by Janet J. Seahorn, Ph.D

veterans-day

It is cold outside.

 

 

I just got home from my last lecture session. Needless to say it was quite interesting as the entire week I have been battling a bad cold and struggling with losing my voice.

 

 

Today, there was no voice. Trying to deliver a lecture with laryngitis is a challenge. Hence, I put all of my “words” on my wonderful PowerPoint and proceeded with the lesson.

 

Since the week is Veteran’s Day week, I decided I would do something different for my university classes. I would talk about the LITERACY of WAR: the vocabulary, the literature, the stories, and of course, the effects of war on both the veteran and the families.

 

My first slide said this:

 

My husband is a Vietnam veteran who was a young officer and served in the jungles between the borders of Cambodia and Vietnam. He witnessed a great deal of bloody battles and lost many men. He has two Purple Hearts. The last one he received after being severely wounded.  Out of 130 men, only 19 walked away without any injuries. The rest were either killed or wounded. Yesterday I asked if he would like to be the guest speaker for today’s class since I have no voice. His response is what he said he would tell you,

 

“My wife thinks I’m not miserable enough, so she wants me to talk about PTSD for 90 minutes.” 

 

He said some other things he might share with you, at which time I decided his services would not be needed!    (I would like to keep my job.)

 

Of course my students thought this was pretty funny, even if it was true. But the purpose of this blog is to share with you what I learned from my students. It is pretty sobering.

 

Out of 140 students, only five had ever had a college session where the professor talked about or honored veterans on Veteran’s Day.

 

Most students were interested in the session’s information and videos. A few, however, during the first short video paid more attention to their text messages than to the video. Then I put on a slide, “How well did you listen and honor our veterans during the show?” The room was incredible still. The other short clips received 100% of their attention.

 

  1. Young people are not insensitive to veterans, I believe their seeming thoughtlessness is not that at all… it is because the adults around them do not take the time to talk WITH them, or to REMIND them of the sacrifices others have made FOR them. Schools, communities, and parents are the ones most at fault. Many have lived the experience and stayed silent. No longer will I remain soundless. I will always give this presentation in the coming years.
  2. We did an activity where students moved forward when I asked a question if a relative had served, was injured, or died in a particular war.  Many took a step when I mentioned WWII. More stepped forward again when I mentioned Vietnam. And last, when I asked about the Iraq/Afghanistan conflict, I was surprised at how many were impacted. Last, I asked for those who had or were currently serving in today’s wars, four stepped forward. I had them face the class so all would see. Then I began clapping and the entire class gave these four young men a standing ovation for their service. It was an emotional moment for everyone.

At the end of class two of the young men commented that this was the first time anyone had acknowledged and thanked them for their service.  Today was the first of what I hope will be many. And just as important 140 young people may stop every now and then, think about those who gave and are giving so much, and say a prayer of gratitude.

 

Perhaps, when they see a vet or know of a family member who has served they will say Thank You.

 

A few have already called home and done just that.

by Janet J. Seahorn, Ph.D

                            

Did you Know:sun-ray-4

·       

     Suicide is one of the leading causes of death in America.  Every year it takes more lives than auto accidents.

·        Suicide impacts kids as young as five and as old as ninety-five.

·        The rate of suicide in the armed forces continues to grow with each deployment.

·        Current statistics show an active-duty suicide every 36 hours – 18 veterans a day dies by their own hand (Lily Casura, Napa Valley Register, 9/19/2010).

·        Women vets are two – three times more likely to commit suicide than non-veteran women (American Psychiatric Association)

·        Suicide is more than an emotional state; it is a physical condition as well.

·        Depression is treatable… suicide is not —– the final step has already been taken.

 

            Combat is an unhealthy enough challenge.  Yet, when a veteran returns home, the struggle may be even worse. Worse because there are fewer people to talk to who understand what he/she has gone through. Worse because during combat one didn’t always have time to think about the horrors of war; now at home, there is often too much time to think. And worse, because depression of any kind is a hidden desperado that becomes a very real physical condition, few understand and address the issue.

 

            In so many cultures, including American, we have been led to believe that depression is something that is strictly emotional.  Something that we can easily get over if we just put our “minds” to it.  It invades every cell of the body. It steals the good hormones such as serotonin, endorphins, dopamine… and replaces them with a whopping dose of cortisol – one of the stress hormones that cause fight, flight, or freeze.  Unfortunately for many, the way one may must fight or fight depression is suicide.

