Disability News Service, Resources, Diversity, Americans with Disabilities Act; Local and National.

Showing posts with label PTSD. Show all posts
Showing posts with label PTSD. Show all posts

Tuesday, June 27, 2017

4th of July Fireworks Can Trigger PTSD for Veterans

JEFFERSONVILLE, Ind. -- Stationed in Khandahar, Afghanistan, for nine months in 2012, Sgt. Matthew Thomason got used to falling asleep to the lullaby of gunfire and explosions -- so much so that he could tell what kind of weapon was being fired just by the sound. When he returned home to Clark County in September 2013, he thought he would miss the noise of war as he transitioned back to the quiet civilian world.

Associated Press | 28 Jun 2016 | by Elizabeth DePompei                                                                        

The first time he heard the crack of fireworks around July 4 the following year, he realized how wrong he was. Thomason, a 28-year-old Louisville native and Sellersburg resident, remembers being at that first Independence Day party when a flashback was suddenly triggered. He was either playing a game or in a conversation with his wife -- he can't remember which -- when someone behind him set off fireworks without warning.

"When that happened, I physically just jumped and didn't really know where I was for a minute," he said. "I had a flashback and we had to leave, and that started to be a trend."

Several months prior, Thomason was diagnosed with post-traumatic stress disorder, or PTSD, at a local U.S. Department of Veterans Affairs clinic. He was later diagnosed with traumatic brain injury, though he doesn't know which explosion did it. Now when July 4 comes around, he and his wife go out of town, somewhere like the Smoky Mountains where Thomason can find peace and quiet. And he's not the only one.

Thomason is one of an estimated 11 to 20 percent of veterans of the post-9/11 Iraq and Afghanistan wars diagnosed with PTSD, according to data from the U.S. Department of Veterans Affairs. While fireworks don't trigger PTSD for all soldiers or veterans, it seems to be a more common occurrence in recent years. Cindy Ramminger, coordinator of the PTSD clinical team at Robley Rex Veterans Affairs Medical Center in Louisville, said fireworks were an issue for veterans from as far back as the Vietnam and Gulf wars.

But with so many soldiers coming home from the wars in Afghanistan and Iraq it's becoming a bigger problem, Ramminger said. It's not uncommon for her to hear of veterans leaving their homes on the very holiday they fought in the name of, just to escape the noise.

"It can remind them of what might sound like an incoming rocket or mortars or gunfire, which can cause them to get on alert and it can cause them to be frightened," Ramminger said. "It can push them into a flashback (and) can cause intrusive thoughts, so they'll start remembering a traumatic event like when they got blown up in an IED attack or lost a friend to some kind of explosion."

Thomason said as a solider, he was repeatedly trained to react quickly and defensively when there was a perceived threat. So when he unexpectedly hears fireworks in the weeks leading up to July 4, his body immediately jumps to attention. Unlike what you'll see in the movies, Thomason said his flashbacks aren't necessarily visual. It's more about the smell of the powder left behind by fireworks, a smell similar to a freshly fired M4.

He calls it an overwhelming "feeling of terror."

Thomason has found ways to cope, like making sure his back is against a hard structure when he's feeling unsafe. Breathing exercises help, too, but those tactics don't always work. Sure, he can leave town on July 4 to avoid the triggers, but what about the days leading up to then? Thomason said his terror starts as early as May as people start stocking up on fireworks and setting them off unexpectedly.

Shawn Gourley, the co-founder of "Military with PTSD", a nonprofit organization based in Evansville, said that's the issue many veterans have with early fireworks. Gourley started a Facebook page in 2010 to help spouses of veterans and later created a website with resources for couples and families. Last year, a member shared a photo of a sign he created to put in his front yard that read, "Combat veteran lives here. Please be courteous with fireworks."














The photo got millions of shares, Gourley said. She asked the member if the organization could mass produce the same sign and send them out to veterans. The member said yes and before she knew it, Military with PTSD had sent out more than 4,000 signs to veterans across the country — at no cost to the veterans. This year, the organization has sent out more than 1,600 signs. Different signs for supporters of the cause, including civilians, are now available on the website for a fee.

