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  • PTSD Key

     

    Veterans who have symptoms of PTSD often ask us for help, as do their families. The National Center for PTSD provides education and conducts research on trauma and PTSD. We do not provide diagnosis or treatment of PTSD.

    For direct care, see both of the following:

    Below are the answers to some questions about PTSD that are often asked by Veterans and their families.

    Do I have PTSD?

    A natural first question is whether your symptoms might be due to PTSD. A good place to start learning about PTSD is the PTSD Basics page on our website. You should know, though, that having symptoms does not always mean that you have PTSD. Some reactions to stress and trauma are normal. Since many common reactions look like the symptoms of PTSD, a doctor must decide if you have PTSD

    Also, stressors other than trauma may cause symptoms that are like those of PTSD. For example, work or money problems can lead to symptoms. Medical problems such as heart disease or diabetes, or mental health problems such as depression or anxiety, can have symptoms that look like PTSD. That is why you should see a provider who is trained to know which of your symptoms might be PTSD.

    If I have other problems, can I also have PTSD?

    Veterans with PTSD often have other types of problems. They might have other stress, medical, or mental health problems. Sometimes PTSD is overlooked when other problems seem very pressing. If you have questions, ask your doctor if PTSD also needs to be treated.

    Am I eligible for VA services?

    All Veterans could possibly be eligible. Here is a brief list of factors that make up whether you are eligible:

    • You completed active military service in the Army, Navy, Air Force, Marines, or Coast Guard (or Merchant Marines during WW II).
    • You were discharged under other than dishonorable conditions.
    • You are a National Guard member or Reservist who has completed a federal deployment to a combat zone.

    You should also be aware that:

    • Health care eligibility is not just for those who served in combat.
    • Other groups may be eligible for some health benefits.
    • Veteran's health care is not just for service-connected injuries or medical conditions.
    • Signing up for health care is separate from signing up for other benefits at VA.
    • Veteran's health care facilities are for both women and men. VA offers full-service health care to women Veterans.

    For Veterans who served in a theater of combat operations after November 11, 1998, some benefits have been added. In January, 2008, the period of eligibility for free health care was extended from two to five years.

    VA operates a yearly enrollment system that helps make sure that Veterans who are eligible can get care. For information, see VA Health Care Eligibility & Enrollment. Your DD 214 is used to enroll for VA services. If you have trouble locating this form, VA Enrollment can still assist you.

    What help is there for me (or my Veteran family member)?

    PTSD is treatable. Many places within VA provide PTSD treatment. General programs that provide mental health services include VA medical centers, community-based outpatient clinics (CBOCs), and Vet Centers. Use the VA Facilities Locator to find the closest VA facility.

    An extra note about Vet Centers

    Offered through the Readjustment Counseling Service, Vet Centers are located in the community. They provide information, assessment, and counseling to any Veteran who served in a war zone. This includes conflicts such as in Somalia, Iraq, or Afghanistan.

    Vet Centers also offer services to families of Veterans for military-related issues. There are no fees or charges for Vet Center services, and services are confidential. That means no information will be given to any person or agency (including the VA) without your consent. Most of the staff are Veterans themselves.

    During normal business hours, you can call 1-800-905-4675 (Eastern) or 1-866-496-8838 (Pacific). The Vet Center program also has a 24/7 hotline, with all calls answered by combat Veterans: 1-877-WAR-VETS (1-877-927-8387).

    VA special PTSD clinics and programs

    VA also has special PTSD clinics and programs that can help eligible Veterans. For more on these programs, see our fact sheet PTSD Treatment Programs in the U.S. Department of Veterans Affairs.

    What to expect when you see a VA provider

    When you see a VA provider, he or she will first assess whether or not you have PTSD. If you do have PTSD, remember that it can be treated. Several types of education and treatment are helpful to Veterans and their family members. These include:

    • Classes on dealing with stress, anger, sleep, relationships, and PTSD symptoms
    • One-to-one, group, and family counseling
    • Medications

    For more information, please see Treatment.