 

            One reason this issue is so important to me is it hits close to home. In the city of Fort Collins, Colorado, suicide has already been the cause of over 39 deaths this year – far more than those who die in traffic accidents. One of those statistics was a close friend of a student in my university class. Imagine sitting in class and getting a text message stating your close friend has taken her life. When I was teaching middle school many years ago, a wonderful young man decided to end his life before he ever had a chance to begin his life. His parents were certain their child’s death was an accident, even though evidence indicate the young man made three different attempts at ending his life before one finally worked.

 

            It is important we all know more about this topic, Suicide. Like any enemy, the more we know about our opponent, the better we can fight the battle and win. So I’ll end with one of my favorite quotes by Emily Dickinson, “Not knowing when the dawn will come, I open every door.”  Try to keep opening new doors; sunshine is waiting behind one of them. sun-ray-3

by Janet J. Seahorn

ptsd-wounds1     

Every day there are more and more wounded victims of war. These are the spouses, the children, the parents, the sisters and brothers of the veteran… and the list grows. It is one reason that we continually urge those impacted by serving in a war zone to get help as soon as possible if they begin to feel the “fall out” effects of combat.

 

              There are centuries of evidence that prove this point. When a person returns from a traumatic experience and normal life is no longer normal, those around will become part of the trauma. It is an obvious statement, yet, there are too many veterans and families that refuse to acknowledge and deal with the situation.

 

            It is like having an elephant in the room that no one wants to recognize or admit is there. The unrealistic thinking goes something like this… “If I just ignore the large problem, it will eventually go away”.  The only problem with the problem is that it does not go away, in fact, it often grows bigger and bigger. And it begins to become more active. Imagine having a raging elephant in the room charging around with its large tusk and huge trunk. Wow, and I haven’t even mentioned all the crap it leaves lying around. It feeds on everything in sight, so eventually your house is a mess and you don’t have a safe place to hide from the growing beast.

 

            Human nature seeks coherence and peace, even in the most chaotic of times. It is always looking for that which is safe and enjoyable. It craves stability and excitement, joy and delight. When these are absent for long periods of time, it is easy for depression and hopelessness to set in. You see, if someone you deeply care about is not OK, then it is quite challenging for you to be OK. And if both of us are not OK, then WE, as a couple, a family, a relationship, are not OK! Herein lies the hard choice — you can either accept the “crap” and continue on the path you may currently be on, or you can make another choice. A choice that can lead to healing. A choice that may allow the relationship to be more positive and loving. A choice that begins to do something about THAT elephant in the room.

 

            Either way, we all choose which way we will continue our journey. Whatever choice we make will not be an easy path. However, one definitely has more constructive possibilities than the other. We persistently mention that if children are involved, than getting the elephant out of the room is crucial to their well-being and healthy development. As adults, we make our own choices, but children are subject to the outcomes of our choices. More than likely, they don’t get to have a voice; they are the helpless victims of our selection, good and bad. Therefore, think deeply about what you are and are not doing. Your children’s lives depend on which options you make.

 

            For some of us, we didn’t have the information about PTSD, TBIs (Traumatic Brain Injuries), and other impacts of war. We did the best we could; at least, we want to hope we did. New military personnel have better information. They can and must make better choices, if not for themselves, for their children and the future of our next generation. Healthy life truly depends on this choice.

 

by Janet J. Seahorn

soldier-tears-getty

 

 

There it is again – another message from a spouse needing help to cope with the conditions his/her companion faces after returning from combat.

Just reading their stories make me feel like weeping, screaming, and wondering… why our various government systems aren’t doing much in this area. To be sure, some Vet centers are implementing some innovative and helpful programs for spouses and families. Yet, far too many are going unnoticed and unheard. Some spouses don’t know where to go to access services; some simply can’t find anything near them that makes it feasible to get such services; and some want/need groups they can access through the internet.  As one person explained… I am looking for a group that will tell me what they are going through and how they are handling it.  I want some group I can talk to and be open and honest with that I can tell them the things that wives of PTSD vets are afraid to open up about…PLEASE HELP ME TO FIND THAT GROUP I KNOW SOME OF THE THINGS I HAVE GONE THROUGH I DON‘T WANT ANYONE TO KNOW ABOUT…

 

            There is such pain just hanging out in our families and their personal relationships. Pain that few others see. Pain that the spouse and family don’t feel comfortable or safe sharing with anyone other than individuals who have been through similar experiences. Finding appropriate and effective programs need to be a high priority if our veterans and their marriages are to survive in a healthy and positive relationship.