Gourley said the signs have helped veterans start discussions with neighbors. A knock on the door and a heads up that someone plans on setting off fireworks can make a big difference, she said. For the neighbors, the signs show them a way to help the people who served their country.

"It isn't to stop fireworks. What it is, is any day leading up to July 4 and the days following July 4. If you're going to be setting off fireworks, if you could just give the veterans a heads up. It's the unexpected fireworks that is what bothers them, what can trigger (PTSD)."

In Indiana, state statute allows for fireworks between 9 a.m. and 11 p.m. year round and until midnight on holidays like July 4. Local ordinances can limit when fireworks are allowed, but state statute trumps those ordinances between June 29 and July 9. During that timeframe, local municipalities can not restrict fireworks use beyond the statute.

In Sellersburg, where Thomason lives, an ordinance prohibits all fireworks during the rest of the year. Town attorney Jake Elder said the council planned on adding an ordinance to make exceptions during July 4 season to the meeting agenda for Monday's council meeting. Elder said town officials thought such an ordinance already existed.

Thomason said he's called Sellersburg police about fireworks being set off as early as June 1, but he said he hasn't gotten a response. Police Chief Russ Whelan said he is not aware of any complaints pertaining to fireworks triggering PTSD. Whelan added that the department looks to state statute when regulating fireworks in the town.

Indiana Rep. Steve Stemler, D-Jeffersonville, said he's not aware of any talk about amending state statute in light of the issue. But he said anything that could help veterans dealing with PTSD should be considered.

Thomason said he doesn't want to ruin anyone's fun. Putting a sign in his yard isn't for him, and he knows many veterans who are embarrassed even to talk about their PTSD.

"I think a lot of people would like just more understanding and more respect. There's no need to be setting off fireworks consistently before Fourth of July," Thomason said. "Because going to that place in my head on a regular basis for two months is really a tortuous thing."

Gourley said she understands that not every veteran wants a sign in their yard, but she thinks finding a positive way to confront triggers is better than avoiding them. And beyond that, she said the signs have inspired appreciation. One veteran told her that after putting a sign in his yard, a woman showed up at his door with a bouquet of flowers and a thank you.

Scott Ham, a retired command sergeant major with the Indiana National Guard who lives in New Albany, said he doesn't have PTSD and isn't triggered by fireworks, but he knows vets who are. He said it's important for loved ones to be respectful of those veterans who are triggered by fireworks.

"All of my friends that I know that have issues with it, have all said that it seems like their friends and family insist on pressuring them that it will be OK," Ham said. "But the last thing you want to do is put someone in that position when you don't know what the potential outcome could be."

Thomason, who was medically discharged in February, said his symptoms have gotten easier to manage, but he thinks they'll always be there to some extent. He's now able to work part-time for a New Albany-based piping fabrication company, though he often works from home where he's confronted with fireworks three to four times a week in June. On the Fourth, he may not hear the fireworks or see the colorful display in the sky, but the holiday still represents what he fought for during those 10 years of service: a country where everyone is treated equal.

"That's the America that I fought for, where we have freedom to choose, and we're not discriminated against or put down because of anything," Thomason said. "So for me it still means that. The only thing that's truly changed is how I celebrate it".

© Copyright 2017 Associated Press . All rights reserved. This material may not be published, broadcast, rewritten or redistributed

Tuesday, July 28, 2015

For Thousands of Vietnam Vets, PTSD Symptoms Persist

More than a quarter-million Vietnam veterans suffer from post-traumatic stress disorder (PTSD) symptoms today, four decades after the war's end, a new study estimates. And at least one-third of them have major depression as well.
great article from healthfinder.gov | July 22, 2015
"It's been known for thousands of years that serving in war is a hardship, that readjusting to civilian life is a hardship, and that there is a kind of moral injury involved in the duty of being asked to kill others to defend your country," said lead author Dr. Charles Marmar, director of the Steven and Alexandra Cohen Veterans Center at NYU Langone Medical Center in New York City.