    I think I am disabled due to PTSD caused by military service. What can I do?

    Service-connected disability for PTSD is determined by the Compensation and Pension Service. C&P is an arm of VA's Veterans Benefits Administration:

    Compensation. This decision is not made by the providers who care for you in VA's PTSD clinics and Vet Centers. The process for making the decision involves several steps:

    • A formal request (claim) must be filed using forms provided by the VA's Veterans Benefits Administration.
    • After all the forms are submitted, you must complete interviews about your:
    • social history (a review of family, work, and education before, during, and after military service).
    • psychiatric status (a review of past and current mental health symptoms and of traumas gone through while in the military).

    The forms and information about the application process can be obtained from Benefits Officers at any VA medical center, outpatient clinic, or regional office.

    The process of applying for a VA disability for PTSD can take several months. It can be confusing and quite stressful. Veterans Service Organizations (VSOs) can help Veterans and family members with VA disability claims. VSOs provide Service Officers at no cost. Service Officers know all about every step in the application and interview process. They can provide practical help and moral support. Some Service Officers are experts in helping Veterans with PTSD disability claims.

    Even if you have not been a member of a given VSO, you still can ask for help from a Service Officer of that VSO. To find a Service Officer to represent you, just contact the local office of any VSO. You may also wish to ask other Veterans who have applied for VA disability what they would suggest. A mental health provider at a VA PTSD clinic or a Vet Center may also have some tips.

    My claim for a VA PTSD disability has been turned down by the Benefits Office, but I believe I have PTSD due to military service. What can I do?

    A Veterans Service Officer can explain how to file an appeal. The Service Officer may be able to help you gather the information you need to make a successful appeal. You may want to contact a Service Officer who is an expert in helping Veterans who have PTSD-related claims.

    I can't get records from the military that I need for my disability claim. What can I do?

    Veterans Service Officers can help you file the paperwork needed to get your military records. If your Service Officer is not able to help you get needed records, ask him or her to direct you to another Service Officer who has more experience in getting records.

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  • Ntl PTSD Treatment

     

    If you have been through a traumatic event, you may find it hard to talk about your experiences. But, it can be helpful to tell your doctor or a counselor about any symptoms you have. Witnessing or going through a trauma can lead to both emotional and physical problems.

    The checklist below can be a good start to talking about your symptoms following a trauma. You can print this page, complete the checklist, and show it to your doctor, therapist, or someone who can help you find care.

    Sharing this information will help a health care provider know you better and plan the best treatment for you. Not everyone who goes through trauma will get PTSD, but keep in mind that good treatments are available even if you only have some PTSD symptoms.

    Brief checklist of trauma symptoms

    Check the symptoms below that you experience. Include symptoms you have even if you are not sure they are related to a traumatic event.

    I experienced or witnessed a traumatic event during which I felt extreme fear, helplessness, or horror.

    The event happened on (day/month/year) _______________.

    What happened? ________________________________________.

    1. I have symptoms of re-experiencing or reliving the traumatic event:
    • Have bad dreams or nightmares about the event or something similar to it
    • Behave or feel as if the event were happening all over again (this is known as having flashbacks)
    • Have a lot of strong or intense feelings when I am reminded of the event
    • Have a lot of physical sensations when I am reminded of the event (for example, my heart races or pounds, I sweat, find it hard to breathe, feel faint, feel like I'm going to lose control)
    1. I have symptoms of avoiding reminders of the traumatic event:
    • Avoid thoughts, feelings, or talking about things that remind me of the event
    • Avoid people, places, or activities that remind me of the event
    • Have trouble remembering some important part of the event
    1. I have noticed these symptoms since the event happened:
    • Have lost interest in, or just don't do, things that used to be important to me
    • Feel detached from people; find it hard to trust people
    • Feel emotionally "numb" or find it hard to have loving feelings even toward those who are emotionally close to me
    • Have a hard time falling or staying asleep
    • Am irritable and have problems with my anger
    • Have a hard time focusing or concentrating
    • Think I may not live very long and feel there's no point in planning for the future
    • Am jumpy and get startled or surprised easily
    • Am always "on guard"
    1. I experience these medical or emotional problems:
    • Stomach problems
    • Intestinal (bowel) problems
    • Gynecological (female) problems
    • Weight gain or loss
    • Pain, for example, in back, neck, or pelvic area
    • Headaches
    • Skin rashes and other skin problems
    • Lack of energy; feel tired all the time
    • Alcohol, drug, or other substance use problems
    • Depression or feeling down
    • Anxiety or worry
    • Panic attacks
    • Other symptoms such as: ______________________________