 

After reading an e-mail from a wife of a Vietnam vet with PTSD who is also the mother of a son who just returned from combat with similar difficulties (double whammy), I responded with this note. I hope she won’t mind me sharing with our readers, since she is only one of hundreds who are worried, discouraged, and questioning what can be done to make things better. In almost every such message, the writer speculates if she has done something wrong or not done enough, whatever enough might be in these situations.  Below is my response – I hope it helps.

 

Please know you have done nothing “wrong by your children”… war has done the damage. PTSD is similar to trying to swim upstream through raging rapids and water falls.  It is a moment by moment and daily challenge, but there is hope. The key is to get as much information as possible, set and STICK to appropriate boundaries, and try as hard as you can not to make excuses for your husband’s or son’s behavior.  I did this for a very long time and still, at times, fall into this hole. By making excuses for our loved ones, we do not hold them or ourselves accountable for the behavior. Just like any challenging illness or disability, the individual and family must work twice as hard as those not encumbered by the condition. What I was really saying when I made such excuses is that I didn’t believe that either I or my husband could do better or get better, and that simply was not true or accurate.  We continue to heal, but we still have our bad days/times, which we know won’t totally disappear. The biggest hope is that we are better than we were before Tony got help with the VA center.  By writing the book (Tears of a Warrior), I spent nine years researching the information and thinking about how it related to our situation.  I kept saying to myself, “if only I/we had known this when… we could have done so much better or differently”. 

It is important that both your husband and son seek help with your nearest VA center.  If you aren’t happy with the service there, go somewhere else.  We found we had to do that and finally found a wonderful VA center here in Ft. Collins and Cheyenne.  ### was not so helpful.

As for your son, I understand how you must feel… both my sons are grown and on their own, but there are times I wish I could “kiss their boo boos, and make the hurt go away” like when they were little.  A mother’s heart never is far from those of her children. Just the way it is. Now I tell my sons, “I can not solve their problems, because this is yours to do for yourselves. But I will always be there to listen, support, and love you.”  I try to end by telling them this…”I know you are a wonderful, intelligent, and strong person. And I know you have the determination and courage to solve this situation. I know this with all my heart and I trust you. Keep trying. You can do it.”

The other point that I will end with is to ask yourself, “Do we have more good times than bad? Are we both trying and improving?”  If the answer is YES, we keep going. If the answer was ever NO, things would be drastically different.

I hope this helps.  Please know there is help out there.  Check with your VA center to see if their are any support groups for spouses. For some these groups are a big help… I believe one has to be in the right group – not in a group where everyone just complains and leaves more depressed. 

 

One last note: I was truly surprised when I did some recent internet searches on support for spouse to find there are few available.  One I found is

 

http://www.giftfromwithin.org/html/groups.html.

 

If in all your searching nothing viable is available, think about starting a group. Almost every organization and many services began with one person taking action and building something useful for others who share a similar need.

 

Best of luck and blessing.

 

 

by Janet J. Seahorn

100_3120

 

 

A few weeks ago we had the rare opportunity for my family to get together and spend some quality time floating, fishing, and just chilling out in Wyoming.

 

 

During one of our chats, my brother, a Vietnam Navy vet, started talking about how hard it is to stay out of the “Sad Sack”, especially when his PTSD starts rearing it’s nasty head.

 

 

Although it is not realistic to expect that any of us can totally avoid jumping into this particular “sack”, it is wise to try and do something more inspiring than hanging out in the land of gloom.

 

 

Go for a walk, listen to music, write, or take up pottery or painting… or fishing. Anything that can help take your mind off of the misery.

 

One Vietnam vet I recently heard from talked about some of the projects he has done and continues to do for the children in Vietnam.

 

 

So far he has built one kindergarden in honor of his best friend who was killed in combat forty years ago. He has another one in process, and has helped do the fund raising and building of a library to honor another high school classmate killed during the same conflict. By giving something positive back to the world, he declares, allows him to keep his ghosts in line. Gosh, organizing, fund raising, and constructing these amazing projects is a pretty impressive way to stay out of the Sad Sack.

 

I must admit that some of our sibling conversations made me go into the “Jovial, Laughing Sack” which seemed to annoy the others in the car just a much as if I were in the Sad Sack.