"For some veterans, as they become older, they may become more vulnerable to experiencing PTSD symptoms or might have an increase in their symptoms as their health declines, particularly their neurological health," Marmar said. "But it's never too late to get treatment."

Even for veterans in their 70s and 80s, a combination of psychotherapy, medication, and marital and family therapy can reduce PTSD symptoms, including insomnia, anxiety and irritability, he said.

The Vietnam War ended in 1975. But despite changing times, changing technology and changing attitudes towards war, "in every study, we can estimate roughly 20 to 30 percent of war veterans are vulnerable, and we expect the same from Iraq and Afghanistan," Marmar said.

Marmar and colleagues followed up with Vietnam veterans who participated in a long-term study starting from 1984 to 1988. Of more than 1,800 still alive for this study, 1,450 participated in at least one phase of the new three-part study. The phases included a health questionnaire, health interview and clinical interview.

The findings were published online July 22 in the journal JAMA Psychiatry.

PTSD is considered an anxiety disorder. People may feel afraid when they're no longer in danger, or continue to relive traumatic events. They have a damaged "fight-or-flight response," says the U.S. National Institute of Mental Health.

Several ways exist to measure and diagnose PTSD. This study used measures ranging from full PTSD to major symptoms falling just short of a diagnosis, an important aspect of the study, said Rachel Yehuda, director of the Mental Health Patient Care Center at the James J. Peters Veterans Affairs Medical Center in New York City.

"The idea of 'subthreshold' PTSD is extremely important. We tend to think of combat veterans as having or not having PTSD," Yehuda said. "This study reminds us that the effects of combat trauma really do last a long time and justifies the long-term treatment that combat veterans receive."

Depending on the measure, the study showed between 4.5 percent and 11.2 percent of men and between 6.1 and 8.7 percent of women are experiencing serious PTSD symptoms. When the authors applied these numbers to the number of veterans who served in Vietnam and are still living, they calculated that approximately 271,000 men and women are suffering from PTSD symptoms.

Among all those with PTSD, 37 percent also had major depression, and 16 percent reported a major increase in symptoms since the earlier interview, compared to 8 percent whose symptoms had significantly decreased.

"We have to take a very critical look at what we are offering older veterans," said Yehuda.

"We have to think about helping veterans make lifestyle choices that change the way they feel physically as well as mentally, and focus on building skills and options for productive and meaningful living," Yehuda said.

The persistence of symptoms in some veterans and not others may relate to a variety of factors, including differences in initial exposure to combat, coping strategies and resilience developed before or after combat, said Dr. Vernon Williams, director of the Kerlan-Jobe Center for Sports Neurology and Pain Medicine in Los Angeles.

"Attention must be paid to early, accurate, effective treatment of PTSD as well as other health- and behavior-related issues that, when poorly managed, are likely to increase the disability related to PTSD," Williams said.

The importance of early intervention has implications for today's younger combat veterans as well, Marmar said. The two major supports for returning veterans are the units they served with -- "their brothers and sisters in arms" -- and their families, he said.

"Protecting the families, supporting the units, providing early care, avoiding alcohol and drugs, avoiding social isolation, and destigmatizing care are all critical," he said.

More information
For more about post-traumatic stress disorder, visit the U.S. National Center for PTSD.
SOURCES: Charles R. Marmar, M.D., chairman, department of psychiatry, and director, Steven and Alexandra Cohen Veterans Center, NYU Langone Medical Center, New York City; Rachel Yehuda, Ph.D., director, Mental Health Patient Care Center and PTSD Research Program, James J. Peters Veterans Affairs Medical Center, New York City, and professor, psychiatry and neuroscience, and director, traumatic stress studies division, Icahn School of Medicine at Mount Sinai, New York City; Vernon Williams, M.D., director, Kerlan-Jobe Center for Sports Neurology and Pain Medicine, Los Angeles; July 22, 2015, JAMA Psychiatry, online


Copyright © 2015 HealthDay . All rights reserved.
HealthDayNews articles are derived from various sources and do not reflect federal policy. healthfinder.gov does not endorse opinions, products, or services that may appear in news stories. For more information on health topics in the news, visit Health News on healthfinder.gov.
Note: Documents in PDF format require the Adobe Acrobat Reader® . If you experience problems with PDF documents, please download the latest version of the Reader® .