    Summing it up

    If you checked off some of the symptoms above, it is important for you to let your health care provider know. This information helps providers plan your medical treatment. It can also help them connect you with services you may need.

    If you think you may have PTSD, print this checklist, fill it out, and take it to a health care provider, or someone you trust.

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  • PTSD Key

     

    Post traumatic stress disorder (PTSD) is a recognized psychiatric disorder that a person may develop after exposure to a traumatic event. For many years, PTSD went widely undiagnosed or was not recognized as the serious condition it is. Thanks to advancements in research and the breakdown of social stigmas, we have more information about the condition than ever before. We know that the majority of people who are exposed to traumatic events do not develop PTSD, and we know that veterans of the U.S. military are disproportionately affected by PTSD when compared to American civilians.

    This blog post is intended to serve as a brief breakdown of the required criteria for a diagnosis of PTSD as defined by the fifth edition of the Diagnostic and Statistics Manual of Mental Disorders (DSM V), published by the American Psychiatric Association.

    Criterion A: Stressor

    In the context of PTSD, the stressor is the traumatic event that leads to the development of PTSD. The precise definition of “traumatic event” is contested, but the DSM V requires exposure to death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence. This exposure must have occurred in one of the following ways: direct exposure; witnessing the trauma; learning that a relative or close friend was exposed to the trauma; or indirect exposure to details of the trauma, often in the course of professional duties (for example, a paramedic treating victims of a serious motor vehicle accident would be indirectly exposed to the traumatic event of the motor vehicle accident even if she did not witness the accident herself).

    Criterion B: Intrusive symptoms

    Not everyone who is exposed to a traumatic event will develop PTSD. In order for a person to receive a diagnosis of PTSD, the DSM-V requires the person to show at least one intrusive symptom. Intrusive symptoms can manifest in sudden upsetting memories; nightmares or bad dreams; flashbacks to the traumatic event; emotional distress after reminders of the traumatic event; or physical reactivity following reminders of the traumatic event (for example, an increased heart rate after exposure to reminders of the traumatic event).

    Criterion C: Avoidance symptoms

    The third criterion for a PTSD diagnosis is avoidance of reminders of the trauma. This could be an avoidance of thoughts or feelings about the event or avoidance of trauma-related reminders altogether. A person who suffered sexual assault may display avoidance of thoughts and feelings of the assault and do their best to never think about the event. Someone who witnessed a person drowning may avoid trauma-related reminders and stay away from pools or bodies of water. For a diagnosis of PTSD, the presence of at least one of these symptoms is required.

    Criterion D: Negative alterations in cognition and mood

    A person who receives a diagnosis of PTSD must display at least two of the following symptoms following the stressor: inability to recall key features of the stressor; overly negative thoughts or assumptions about oneself or the world; exaggerated blaming of self or of others for causing the trauma; negative affect (having a flat or depressed mood); decreased interest in regular activities; feelings of isolation; or difficulty experiencing a positive effect (having a hard time feeling happy).

    Criterion E: Alterations in arousal and reactivity

    For a diagnosis of PTSD, at least two of the following symptoms that began or worsened after the stressor must be present: Irritability or aggression; risky or destructive behavior (for example, driving recklessly); hypervigilance (for example, not being able to relax for fear that something bad will happen); increased startle reaction; difficulty concentrating; or difficulty sleeping. These alterations in arousal and reactivity are a defense mechanism for preventing further trauma.

