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Doonesbury this Week: One Vet's PTSD Struggle

by rcs1

Thank you to ltsply2 over at SoapBlox/Chicago for alerting me to this week's Doonesbury strip.

One of this award-winning strip's returning characters, B.D. (a hard-nosed guy who never needs anyone's help), is an injured Iraq combat vet and amputee.

He's also suffering from post-traumatic stress disorder (PTSD).

Doonesbury by Garry Trudeau

(Click here or on image to enlarge)

One of the significant obstacles in successful PTSD treatment is the reluctance of those suffering with it to reach out for help. For a variety of reasons (military indoctrination, avoidance, `toughing it out', fear of appearing weak or `crazy'), many vets suffer alone. The decision to get help is one that is often made gradually. Often with a lot of hesitation. And a lot of agony.

Doonesbury is portraying this with aplomb this week.  

Below the fold, get caught up with B.D.'s reconnoitering of his local Vet Center. And take a look at the list of options (in addition to the VA's Vet Centers) you have if you're suffering with PTSD. Know you're not alone. Know that help is out there waiting for you. Please reach out and take it.

[Cross-posted at Daily Kos and My Left Wing]


commentary :: :: :: buzz-it!
Since this diary is for educational purposes only, I'm including copies of this week's Doonesbury strips; hopefully, there won't be any copyright problems.

12/12 | In Monday's intro, we find B.D. entering his local Vet Center:

Doonesbury by Garry Trudeau

(Click here or on image to enlarge)

He says `hi' in a less than confident manner. The friendly receptionist greets his arrival and asks if he has an appointment. B.D. scoffs at that a bit. "I don't need one....I'm just looking, okay?" A quiet pause...and then he tells her he's got to get to an important meeting...

::

12/13 | Tuesday we find B.D. returning to the Vet Center again:

Doonesbury by Garry Trudeau

(Click here or on image to enlarge)

He's just looking around again, he says. The friendly receptionist tells him to take his time. As B.D. begins to glance at some magazines, he tells her he doesn't have much time today either...he better get going. She says, "Okay, catch you next time." But, B.D. stays anyway. He's not ready to leave the center; he asks her a question about the magazines, and she invites him to take a look at them.

::

12/14: Today's strip continues in the Vet Center:

Doonesbury by Garry Trudeau

(Click here or on image to enlarge)

B.D.'s still intensely focused on the magazines. He compliments their selection. Meanwhile, one of the Center's counselors has entered the reception area and observes B.D. He asks the receptionist if she's gotten a name out of him, yet. "Not yet. He's still reconnoitering." Meanwhile, B.D.'s still apparently consumed with the magazines and asks why Jennifer Aniston's on all of the covers. The counselor tells the receptionist, "I'll leave my door open."

Be sure to follow B.D.'s progress at the Vet Center here.

::

If you're a vet suffering with PTSD, please know that you are not alone. Please take your symptoms seriously, and seek out any or all of the resources available to you. There are many.

From the U.S. Army Training and Doctrine Command website:

If you or someone you know is displaying behavior associated with PTSD, get help through any of the following resources:


  • Fellow Soldiers - Talk to your friends about what you are feeling. Oftentimes it's a reality check ... a first line of defense.
  • Chain of Command - Team leaders, squad leaders, platoon sergeants/leaders, first sergeants, company/battalion/brigade commanders, command sergeants major.
  • Unit Ministry Teams - They're especially good at counseling.
  • Family Life Chaplains - Many have a Master's Degree in Counseling and will try to save a marriage; some will also work individually with the members of a couple.
  • Military One Source (Formerly Army One Source) - Call 1-800-342-9647, or visit the Web site. They offer six free sessions and it's anonymous.
  • Primary Care Managers - Many family practice physicians, physician assistants and nurse practitioners are quite comfortable treating depression and sleep problems.
  • Community Mental Health Service - They usually have at least one psychiatrist and a variable number of psychologists and social workers on staff as well as behavioral health technicians.
  • TRICARE Counseling - Spouses can go for free. Service members can often share a family member's appointment for marriage counseling.
  • Veterans Administration - Or Veterans Centers.
  • Army Substance Abuse Program (formerly ADAPCP) - Especially helpful if the Soldier or family member has a problem with alcohol or drugs.
  • VA/DOD Joint Programs - Aimed at service members near retirement and currently operating at Forts Hood and Bliss.
  • Local Church Programs - Lutheran Social Services, Catholic Social Services, etc.
  • Army Community Services - Often coordinate/conduct stress management, anger management, parenting and other classes.
  • The Internet - There is a plethora of good information available on-line. Just do a search using the keyword PTSD.


From the garrison commander: "It is important for every Army leader to educate Soldiers on the symptoms of PTSD and resources for treatment to maintain our readiness and, more importantly, preserve life and prevent injury before an unfortunate incident occurs."

PTSD is dangerous and real. And it affects all of us. The gravity at ePluribus Media's PTSD Timeline.

Display:
The military culture so often plays lip service to mental health needs and frequently punishes those who seek any kind of marital/family/individual counseling.  It is a blot on the service record and can really send one's military career into a tailspin.  Military indoctrination being as effective as it is, the hurdles are enormous to get those who need help into treatment.  It is such an admission of "failure" and weakness in the military lexicon.  So, you are damned if you do and damned if you don't.

 Treating the returning vet is one of the most difficult cases for the mental health practitioner.  When the "compartmentalization" of emotions and events breaks down and floods the psyche with affect, the vet often drinks/drugs to distraction and/or dissociates.  That 'far away look' is protecting them from painful reality.  And you should never take away someone's defense mechanism without giving him/her another.  And what does medicine/psychotherapy have to offer? Not much.  Meds give a lift but cannot erase the painful stimuli.  Cognitive restructuring can give a little distance between the events and the psyche, a retelling of sorts that makes it bearable.

 What counseling can do is the healing of the human touch, support, caring, the reaching out of one heart to another.  As a practitioner, one must bring to bear the full force of being, head and heart to heal the massive wounds to the psyche. This is true of all patients but with the veterans the indoctrinated discrimination against mental health care is so additionally destructive.  When you corner an animal and there is absolutely no way out, he despairs completely.  And he might want to hurt himself or you.

   The good news is that all the while, inside, there is a little beaten up rose of the soul that can be coaxed back to life, to love and to trust again. But it is a long, hard, lonely road to travel back from crashing on the hard rocks of reality.

by DEFuning on Thu Dec 15, 2005 at 07:25:16 AM EST

I'm literally moved with emotion at the depths and complexity and breadth that you cover. The gravity of the problems is painfully clear; yet, your closing words which echo a tiny shred of hopefulness, the battle of the human spirit to right itself against all odds, was magnificent and beautiful. Thank you so very much for putting it down with such care.

Thank you.
On PTSD Combat | Email list | Book
by ilona on Thu Dec 15, 2005 at 08:46:51 AM EST
[ Parent ]

and are doing the hard work of supporting our troops.

Thanks for all this research, ilona.

by Cho on Thu Dec 15, 2005 at 09:21:33 AM EST
[ Parent ]

For addressing this subject and for your spot-on analysis of what Trudeau's trying to do.  

Vets typically can deal with physical therapy, but not with the underlying psychic trauma.  By and large, military types tend to share B.D.'s major character traits.  We're HUGE compartmentalizers (it's kind of a job requirement), and when the compartments begin to buckle, we seldom know quite what to do about it.  

Making things worse is how both self-image and external pressure from peers and superiors will keep someone like B.D. from seeking help.  Tough guys don't cry, especially not in front of strangers, and certainly not to professional therapists.  And heck, if you consider yourself a true-blue patriot, you even feel guilty about making Uncle Sam pay to treat you for something that he by and large doesn't want to admit exists.  

Keep up the great work on this subject!

Best,

Jeff


by Jeff Huber on Thu Dec 15, 2005 at 11:24:49 AM EST

...for opening me up to a few more avenues to explore as I dig deeper into this issue. Your comments (especially on possible guilt over taking Uncle Sam's money for treatment) are very valuable to my understanding of the process PTSD-sufferers go through. As all things in life, it's complex and multi-layered. Thanks for opening up a few more doors for me...

Thank you!
On PTSD Combat | Email list | Book
by ilona on Thu Dec 15, 2005 at 11:39:32 AM EST
[ Parent ]

soldiers returning home from war don't, won't or can't speak candidly about their experiences, especially to family...they protect us.  John Kerry tried to bring up the subject of war attrocities and what happened..........he got slammed big time.  Right now McCain is argueing with the man about torture...the man is clueless!

Back during the draft days, a friend accidentally got volunteered for the marines..he was a sweet kid raised in rural Ohio....six months later he received a Section 8 and sent home.  Shortly thereafter, he committed suicide by jumping off a bridge........

As the soldiers have repeated tours in Iraq..1, 2 or possibily 3...can you just imagine the havoc.  Something has to be done and quick!

by avahome on Thu Dec 15, 2005 at 01:23:32 PM EST
[ Parent ]

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