 

Seems like when only one person in the group finds a subject humorous, others give you that disgusting look that says “stuff” the mirth. Dang, now I couldn’t open my Sad Sack and couldn’t stay in my Laughing Sack, which, by the way, made me burst into even more hilarity

 

At any rate, the whole point of this message is that we live in and wear many sacks throughout our days. Some we consciously choose, a few tackle us when we least expect them, throwing our emotions into chaos. The challenge is to get out of the bad stuff as quickly as possible.

 

 

The lesson is to trust our faith and strength, realizing that just as the crappy stuff sometimes engulfs us, the wonderful, comical, and joyful is waiting for us to return to the good stuff. In a recent blog, Ancient Wisdom, we wrote about being strong.

 

So here it is, being strong will not prevent you from somersaulting into the Sad Sack, however, being strong will be the only thing that will get you out into something better.

 

You have the power and strength to reduce the size of your sacks, whichever ones you choose.  Good Luck.

 by Janet J. Seahorn

army-dog-1

       It is such a privilege to write our blogs and then hear back from some of our readers. The blog on “Tears of a Mother” brought many wonderful comments. One such reader sent this message which made me smile. He wrote:

                    
A SHORT STORY. MY WIFE AND I HAVE BEEN MARRIED FOR 40 YEARS. WE ARE HIGH SCHOOL SWEETHEARTS AND WHEN I GOT HOME FROM MY LAST HOSP STAY FOR A PANIC ATTACK, I ASKED HER WHY SHE HAS STAYED WITH ME FOR SO LONG. HER EXACT WORDS WERE. “I KNEW YOU WERE A CHANGED PERSON WHEN YOU GOT HOME. HER FRIENDS AND FAMILY SAID I WAS DAMAGED. SHE TOLD THEM THAT THE MAN IS SCARED OF EVERYTHING AROUND HIM. AND THAT SHE LOVED ME”. I DO NOT TRAVEL TOO FAR WITHOUT MY WIFE. I CALL HER MY HANDLER.

            Isn’t that just the sweetest compliment he gave his wife, “my handler”, which, as you can see, he stated with genuine love and gratitude.  His message reminded me of a very endearing commercial for “shelter” dogs we have here in Colorado. It starts out, “Don’t pity a shelter dog — honor him. Shelter dogs aren’t broken, they’ve just experienced a little more of life. In many ancient times they would be considered wise.  They are the ones with tales to tell and stories to write.  They have faced life’s challenges with courage and pride, and survived with honor and dignity”. 

           Sounds like many of our amazing vets. Just like these shelter dogs who have experienced a bit more than their canine siblings, veterans aren’t broken, damaged, or to be pitied. Most have gathered a deeper wisdom regarding life. And, yes, they have tales to tell and stories to write. With courage and pride they continue to live every day of their lives with honor and dignity.  

Shelter dogs and vets. Golly, what a wonderful way to view the  challenges of life…and PTSD.

By Janet J. Seahorn

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When is it time to seek outside help?

This is pretty easy to answer: You will know if it is time to seek outside help when the behavior of the serviceperson becomes abnormally un-normal.  When life becomes a teeter-totter of ups and downs that can’t seem to be controlled no matter how hard you try. When your surroundings and relationships seem unstable and unsafe and you aren’t sure why, get help.

When my husband began experiencing PTSD, neither one of us had a clue what was going on at the time. There was no such thing as Post-Traumatic Stress. War was something that a person went to, came home from and tried to move on. It wasn’t discussed. It wasn’t thought about (or so we once thought and wanted to believe).

No one considered how the events of combat could impact an individual for the rest of his life. If you came home somewhat physically whole, that was a gift. You healed physically, and you lived as if all the horror from battle never happened. The past was the past and it should not impact one’s future. What an absurd assumption. 

Now we understand that nothing in our past is ever fully in the past. The good and the difficult follow us wherever we go. We are part of our experiences. With understanding, courage, and information we may gain strength and wisdom to move forward. Getting outside help can guide us in forming the wisdom and understanding needed for healing.

What are some good resources for help with PTSD or TBI?