    Criterion F: Duration of symptoms

    Even if a person fulfills all the required criteria, a diagnosis of PTSD requires persistence of the symptoms for more than one month. A person may fulfill all criteria immediately following a traumatic event but two weeks after the event may display fewer or none of the required symptoms. Although the criteria were present for a time, the person would not meet the duration requirement.

    Criterion G: Functional significance

    The PTSD symptoms experienced by the person with the diagnosis must create distress or functional impairment in a person’s life. For example, a veteran who suffers from PTSD and currently works in an office setting may find that his job performance is impacted by difficulty concentrating or increased irritability with his coworkers. A college student who experienced sexual assault at a party may find that their friendships are affected by their negative affect, hypervigilance, and their avoidance of other social events.

    Criterion H: Exclusion

    In order to meet the criteria for a PTSD diagnosis, the symptoms must not be caused by medication, substance abuse, or any other illness.

    This is an extremely simplified discussion of PTSD intended to provide clarity to a frequently-discussed condition. Follow-up blogs will address specifications of the diagnosis as well as the issue of PTSD as it relates specifically to veterans seeking service connection.

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  • Suicide Data

     

    The suicide rate among Vets has not improved and remains a deeply disturbing problem, despite work by the VA and others, according to a VA analysis and statistics obtained by Fox News.

    Last week, the VA released findings from a years-long investigation into Veteran suicide data from 2005-2015 in all 50 states and the District of Columbia. The findings are clear: the suicide rate is constant.

    Veterans are more than twice as likely to die by suicide as non-Veterans, according to the VA report. Additionally, VA researchers found the number of Vets who take their own lives each day “remained unchanged at 20.” And even more-recent data obtained by Fox News suggests things may not be much better in 2018.

    Even for the mother of a U.S. Marine who took his own life after battling PTSD, and who has since dedicated her own to preventing Veteran suicides, the numbers are stunning.

    “I had no idea it was that bad,” said Janine Lutz. “That’s really lighting a fire under my butt to work harder."

    The Veterans Crisis Line provides 24/7 support to Veterans in distress, as well as concerned friends and family members. Staffers are available by phone at 800-273-8255 (Press 1), online at VeteransCrisisLine.net/Chat, and via text at 838255.

    The volume of phone calls the Crisis Line receives is staggering. The VA told Fox News that since October 31, 2017, the Veterans Crisis Line has fielded approximately 222,000 calls from Veterans who are having thoughts of suicide. That is in addition to the 49,000 calls from family members or friends who are concerned about a Veteran who is considering suicide.

    That breaks down to nearly 950 calls from Veterans (or nearly 40 calls per hour) every day since Halloween, and more than 200 calls a day from friends and family.

    "The mother of all battalions"

    Lutz, who lives in Florida, is affectionately referred to by many in the Veterans' community as “the mother of all battalions” for her efforts to bring Veterans of all stripes together, and prevent more Veteran suicides, via the LCpl Janos V Lutz Live To Tell Foundation.

    Lutz started Live To Tell to honor the memory of her son “Jonny,” a Marine who took his own life while under the influence of a cabinet’s worth of medication for his PTSD. Since then, she has sued the government for her son’s death, eventually winning a settlement out of court, but her work didn’t stop there.

    “About five months after [Jonny’s] death, I woke up one day and I was mad,” Lutz told Fox News. “I was mad knowing that my son wasn't the first to die like this. And I said why didn't somebody tell me… why aren't we doing more as a community? And it was then I decided that I was gonna be the voice, and fight for those who fought for us.”

    It was only a year after her son’s death that Lutz made her first foray into advocacy, organizing a motorcycle rally that brought out an unexpectedly large number of people from across the country. She was excited about the hundreds of supporters who turned out, but unsure of what to do next.

