December 31st 2019
The author shares conclusions about what prompts some veteran suicides, drawn from published war accounts and memoirs and his own clinical experience.
November 5th 2018
December 14th 2017
May 30th 2017
Burden, Belonging, and Capability: An Interpersonal View of Military SuicidesMarch 29th 2017
It would be logical to attribute the surge of suicides in the military to simultaneous prolonged engagement in combat, repeated deployments, and attendant stress. But studies have failed to connect deployments to suicide risk.
A First-Episode Psychosis Treatment Program: “The Disease Doesn’t Define Me”February 28th 2017
The Psychiatric Transition Program at the Naval Medical Center in San Diego is a specialized first-episode psychosis program that provides coordinated specialty care to active-duty service members with serious mental illness.
Veterans Struggle to Adjust to Family LifeJanuary 5th 2016
Of the 3.6 million military personnel deployed to Operation Iraqi Freedom and Operation Enduring Freedom, over half are married and about 53% are parents. As these veterans return home, the process of reintegration can have a variety of effects.
Case Study: Mysterious Pain in Older VeteranMay 15th 2015
The patient did not just scream for more medication-he literally rolled on the floor, ranting and raving and demanding higher doses. Some may write him off as an "addict," but this case reaffirms the value of studying medicine before practicing psychiatry or psychopharmacology.
Compromised Confidentiality Is Harmful: Military Owes Proof to the ContraryDecember 29th 2014
Given that rates of military suicide have risen to unprecedented levels, the burden of empirical proof in support of weak military mental health confidentiality standards is squarely on the military.
Compromised Confidentiality in the Military Is HarmfulOctober 22nd 2014
The privacy and security of our offices-the therapeutic bunkers within which our wounded patient-warriors hunker down against an unseen enemy-is the fundamental first barricade between private sufferings and the potential for public humiliation.
Military and Veteran Mental Health: Why Should Psychiatrists Care?September 2nd 2014
Military veterans are ubiquitous in our practices and in our lives. The impact of the past several years of armed conflict is greater than many think-and much greater than simply the number of veterans in your practice or your community.
Alcohol Use Disorders and Psychiatric Comorbidity: Pharmacological ManagementJune 30th 2014
There is increasing evidence and support for medications for alcohol use disorders to be used in regular clinical practice, and not to be limited to specialty substance abuse settings. Here, special considerations for pharmacological management.
The First World War and the Legacy of ShellshockFebruary 28th 2014
In the history of psychiatry, the First World War is often identified with the rise of the disorder of “shellshock.” However, many in both the medical community and the military establishment were dubious of the claim that war could produce psychiatric symptoms.
Veterans Day and Military Mental Health: The Startling FactsNovember 11th 2013
The invisible wounds of war continue to infiltrate the minds and consciousness of veterans and their families, as shown in this infographic and public service announcement by the APA, featuring by Rep. Patrick Kennedy.
The Soldier’s Private War and Invisible WoundsFebruary 23rd 2013
PTSD is a psychiatric illness resulting from a physical or psychological trauma that is sometimes related to warfare, but of course occurs in the case of civilian trauma as well. However, wars have been a propitious time for studying PTSD.
The Military Can Do More To Prevent SuicidesOctober 8th 2012
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.
The Epidemic of Military SuicideSeptember 20th 2012
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.
Suicide Risk Associated with Low Omega-3 Fatty AcidsOctober 8th 2011
"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.