Monday, June 1, 2015

June Is PTSD Awareness Month - info, resources

information is shared from resources as posted.

NAMI, the National Alliance on Mental Illness
http://www.nami.org/

PTSD Awareness Month: Educate Yourself

By Joni Agronin, NAMI Communications Intern
June is PTSD awareness month and in an effort to help as many people as possible, Thursday, June 20 has been named PTSD Screening Day. Screening for Mental Health, Inc. has made a self-assessment available to the public and encourages anyone who may be experiencing symptoms of posttraumatic stress disorder or is concerned about a loved one to take the test to make an initial evaluation.
Over the last year, many communities across the United States have experienced tragedies. From shootings in Aurora, Co. and Newtown, Conn., to the Boston Marathon bombing, natural disasters and other events, it is an unfortunate fact that anyone can experience trauma.
According to the National Center for Post Traumatic Stress Disorder, about 60 percent of men and 50 percent of women will experience a traumatic event in their lifetime and the numbers are even higher for members of the armed forces.
Everyone deals with trauma differently but sometimes events can have a strong and permanent affect on the brain of victims. These disruptions in the normal functioning of an individual’s brain can drastically impair their ability to heal and potentially lead to anxiety, anger, violence, sleeplessness and many other symptoms. These symptoms may appear immediately or take months to occur and can affect both individuals and communities alike. The persistence of these symptoms over time is referred to as posttraumatic stress disorder or PTSD.
Not everyone who experiences a traumatic event will develop PTSD but up to 20 percent of those individuals may. Twenty percent of Iraq and Afghanistan veterans experience PTSD, half of which may never seek treatment. 
In the wake of the tragedies our nation faced this year, as well as events that happen every day in combat or at home, it is especially important to remember that help and support are available.
The online test is free and anonymous and while it does not offer a diagnosis it may help explain symptoms and provide information about when and how to seek further assessment by a clinician.
There are many options available to individuals who may want to seek treatment or simply want to learn more about the disorder. Anyone can experience symptoms of PTSD and you are absolutely not alone.
http://www2.nami.org/Content/NavigationMenu/Top_Story/PTSD_Awareness_Month_Educate_Yourself.htm
###

U.S. Department of Veterans Affairs

Help Raise PTSD Awareness

Spread the word!

Join our efforts spread the word about PTSD and effective treatments during PTSD Awareness Month. Everyone makes a difference. Help Raise PTSD Awareness printable PDF.
Men sitting with backs towards camera.

Learn: PTSD Treatment Works

  • Discover the facts.
    Start with PTSD Basics, key information about trauma, PTSD and treatment options. For more advanced information, watch our PTSD 101 Course:PTSD Overview. We offer many free, in-depth Continuing Education Courses for Professionals as well.
  • Explore your options.
    Take the mystery out of PTSD treatment. Our short whiteboard video PTSD Treatment: Know Your Options reviews the best treatments. And visit AboutFace, a website where Veterans, their family members and clinicians talk about turning life around with PTSD treatment.
Hands holding hands

Connect: Reach Out to Someone

Woman petting a horse

Share: Spread the Word!

  • Pass along what you learn. 
    Use Facebook or Twitter to share up-to-date information or ask us questions about PTSD and treatment. Subscribe to our email publications - PTSD Monthly Update, Clinician's Trauma Update-Online, or PTSD Research Quarterly - and let others know they are free. Our printable PDF with ways to raise PTSD awareness is also easy to share.
  • Work together. 
    Join our PTSD Awareness campaign! We have promotional materials to help you organize an event or share information about PTSD and effective treatments.
http://www.ptsd.va.gov/about/ptsd-awareness/