    That was until Lutz’s niece played a song for her that she says “grabbed me by the chest,” and inspired a plan to save the lives of Veterans across the country:

    Buddy Up

    “It’s time to buddy up ‘cause yup, this is wrong.

     

    Surviving battle, but die when we’re home.

    Yeah it hurts, that’s why I made this song.

    It’s time to see the signs, like the lights when it’s on.”

    Those lyrics are from the song “Red Flags” by Soldier Hard, an artist whose real name is Jeff Barillaro and who also happens to be an Army combat Veteran. Barillaro dedicated himself to creating music that gives a voice to Veterans, and the issues they experience along with their friends and families. When Lutz heard the lyrics to his song, she says she knew immediately what she had to do.

    “He said ‘you all need to buddy up’… and he was talking to the Veterans out there,” Lutz says. “When I heard that, I said that's it. I'm gonna get these guys together, build local communities, facilitate – I don’t know how, but that’s what I’m gonna do.”

    Using Soldier Hard’s song as inspiration, Lutz has since established two “Lutz Buddy Up” social clubs, one in Florida and one in Massachusetts, and this summer she’s touring the country in the hopes of establishing even more. The concept is simple: bringing Veterans together (and even first responders) so they can support one another while sharing a meal, playing a game or two, or just chatting.

    “We welcome our Veterans just as they are, wherever they are,” Lutz says. “Whatever mindset they're in, we welcome them. All we want to do is connect them with their peers, and it's just been a great success. Dozens and dozens of success stories.”

    Lutz says membership has skyrocketed from just a handful back in 2014, to well over 500 in 2018 – including Veterans from every U.S. armed conflict since the Korean War.

    Asked what she would tell Veterans who might be suffering in silence, or friends and family who might be concerned about a Veteran they know, Lutz says to remember that connecting with peers is the key.

    “They need to speak to their peers, someone who has walked in their shoes,” Lutz says, before pointing out that this is the exact philosophy soldiers employ on the battlefield.

    “That's what they fight for, to keep the guy next to them alive… Yeah, they have a mission, but the biggest part is making sure the guy right next to you is alive and well,” Lutz says. “You're watching each other, and that’s what they have to continue when they get home…

    “So if you don’t have any local buddies you know, find some in your community because they're everywhere, and they're looking for help too,” Lutz says. “Reach out to other Veterans in your communities because that is your best medicine - your peer who has walked in your shoes.”

    If you are a Veteran in crisis or having thoughts of suicide, or if you are someone who knows a Veteran in crisis, call the Veterans Crisis Line for confidential support 24 hours a day, seven days a week, 365 days a year at 800-273-8255 and press 1. You can also chat online at VeteransCrisisLine.net/Chat, or send a text message to 838255.

    Source

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  • TBI Vets

     

    James. A. Haley Veterans’ Hospital (JAHVH) in Tampa, Florida, has been designated a Headache Center of Excellence (CoE) by VA. JAHVH is one of seven facilities throughout the Veterans Health Administration to receive the designation.

    “We’re very lucky because we probably wouldn’t have it if we didn’t have this awesome Polytrauma Center,” Dr. Georgia Kane said. “It means we can offer so much more to our patients. Everybody’s highly excited.”

    Kane, a neurologist and head of the Chronic Headache Management Program (CHAMP), said the designation was due in large part because of the hospital’s Polytrauma program.

    Veterans with a history of polytrauma or traumatic brain injury commonly experience headaches. Headache management for Veterans with TBI and multiple co-morbid conditions is challenging and is best managed by an interdisciplinary team. That’s precisely what CHAMP has been doing for several years.

    “We started an interdisciplinary team about four years ago,” Kane said of the five-week outpatient program. “We noticed that with people with headaches, it’s difficult to treat just the headache, so occupational therapy, psychology and me, we all work together and we meet weekly on patients to maximize their care.”

    Program participants are required to keep a diary, noting the time a headache starts, what they were doing, what they were eating and other aspects of their lives that can be critical to understanding what might be triggering the headaches.

