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This article is provided courtesy of Stars and Stripes, which got its start as a newspaper for Union troops during the Civil War, and has been published continuously since 1942 in Europe and 1945 in the Pacific. Two female officers will make history on Friday by becoming the first women to graduate from the traditionally all-male U.S.
Forty students and four Ranger instructors in the swamp phase of Ranger School were struck by lightning Wednesday afternoon.
The Army is asking soldiers who go to the doctor for ailments such as back pain or colds to answer questions about depression and post-traumatic stress disorder in a bid to identify those who may need help. About 63,000 soldiers out of 2 million screened during routine doctor appointments since 2007 have tested positive for previously unrecognized and untreated mental health problems, according to Col. The program was started in 2007 by the Army Surgeon General, initially at 40 targeted primary care clinics. Soldiers who go to the clinics for other health issues are asked to fill out a form with questions designed to identify people suffering from depression or PTSD, he said. In addition to the screening, the Army is providing mental health training for medical personnel and follow-up treatment for soldiers who test positive for depression and PTSD, Engel said.
Once patients are identified, and if they agree that their issues need to be addressed, doctors work with them to develop a treatment plan.
The nurses schedule appointments and track symptoms so that the most acute cases receive immediate attention. The program is seeing positive results, regardless of the type of treatment that patients opt for, which can range from medication to organized talk therapy to simple phone conversations with their nurse, he said. Fort Bliss, home to the 1st Armored Division, which has seen extensive service in Iraq and Afghanistan in recent years, has screened thousands of soldiers at its two clinics since 2008, according to Dr. The first few times a soldier fills out the mental health questionnaire, they might not indicate that they have any problems, Molina said. In one memorable case, Molina treated a lieutenant colonel for high blood pressure for a year before he opened up about mental health issues. The officer, who had seen soldiers lose limbs in roadside bombings in Iraq, said he hid his problems because he was worried people would think he was crazy, Molina said.
Six weeks on antidepressants and regular calls to the nurse made a big difference, Molina said. Only about 20 percent to 25 percent of soldiers suffering from PTSD will achieve complete remission of symptoms while they are in the program, although many will see less severe symptoms following treatment, Engel said. However, studies show it is best to start treating the problems early, and that is something that the screening program will help facilitate, he said. Early treatment for soldiers suffering from mental health problems reduces the cost of dealing with related symptoms such as back pain, accidents and emergency room visits from hazardous drinking, he said. Data from the program also shows that the more patients interact with the nurses, the more improvement they show in their PTSD and depression symptoms, Engel said. The Army expects to expand availability of the program to include all family members in the military health system over the next year, he said. We live in a world of relative safety most of the time – but it is a world in which people often lack support for dealing with calamities.

A person who has survived a traumatic event will probably never feel as if the event never happened, but the distressing and disruptive effects of PTSD can be alleviated. The old way of thinking was that the strongest people were those who could hold in their emotions and face tragedy stoically. Free Monthly NewsletterGet practical Information and helpful tips on relationships, parenting, and dealing effectively with depression and anxiety.
Rape and sexual assault can have devastating consequences, from intrusive flashbacks to chronic anxiety and depression.
Researchers surveyed 1,339 current and former servicewomen about their experiences with sexual assault in the military.
The study’s authors point out that women who survive sexual assaults are vulnerable to a host of mental and physical health problems, including depression, substance abuse, chronic pain, gastrointestinal and gynecologic difficulties, and sexual issues. Lisa Danylchuk, MEd, LMFT, E-RYT, a therapist who practices in Oakland, California, said many rape and sexual assault survivors worry about the consequences of reporting an assault. I would think that a lot of this has to do with overall culture of the military, where you feel like you have to be tough and take whatever is dealt to to you.
There actually are a lot of avenues for you to purse if this has happened to you, but that does nothing to get rid of that fear that you still feel about having to report someone who is either equal to you or a higher rank. Blaming the woman when it is so far from being her fault is one of the most terrible things that someone could ever do. As a whole I think that most women, no matter the background, are afraid of being labeled something ugly and in some cases they are afraid of what could happen to them personally and even professionally if and when they do decide to speak up.
GoodTherapy.org is not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy.
Stripes reporters have been in the field with American soldiers, sailors and airmen in World War II, Korea, the Cold War, Vietnam, the Gulf War, Bosnia and Kosovo, and are now on assignment in the Middle East.
Between the Pacific and European editions, Stars and Stripes services over 50 countries where there are bases, posts, service members, ships, or embassies. As recently as 2004, only about a quarter of soldiers who were suffering from PTSD were getting specialized care, he said. It now is offered at 88 out of 96 such clinics worldwide and the rest are to join the program this month, Engel said.
Patients who don’t want to go to a mental health professional can be assigned a nurse trained to follow up with them and help manage their treatment, he said.
Patients’ care is reviewed after two months and their treatment is adjusted if there is no significant improvement, Engel said.
In these times we may not have the extended families, long-term friendships, sense of neighborhood, feeling of community or the support from religion that have historically helped people endure times of crisis. We may lack not only social support when a crisis occurs, but also the language for understanding the place of tragedy in our lives. The idea behind the treatment is to process or work through the traumatic event, as well as to manage the immediate troublesome symptoms the person is experiencing. Yet respondents consistently said they were either embarrassed to seek care or thought they didn’t need it.

GoodTherapy.org did not participate in or condone any studies, or conclucions thereof, that may have been cited.
I wish that this was not true for these victims of sexual assault but they could be afraid of retaliation, being demoted, not getting that coveted job, being punished in some way that is not going to be good for their long term military career goals. I think that there are honestly some who would rather deal with it silently and not have to worry about any repercussions that they could face if they did report something like this. It is a horrible choice to have to make but I think that many women have seen the fact that many times their claims are not taken seriously and therefore they would rather say nothing than to risk doing harm to their reputation. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. A trained therapist can help the PTSD sufferer to find the words, in a safe and gentle way, to talk about the event and to confront the feelings that accompany the experience. Real strength comes from knowing oneself and expressing that sense of self in the world with openness, honesty, integrity – and courage. Only about a third sought health care related to the assault, and only four respondents sought both medical and mental health care within six months of the assault. They also expressed concerns about privacy, and worried that seeking care could compromise their careers. We may not know how to react emotionally when crisis comes into our lives – these are feelings that we may have never experienced before and they may frighten us. Therapists use a number of techniques to help a person work through traumatic events, some involving talking and some involving more physical interventions.
She specializes in couple therapy, pre-marital therapy, and in the treatment of children, adolescents, adults, couples and families dealing with depression.View all posts by Dr.
Psychotherapy can work wonders for those recovering from sexual assault, but a new study suggests that few military sexual assault survivors seek the help they deserve. While it might seem natural to avoid reliving a painful memory, it is important to face the memories, feel the emotions and try to work through them. Sometimes medication can help to lessen the anxiety, depression and sleep difficulties, as well as the physical symptoms, which go along with PTSD.
A 2014 report by the Pentagon, for instance, found that 62% of military sexual assault survivors experienced some form of retaliation. When this happens, the trauma no longer controls the person – the person is now in control of the memory of the trauma to the extent that he or she can approach it objectively and flexibly. Social agencies now use highly effective techniques, such as critical incident debriefing, to help people process their way through a trauma immediately after a disaster occurs in a community. Victims of violence are often now given support to talk about the event soon after it has occurred.
Refusing or not knowing how to deal with the thoughts and feelings that accompany a major catastrophe, unfortunately, sets us up for PTSD.

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