding PTSD as we Honor Veterans"},"content":{"rendered":"<p>Saturday, November 11 is Veteran\u2019s Day. As we pause in our busy schedules to thank those who have served our country, we must remember that many returning from deployment come back suffering from Post-Traumatic Stress Disorder or PTSD. Let\u2019s take a few moments to review our understanding of this often devastating condition. The following information was excerpted from <a href=\"https:\/\/wholeperson.com\/store\/veterans-book.shtml\" target=\"_blank\" rel=\"noopener\"><em>Veterans: Surviving and Thriving after Trauma <\/em><\/a>by Ester R.A. Leutenberg &amp; Carol Butler, MS Ed, RN, C.<\/p>\n<p><div style=\"width: 522px\" class=\"wp-caption alignnone\"><a title=\"By DVIDSHUB [CC BY 2.0 (http:\/\/creativecommons.org\/licenses\/by\/2.0)], via Wikimedia Commons\" href=\"https:\/\/commons.wikimedia.org\/wiki\/File%3AFlickr_-_DVIDSHUB_-_Marines_march_in_2011_New_York_Veterans_Day_Parade_(Image_1_of_10).jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/5\/55\/Flickr_-_DVIDSHUB_-_Marines_march_in_2011_New_York_Veterans_Day_Parade_%28Image_1_of_10%29.jpg\/512px-Flickr_-_DVIDSHUB_-_Marines_march_in_2011_New_York_Veterans_Day_Parade_%28Image_1_of_10%29.jpg\" alt=\"Flickr - DVIDSHUB - Marines march in 2011 New York Veterans Day Parade (Image 1 of 10)\" width=\"512\" height=\"341\" \/><\/a><p class=\"wp-caption-text\">By DVIDSHUB [<a href=\"http:\/\/creativecommons.org\/licenses\/by\/2.0\">CC BY 2.0<\/a>], <a href=\"https:\/\/commons.wikimedia.org\/wiki\/File%3AFlickr_-_DVIDSHUB_-_Marines_march_in_2011_New_York_Veterans_Day_Parade_(Image_1_of_10).jpg\">via Wikimedia Commons<\/a><\/p><\/div>Exposure to combat, witnessing death and destruction, and other trauma can lead to common reactions that resolve soon. When reactions persist over time they become PTSD symptoms. Many veterans have an array of post-traumatic stress symptoms. These symptoms may not rise to the level of a formal diagnosis. Nevertheless, they may significantly hinder the joy and quality of daily living and need to be addressed. They can include:<\/p>\n<ul>\n<li>Anxiety, the fight or flight reaction, freezing with fear, being jumpy and watchful<\/li>\n<li>Sadness or depression, crying, lack of interest or enjoyment, self-isolation, fatigue<\/li>\n<li>Guilt and shame: The serviceperson feels they could have done more; they feel guilty because they survived when others did not<\/li>\n<li>Irritable and angry about being treated unfairly, low levels of patience, overreacting<\/li>\n<li>Behavior changes, increased substance use, reckless driving, self-neglect<\/li>\n<\/ul>\n<p>Symptoms of PTSD for the person who experienced or witnessed an event involving actual or threatened death or serious injury and responded with intense fear, helplessness or horror, include the following:<\/p>\n<ul>\n<li>Re-experiencing or reliving the event with the same terror, images, thoughts, perceptions; dissociative flashbacks, nightmares, illusions, hallucinations<\/li>\n<li>Intense psychological distress reaction to triggers which are internal or external cues that resemble an aspect of the trauma<\/li>\n<li>Avoiding reminders &#8211; people, places, things such as crowds, cars if their convoy was attacked, fireworks, keeping too busy, and not addressing related thoughts and feelings, and not talking about traumatic experiences<\/li>\n<li>Numbness, feeling shut-down, detached or estranged from others, not feeling affection or joy, inability to recall aspects of the trauma, diminished interest in formerly significant activities, harboring a sense of foreshortened future, not expecting a normal life-span<\/li>\n<li>Hyper-arousal, easily startled, poor sleep patterns; irritability or anger outbursts, hyper-vigilance, (on guard)<\/li>\n<li>Feeling lost, alone, distrustful, awkward, and afraid most of the time<\/li>\n<\/ul>\n<p>Veterans are at greater risk if they had earlier trauma such as child abuse, mental illness, a family history of emotional problems, poor support system, limited education, or other recent life changes.<\/p>\n<p>PTSD often leads to self-medicating through substance abuse, employment and relationship problems, hopelessness, depression, despair, shame, aggression and suicidal ideation.<\/p>\n<p>People may not seek help due to the perceived stigma of mental illness, long waits for treatment, denial, or cultural factors such as being stoic versus false a perception of weakness if asking for help.<\/p>\n<p>When family members suggest getting help veterans are urged to follow through to respect their loved one\u2019s concerns.<\/p>\n<p>Denial is a common response yet tough people suffer symptoms, not always combat-related. Victims of abuse, accidents, and natural disasters are at also at risk.<\/p>\n<p>Physical reactions may involve chronic pain, heart palpitations, trouble breathing, profuse perspiring, stomach upsets, and other bodily reactions to anything that reminds the person of the stressful military experience.<\/p>\n<p>How do we open a discussion with a Veteran about the possibility that they may be experiencing PTSD? The following are tips from the U.S. Department of Veterans Affairs, and were retrieved on Nov. 7 from <a href=\"https:\/\/www.mirecc.va.gov\/coaching\/tips-for-family-friends.asp\">https:\/\/www.mirecc.va.gov\/coaching\/tips-for-family-friends.asp<\/a>.<\/p>\n<ul>\n<li>Be respectful and calm during conversations.<\/li>\n<li>Be patient \u2012 it usually takes more than one conversation before most people accept the idea of seeking care.<\/li>\n<li>Don\u2019t argue or attempt to talk a Veteran out of their feelings, thoughts, and\/or emotions<\/li>\n<li>Allow the Veteran in your life to decide whether or not they want to talk about what they have experienced or what they are currently dealing with. If they don\u2019t, that\u2019s okay. Let them know the door is always open and you\u2019re willing to\u00a0listenwithout offering advice or suggestions.