    Options other than medications

    “The number one thing is education. Once you know more about what is affecting your situation, we can then teach options that are other than medications,” Kane said. “Medication will do a certain percentage, but if you only relied on medications to help your situation, then you would be discounting the fact that you’re not sleeping well, or to distract yourself with relaxation techniques or biofeedback that we do to try and get your mind to think of something else.”

    CHAMP participants meet once a week for lectures and other forms of treatment that includes recreation therapy, Botox injections and precise injections in the neck if needed. Botox is used to relax muscles that, when tensed, can cause headaches. The treatment is very effective, Kane said.

    About 60 people are in CHAMP at any given time, including those patients who are followed after discharge.

    While many of the TBI patients with headaches tend to be younger, chronic headaches are non-discriminatory, affecting men and women, young and old, and the additional funding that comes with the Center of Excellence designation will allow the CHAMP staff to add additional treatments for them.

    They hope to work with the lighting in the treatment areas since lighting can affect headache sufferers. Equipment for neck injections, electrical stimulators, and virtual reality equipment are a few of the items Kane said she hopes to procure for the program. Headache treatment is offered to all Veteran patients at all VA medical centers. Patients can get referred to any Center of Excellence but because not all centers offer the same thing Veterans should confirm with their VA health care team and the Center of Excellence that they will receive the specific treatment they need.

    Patients should keep in mind that this is an outpatient program. Patients come once a week for five consecutive weeks – plus the follow-up after they complete the treatment – which is not always easy if referred from a distance.

    “Becoming a Headache Center of Excellence means that we can expand and do more, to be able to offer more things, more physical therapies, recreational therapies, art therapies,” Kane said. “When we were presented with this, it was one of those truly amazing moments.”

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  • Website Updates 002 

  • PTSD Treatment

     

    The only way to know for sure if you have PTSD is to talk to a mental health care provider.

    The provider will ask you about your trauma, your symptoms and any other problems you have.

    Talk to Someone You Trust

    After a traumatic event, it's normal to think, act, and feel differently than usual. Most people will start to feel better after a few weeks. If your symptoms last longer than a few months, are very upsetting, and disrupt your daily life, you should get help. Whether or not you have PTSD, treatment can help if thoughts and feelings from the trauma are bothering you. Talk to:

    • Talk to your family doctor.
    • A mental health professional, such as a therapist.
    • Your local VA facility or Vet Center, if you are a Veteran
    • A close friend or family member who can support you while finding help
    • A clergy member
    • Fill out a PTSD questionnaire or screen (see below).

    Take a Self-Screen for PTSD

    A screen is a brief set of questions to tell you if it is likely you might have PTSD. Below is the Primary Care PTSD Checklist for DSM-5, or the PC-PTSD-5 screen.

    Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example:

    • a serious accident or fire
    • a physical or sexual assault or abuse
    • an earthquake or flood
    • a war
    • seeing someone be killed or seriously injured
    • having a loved one die through homicide or suicide

    Have you ever experienced this kind of event? YES / NO

    If no, screen total = 0. Please stop here.

    If yes, please answer the questions below:

    In the past month, have you...

    • had nightmares about the event(s) or thought about the event(s) when you did not want to? YES / NO
    • tried hard not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)? YES / NO
    • been constantly on guard, watchful, or easily startled? YES / NO
    • felt numb or detached from people, activities, or your surroundings? YES / NO
    • felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused? YES / NO

    If you answer "yes" to any three items (items 1 to 5 above), you should talk to a mental health care provider to learn more about PTSD and PTSD treatment.

    Answering "yes" to 3 or more questions on the PC-PTSD-5 does not mean you have PTSD. Only a mental health care provider can tell you for sure. And, if you do not answer "yes" to 3 or more questions, you may still want to talk to a mental health care provider. If you have symptoms that last following a trauma, treatment can help - whether or not you have PTSD.