There are many resources available to our military service men and women. Check with your local Veteran’s Administration Center if you suspect you need support. You may need to be referred to a Veteran Hospital for further testing and diagnosis, especially if you suspect a traumatic brain injury. Every state has several local centers that have been established to help veterans find the appropriate placement and support needed to get the services they may require. (VA Centers are listed in our book)

Don’t stop at NO if you are convinced you have something wrong that necessitates some form of treatment. Sometimes all you need is that one special person who can take your situation seriously enough to get help. Our family personally saw this happen with my brother.  He was extremely wary of anyone associated with the government. As a Vietnam vet, his mistrust of a broken, ineffective system made him reluctant to seek help from a military or veteran organization of any kind. Once he decided to seek services he ran into several brick walls. Yet, he kept trying, until he finally found a former army sergeant who took his situation seriously and made things happen.

It only took one person to make a difference. Don’t’ give up or give in to frustration. Keep going. Help is available, but sometimes you may have to fight for it just like you did in battle.  If you did it then, you can do it now.

In ending, we want to thank you and your loved ones for your service and sacrifice. You have made a difference that few will understand, or perhaps fully appreciate. Nevertheless, please recognize the depth of your courage, strength and warrior spirit. These are the attributes that sustained you through combat, and now they will do so again in moving you towards healing and a better life.

ptsd-2Question 4:  If I, as a serviceperson, have PTSD, how can I help myself?

First, be honest with yourself.  As stated in the last question, do not ignore the signs that you are suffering from serving in combat.  Do not pretend that things are fine; that the problem lies with everyone around you such as your spouse, children, neighbors, family, or co-workers.  Watch for signs such as increased anger, irritability, depression, and/or isolation from normal family events. Resisting the feelings associated with PTSD only exacerbates the problem. The best thing you can do if you think something is not normal is to visit your Veteran’s Center as soon as possible.  These centers have become much more proficient in serving the military population’s needs than they were during past conflicts.  Physicians and therapists now recognize and understand in better detail the effects of PTSD and how to treat it.  Don’t wait.  Help is available.  The sooner you get assistance, the sooner your life will begin to move forward in a manner that allows you to live more fully.  You deserve to be at peace, to be happy and so does your family.  You and your loved ones have given enough in serving your country.  Now it is time that your country does something for you.  Help is waiting; don’t wait another minute to get it.  Life is too precious to be wasted fighting demons from the past. Today is the only thing you have that will make a difference for tomorrow.  So use today wisely to gain understanding, healing, and perhaps some peace of mind and spirit.

Other suggestions include spending time outdoors. Nature offers us a tremendous healing environment, especially for emotional wounds. We find hiking, fishing, skiing, and simply just being in the wilderness soothes much of our anxieties and internal tensions. Pets are also a therapeutic comfort. A great deal of research has been conducted that has shown the positive impact animals have on a person’s well being. Because our pets love us unconditionally, are non-judgmental, and provide a sense of safety and security, they are one of the very best options for keeping us sane and healthier both physically and emotionally. A few additional suggestions that we have found quite beneficial are meditation, aroma therapy (no kidding J), body massage, and heavy doses of laughter. Humor is a terrific medication since it is almost impossible to be angry and laughing at the same time. It releases endorphins that alleviate body pain, and provides a huge dose of oxygen to the brain and muscles.

Question 5What can I, as a family member, do to help someone with PTSD or a TBI?

There can be a major difference between a person suffering from PTSD and someone who has incurred a TBI (traumatic brain injury).  A TBI is a physical injury to the brain, where PTSD is more a reordering of the neuro networks in the brain.  Many times a person with a TBI may also have some form of PTSD, mainly because he/she was in a situation that caused physical and emotional damage to the individual and/or others in the company.  As with all illness and trauma, the more informed you become the better you are at making appropriate decisions in handling the circumstances. Illness and problems must first begin with immediate recognition that something is not quite right. The sooner you recognize the signs of PTSD, the sooner you can begin the healing process.  Once again, it is dangerous to ignore the obvious and pretend things will get better with time. Too often, this does not happen by itself.  Time can make behaviors and tensions more precarious, destroying personal relationships and family cohesion. No one benefits by waiting. Spouses get tired of walking through the “mindfields” of the traumatized serviceperson.  Children suffer because they can’t and don’t’ understand why mommy or daddy are not always the same kind; loving parents they were before war. 

When a family member returns from combat with PTSD, everyone close to him must join together to offer support, hope, and comfort.  In doing so, however, you must set suitable boundaries that will keep the family safe and well-balanced.  If children are involved, they must be at the forefront of your concern.  Their physical and emotional well-being is of utmost important.  Living with a parent who has untreated PTSD can have long-term, negative consequences on a developing child.  Getting immediate treatment for your spouse and yourself will be the best line of defense in moving towards the life you want to live and the family unit you want to be.

ptsd-1Question: 2:  Is PTSD different from Combat Stress?