<\/li>\n<li>Do not take the Veteran\u2019s social withdrawal or isolation personally. Be willing to invite them and accept that they may not want to participate. Let them know they are welcome to change their mind.<\/li>\n<li>Avoid giving advice unless the Veteran specifically asks for it.<\/li>\n<li>Minimize distraction during conversations with the Veteran by turning off phones, TV, radio, etc. Be willing to limit conversations to 10 to 20 minutes at a time, if necessary. Think small steps.<\/li>\n<\/ul>\n<div id=\"attachment_2788\" style=\"width: 210px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2788\" data-attachment-id=\"2788\" data-permalink=\"https:\/\/wholeperson.com\/blog\/understanding-ptsd-as-we-honor-veterans\/df-sc-84-11899\" data-orig-file=\"https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982.jpg\" data-orig-size=\"1870,2810\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Mickey Sanborn&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Joseph Ambrose, an 86-year-old World War I veteran, attends the dedication day parade for the Vietnam Veterans Memorial.  He is holding the flag that covered the casket of his son, who was killed in the Korean War.&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;DF-SC-84-11899&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Joseph Ambrose\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Joseph Ambrose, an 86-year-old World War I veteran, attends the dedication day parade for the Vietnam Veterans Memorial.  He is holding the flag that covered the casket of his son, who was killed in the Korean War.&lt;\/p&gt;\n\" data-medium-file=\"https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982-200x300.jpg\" data-large-file=\"https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982-681x1024.jpg\" tabindex=\"0\" role=\"button\" class=\"size-medium wp-image-2788\" src=\"https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982-200x300.jpg\" alt=\"Joseph Ambrose, an 86-year-old World War I veteran, attends the dedication day parade for the Vietnam Veterans Memorial. He is holding the flag that covered the casket of his son, who was killed in the Korean War.\" width=\"200\" height=\"300\" srcset=\"https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982-200x300.jpg 200w, https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982-100x150.jpg 100w, https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982-768x1154.jpg 768w, https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982-681x1024.jpg 681w, https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982-624x938.jpg 624w, https:\/\/wholeperson.com\/blog\/wp-content\/uploads\/2017\/11\/World_War_I_veteran_Joseph_Ambrose_86_at_the_dedication_day_parade_for_the_Vietnam_Veterans_Memorial_in_1982.jpg 1870w\" sizes=\"(max-width: 200px) 100vw, 200px\" \/><p id=\"caption-attachment-2788\" class=\"wp-caption-text\">Joseph Ambrose, an 86-year-old World War I veteran, attends the dedication day parade for the Vietnam Veterans Memorial. He is holding the flag that covered the casket of his son, who was killed in the Korean War.<\/p><\/div>\n<p>Help your Veteran to feel more comfortable and be aware of potential triggers that may aggravate a Veteran\u2019s heightened alertness, such as loud noises on TV, fireworks, a car back-firing, etc.<\/p>\n<ul>\n<li>Remind yourself that it\u2019s not about you. Be patient when a Veteran is struggling with feelings, emotions, stress, and so on.<\/li>\n<li>Talk about your feelings and encourage the Veteran to share their feelings about what is going on without forcing the issue.<\/li>\n<li>Validate the Veteran\u2019s feelings if they are willing to share them by simply listening, rather than offering advice.<\/li>\n<li>Try to build in some enjoyable activities with the Veteran in your life on a regular basis.<\/li>\n<li>Encourage sticking to schedules and routines.<\/li>\n<li>Don\u2019t force a Veteran into social outings. If they agree to go, plan ahead in case they feel uncomfortable and want to leave.<\/li>\n<\/ul>\n<p>The U. S. Department of Veterans Affairs also reminds caregivers to take care of themselves. You can\u2019t help your Veteran if you are exhausted.<\/p>\n<ul>\n<li>Engage in activities you enjoy that help you tolerate or decrease stress.<\/li>\n<li>Educate\u00a0yourself about mental health problems.<\/li>\n<li>Consider getting your own counseling and mental health support.<\/li>\n<li>Join a support group or talk to others who are struggling with similar issues.<\/li>\n<\/ul>\n<p>Thank you to all of those who have served our country in the military: The Marines, Coast Guard, Army, Air Force, Navy, and National Guard. Whether a deployed soldier in Afghanistan or a helper in a flood in Texas or a fire fighter in the West, we owe our appreciation, support, and understanding.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Saturday, November 11 is Veteran\u2019s Day. As we pause in our busy schedules to thank those who have served our country, we must remember that many returning from deployment come back suffering from Post-Traumatic Stress Disorder or PTSD. Let\u2019s take a few moments to review our understanding of this often devastating condition. The following information [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"Understanding PTSD as we Honor Veterans #veteransday #ptsd @honoringvets","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[3,4],"tags":[191,44,579],"class_list":["post-2786","post","type-post","status-publish","format-standard","hentry","category-articles","category-book-excerpts","tag-ptsd","tag-veterans","tag-veterans-day"],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Understanding PTSD as we Honor Veterans<\/title>\n<meta name=\"description\" content=\"Saturday, November 11 is Veteran\u2019s Day. 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