    Seek Help

    It's common to think that your PTSD symptoms will just go away over time. But this is unlikely, especially if you've had symptoms for longer than a year. Here are some of the reasons why you should seek help.

    Early Treatment Is Better

    Symptoms of PTSD may get worse. Dealing with them now might help stop symptoms from getting worse in the future and lead to a better quality of life for you.

    It's Never Too Late to Get PTSD Treatment

    Treatment can help even if your trauma happened years ago. And treatment for PTSD has gotten much better over the years. If you tried treatment before and you're still having symptoms, it's a good idea to try again.

    PTSD Symptoms Can Affect Those You Love

    PTSD symptoms can get in the way of your family life. You may find that you pull away from loved ones, are not able to get along with people, or that you are angry or even violent. Getting help for your PTSD can help improve your relationships.

    PTSD Can Be Related to Other Health Problems

    PTSD symptoms can affect physical health problems. For example, a few studies have shown a relationship between PTSD and heart trouble. By getting help for your PTSD, you could also improve your physical health.

    It May Not Be PTSD

    Having some symptoms of PTSD does not always mean you have PTSD. Some of the symptoms of PTSD are also symptoms of other mental health problems. For example, trouble concentrating or feeling less interested in things you used to enjoy can be symptoms of both depression and PTSD. And, different problems have different treatments.

    When you seek help, your mental health care provider can determine whether you need treatment for PTSD, or another type of treatment.

    Find the Best Treatment for You

    Today, there are several treatment options for PTSD. For some people, these treatments can get rid of symptoms altogether. Others find they have fewer symptoms or feel that their symptoms are less intense.

    You can learn about effective PTSD treatment options using our PTSD Treatment Decision Aid. It includes videos to explain how the treatments work.

    You can also build a chart to compare the treatments you like most. Both psychotherapies (also called talk therapy or counseling) and medications are included in the decision aid.

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  • PTSD TBI

     

    The decision to get care for PTSD symptoms can be difficult. You are not alone if you feel nervous. It is not uncommon for people with mental health conditions like PTSD to want to avoid talking about it. But getting help for your symptoms is the best thing you can do. PTSD treatments can work.

    Why is it important to seek care for PTSD?

    There is no need to suffer with PTSD. There are good treatments that can help. You don't need to let PTSD get in the way of your enjoyment of life, hurt your relationships, or cause problems at work or school. Learn from Veterans who talk about living with PTSD and how treatment turned their lives around: AboutFace.

    "Getting better" means different things for different people, but people who get treatment improve their quality of life. In many cases, PTSD treatment can get rid of your symptoms. For some, symptoms may continue after treatment, but you will have learned skills to cope with them better.

    Treatment can also help you:

    • Make sense of the trauma
    • Learn skills to better handle negative thoughts and feelings
    • Reconnect with people you care about
    • Set goals for activities, like work or school, that you can handle

    What are barriers to care?

    There are many different barriers, or things that might stop you from seeking help for PTSD. Part of PTSD is avoiding thinking about the trauma. So, it makes sense that people with PTSD may want to avoid getting treatment. But there are other reasons people might not seek care right away. Research points out some examples:

    • Believing you will get better on your own
    • Problems getting care, like finding a therapist, transportation, or cost
    • Not knowing that PTSD treatments work
    • Thinking that services are for other people, not you
    • Stigma

    What Is Stigma?

    Stigma is when you feel judged by other people because of some personal quality or trait. You may feel stigma because of negative things people say about you, or because they treat you differently. An example of stigma related to PTSD is a belief that people with PTSD are dangerous or unstable, which is not true.

    Some examples of stigma include:

    • Negative labels or stereotypes that assume all people with PTSD are the same
    • Discrimination at work, at school, or finding housing because of your symptoms
    • Being denied chances to succeed because of a PTSD diagnosis

    Because of concerns about stigma, you may try to hide the problem or not admit you need care. You may start to feel that you deserve to be treated badly because of your symptoms. But PTSD is not something to be ashamed of. The best thing you can do for yourself is to take control and get help.

