Dr. Angie Panos on the imperative to learn about PTSD
Supporting Our Soldiers
Our country is facing a crisis of gigantic proportions. Tens of thousands of young US soldiers, male and female, have been maimed in the wars in Iraq and Afghanistan. Even if they come home with their physical bodies and health intact, there is another war that they must fight within themselves. Large numbers of these returning veterans are showing signs of posttraumatic stress disorder (PTSD). The average age of combat personnel is only 19. Their lack of life experience and early stage of emotional and spiritual development leave them feeling like there is no way to cope with the atrocities they have witnessed. Once called “shell shock” or “combat fatigue,” PTSD symptoms include flashbacks, nightmares, panic attacks, feelings of detachment and estrangement from others, irritability, rage, trouble concentrating, emotional outbursts and sleeplessness. PTSD in veterans often coexists with other disorders such as clinical depression and substance abuse.
Another serious psychiatric fallout from the war that we are seeing in mostly young, lower-level enlisted soldiers is suicide. While there are numerous reports of suicides, exact statistics are difficult to gather as many of these veterans have declined to participate in programs that could monitor them. Services to veterans are severely under funded and are challenged to handle the overwhelming numbers of injured soldiers. Parents of the veterans that have committed suicide often report that their son or daughter could not get images of dead bodies and injured children out of their mind.
Soldiers typically have lower rates of PTSD in wars that have clear missions, clear enemies, time frames, achievable objectives and adequate resources to carry out the mission. Soldiers typically have higher rates of PTSD in wars with confusion about the enemy—such as in Iraq. Combat against the insurgency happens in crowded streets, marketplaces and neighborhoods, places where innocent children are likely to be at risk of injury and death. Other factors that increase PTSD are unspecified or changing lengths of deployment, lack of clear mission, high civilian deaths, and lack of substantive rationale for the war.
What can you do in your role as a chaplain to rise to the challenge facing our countrymen and women? First, educate yourself on PTSD and the need for comprehensive treatment strategies, which include spiritual support. Next, develop resource networks that do outreach to veterans and provide linkages to comprehensive care. Finally, the great need for spiritual support, renewal and healing of the tens of thousands of veterans must be answered by all of us. We must reach out to these soldiers and assist them in returning to productive lives.
For education and resources go to www.giftfromwithin.org
Dr. Angie Panos is a psychologist and a board certified expert in traumatic stress with 25 years of experience. Her daughter is currently serving in the military. Dr. Panos is on the Chaplain Training Committee and trains volunteer chaplains for Intermountain Health Care and Primary Children’s Hospital. She is on the Board of Directors of Gift From Within, a nonprofit organization that provides education and resources for trauma survivors and mental health counselors.
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