The answer to this question may depend on which study you might read or which doctor is doing the diagnosis.  Combat Stress has often been referred to as PTSD.  “During the Civil War they called it Irritable Heart.  During World War I and II it was referred to as Soldier’s Heart or Shell Shock and other terms described it as Neurosis, Combat Fatigue, or Combat Exhaustion (pp. 66-67, Tears of a Warrior, 2010).  Every war has coined a term that seemed to describe a warrior who returned from combat with behaviors and reactions that were not a part of his/her life before the battles.  Whatever one might prefer to call the behavior is not important.  What is important is if the behavior interferes with the person’s ability to live a normal, happy life or the behavior negatively impacts family, friends, or work, you should get help immediately. Today, PTSD is the accepted medical term for similar symptoms from all wars.

Question 3:  If my serviceperson has PTSD, will it better?

Our belief is that those suffering from PTSD can and will get better.  Some fortunate few whose trauma is not as intense may be able to heal on their own.  Most, however, who have seen too much, done too much, lost too much, may only move towards healing with the outside support of a trained physician or therapist. For many, like my husband, there has been no such thing as a full cure. Nevertheless, appropriate medication, counseling, and self-meditation have been a tremendous help in getting to that “better” place.  With “better” understanding of what the person is facing and how those closest to him/her can offer appropriate support, the family can become a safer, stronger and more caring unit. Pretending that nothing is happening or that in some miraculous way tomorrow you will awake and all the bad stuff will be gone, is simply not realistic. It doesn’t just go away, no matter how hard you try.  In fact, trying harder often makes the situation worse. The best approach to addressing these ongoing painful ghosts is information, productive action, and the courage to admit something is not quite right.  Obtaining the help and treatment needed to move towards better physical and emotional health is the best step to recovery.

ptsd-book-soldier-getty-photoSeveral weeks ago we were ask to respond to a set of questions regarding Post-Traumatic Stress and combat vets.  These responses will be used in a short pamphlet/flip book that will be distributed through another organization.  We thought many of our readers might find the questions and our feedback useful.  Today’s blog is the first of our five part series. (Part 1 of 5)

•1.      How do I know if my serviceperson might be suffering from PTSD?  (Symptoms, possibly)

This is a great question with a not so simple answer. Not every person who returns from serving in a war zone ends up with Post-Traumatic Stress. A great deal depends on the amount of time the person spent serving under combat conditions, as well as how many traumatic events occurred during his/her deployment. Most doctors and researchers agree that the more time spent away form home, and the more distressing events experienced during each deployment, the greater the likelihood the person may experience some form of PTSD. If the individual was already predisposed to stressful home or environmental factors before joining the military, PTSD may become even more prevalent. There is no simple formula for why one person develops PTSD while others seem OK.  But one thing is certain; it has nothing to do with a lack of strength, courage, or character.  Sometimes it is simply the hazard of war due to exposure to unspeakable traumatic events, often in life and death situations.

So what signs might you look for when suspecting someone has PTSD? Since the brain is restructured by every act it experiences, it is sensitive to many good and not so good events.  Love, hate, prejudice, kindness, and violence are just a few life experiences. Yet, when the life-threatening events occur over and over again for a long duration of time, or even during one incredibly horrifying event, the mind/brain is seared with the image and emotional feelings become imprinted.

Signs/Characteristics of PTSD:

  • ð Hyperarousal and abnormal startle responses
  • ð Irritability and/or jumpiness; constantly on guard
  • ð Hypervigilance
  • ð Nightmares, insomnia, and night sweats
  • ð Recurrent traumatic memories or flashbacks
  • ð Overwhelming waves of emotions
  • ð Survivor guilt
  • ð Feeling detached and/or emotionally withdrawn from others
  • ð Fragmented sense of self and identity
  • ð Panic attacks
  • ð Shame
  • ð Despair
  • ð Lethargic or lack of motivation/interest in life, work, and family
  • ð Avoidance of common places, activities
  • ð Memory and concentration problems
  • ð Sadness and hopelessness about the future

The key here is that a person generally does not have ALL of these symptoms at once.  Some come more often than others.  One person may have numerous panic attacks, while another may want to isolate himself and not take part in normal daily and family activities.  It is the severity and frequency of the symptoms that would suggest a diagnosis of Post-Traumatic Stress.

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