    Barriers specific to military context

    When you are in the military, there are other things that may get in the way of seeking help. Military members may worry that talking about PTSD with doctors, other soldiers, or commanding officers will hurt their career. You may think if people in your unit learn you have PTSD they will see you as weak, or not trust you to be able to protect them. Or, you may feel that your medical records will be opened for other people to see.

    Being afraid that seeking treatment will damage your career leads you to avoid getting help at a time when you need it most. Many don't get help until their return from deployment, or when their family tells them there is a problem. But you don't have to wait.

    You may think that avoiding your PTSD is critical to keeping your job. But if your PTSD symptoms are getting in the way of doing your duties, it is better to deal with them before they hurt your military career. Getting help for PTSD is problem solving.

    How can I overcome barriers to care?

    There are always reasons for people to put off seeking help, especially with PTSD. It is hard to find a therapist, hard to get time off from work, and hard to find the money to pay for treatment. Facing your problems can be scary. It is even harder if you don't know what to expect.

    But if you learn about PTSD treatments, find social support, and get started in treatment, you can feel more in control. You can't change what others think about PTSD, but you can stop it from getting in your way.

    Here are some steps you can take and resources to get help for PTSD:

    • Learn about PTSD and treatments. Knowing that treatment helps and your options is important.
    • Take the first step and find out where to get help. See our Where to Get Help for PTSD page.
    • Talk to someone you trust. Whether you talk to a family member, doctor, chaplain or clergy, or another service member or Veteran, getting support is key to getting better.

    Source

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  • PTSD Women

     

    There are far more men than women Veterans in the VA system. For this reason, many women Veterans are not aware of resources offered just for them. Many women Veterans prefer treatment with other women.

    Research shows that people often do better in treatment with others that are more like them. As a result, mental health services just for women are offered in many VA’s across the country.

    VA Women Veterans Program Managers

    Every VA Medical Center in the country has a Women Veterans Program Manager. This person is your advocate. She can help you get to VA services and programs, state and federal benefits, and resources in the area where you live.

    If you need help:

    If you have questions about your VA care, you should first go to your Women Veterans Program Manager. During normal business hours, you can also contact:

    • The Department of Veterans Affairs Center for Women Veterans at (202) 273-6193
    • The Veterans Health Administration Women Veterans Health Strategic Health Care Group at (202) 461-1070

    Types of VA programs for women

    The following list describes some of the mental health service programs offered by VA for women Veterans. To find out more, see VA PTSD Treatment Programs. The fact sheet links to a list of VA PTSD treatment programs. The list includes programs for women, with contact information. For other help locating a program or service, you should ask your Women Veterans Program Manager.

    • Women's Stress Disorder Treatment Teams (WSDTTs). WSDTTs are special outpatient (not live-in) mental health programs. They focus on treatment of PTSD and other problems related to trauma.
    • Specialized inpatient and residential programs for women. These are live-in programs for women Veterans who need more intense treatment and support. While in these programs, women live either in the hospital or in a residence with other women. For help locating a program, ask your Women Veterans Program Manager.
    • Cohort treatment or separate wings for women. These programs are like the live-in programs discussed above except these programs accept both men and women. Some programs accept women in groups that start treatment together on a certain date. Sometimes the program has a space set apart for women.
    • Women Veterans Comprehensive Health Centers. Complete health centers for women Veterans are located in many VA's around the country. Many of them provide outpatient mental health services to women Veterans. Check with your local Women Veterans Program Manager to see if there is a women's health center that provides mental health services near you.
    • Women Veterans Homelessness Programs. The Women Veterans Program can help you find shelter if you are homeless or at risk of being homeless. Certain VA locations have programs for homeless women Veterans and homeless women Veterans with children. Contact your Women Veterans Program Manager for resources near you. You can also contact the Social Work Services department at your local VAMC. For more information, go to Homeless Veterans.

    For more information

    To learn more about women and traumatic stress, please see this section of materials Specific to Women.

    Source

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