I have seen first-hand the effects that post-traumatic stress disorder (PTSD) has on soldiers’ lives. Soldiers, both during deployment and when back home in civilian life, have unique perspectives and experiences from which they draw on when they go about their responsibilities and tasks. PTSD is like a bomb that disrupts that process, shatters the senses, and makes it impossible for the average soldier to be successful. For some soldiers, this struggle is ongoing because they do not know what has caused the change: they know they have experienced something during their tours of duty in Iraq or in Afghanistan for instance—but they do not know what triggers their spiral out of control later on. As Kang et al. (2015) have pointed out, there are more than one million veterans of Iraq and Afghanistan who are at risk of committing suicide because of PTSD. When they return home it is as if they have no idea who they are anymore—or at least who they were. The person they were before their service is gone, and in place has come an unstable human being, who often relies on alcohol or drugs (opioids) to cope with the trauma that has impacted him. This is common among so many soldiers today returning home, this type of identity crisis (Orazem et al., 2017). I have seen it personally among friends with whom I have served and kept in contact with over the years.
Some make it out okay, but others get home and cannot handle the transition, cannot cope with what they have seen or been part of overseas. The problem is that many of them are never diagnosed as suffering from PTSD. Hines et al. (2014) emphasize the fact that in their research the actual prevalence off PTSD among Iraq and Afghanistan veterans is probably much higher than is reported because many soldiers who return home do not seek treatment. Instead, they self-medicate. This occurred with a friend of mine who became a raging alcoholic. He went from being a mild-mannered young man when he entered the military at 18 to being a drunk by the age of 23. He had a wife and daughter, too, and they all struggled to deal with his PTSD. Even when he went to a doctor and a diagnosis was made, he refused treatment because he did not want to go into counseling, as he thought it would make him look weak.
That is one of the problems that many soldiers experience: they think that asking for help is a sign of weakness, and the military culture is not one in which you want word to get out that you are a weak person; so they try to hide their issues and bury them in alcohol, in drinking, in taking opioids, which are given them by their military doctors in the field literally without question—whole bags of them provided (and so is it any wonder why so many end up not only suffering from PTSD but also developing a drug addiction problem, too?). These stories are so rampant, even the media has picked up on them and begun to report the problem (Mehan & Schneider, 2007). The fact is that drugs are not the solution. Those with PTSD need counseling. My friend refused it—at first—because he thought he could handle things on his own. As he blew through friends, women and money and nearly lost his entire family, the reality of the situation began to dawn on him. He needed help. He could...
References
Groves, C. (2015). Exploring issues related to PTSD versus personality disorder diagnoses with military personnel. Journal of Human Behavior in the Social Environment, 25(7), 731-745.
Hines, L. A., Sundin, J., Rona, R. J., Wessely, S., & Fear, N. T. (2014). Posttraumatic stress disorder post Iraq and Afghanistan: prevalence among military subgroups. The Canadian Journal of Psychiatry, 59(9), 468-479.
Jakupcak, M., Conybeare, D., Phelps, L., Hunt, S., Holmes, H. A., