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Military Mental Health

Members of the military returning from combat operations often exhibit a co-occurring triad of PTSD, traumatic brain injury , and pain, which complicates problems with substance abuse.

Military Mental Health

James Dao reports in the New York Times that the military is considering 2 steps to reduce its startling rate of active duty suicides—which is approaching an unacceptable one suicide every day. Both measures are completely sensible, but neither goes nearly far enough.

With understandable urgency, Secretary of Defense Leon Panetta has made suicide one of his top priorities, instructing commanders at all levels to feel acutely accountable for it. The numbers are startling. On average 1 active duty soldier is killing himself each day--twice the number of combat deaths and twice the civilian rate.

A treatment model for soldiers returning from Iraq, Afghanistan, and other areas of conflict, “RESPECT-Mil” reaches out to soldiers affected by anxiety, PTSD, and depression.

I am a civilian psychiatrist who recently finished 20 months working as a contractor for the United States Army. Going into the job, I expected the degree of combat-related stress I saw in our troops. However, I was not prepared for the scope of impact our two long wars have had on military children.

"I'm all over it, because I'm looking for something to help," declared Army Vice-Chief of Staff General Peter W. Chiarelli, quoted in USA Today News September 20, in his response to a study finding an increased risk of suicide in US military personnel with low Omega-3 fatty acid serum levels.

Depression, PTSD, panic disorder, and abuse of alcohol and drugs are more insidious, quieter forms of illness that can cause the same desperation and disability as psychotic disorders.

In 2009, Maj Matthew P. Houseal, a psychiatrist, was in Iraq attempting to help suicidal soldiers when a fellow soldier killed him, a clinical social worker and 3 others at a combat stress center near Bagdad. Paradoxically, Houseal’s accused killer, US Army Sgt John Russell, had earlier threatened to take his own life, according to witnesses’ testimony during a recent investigative Article 32 hearing.

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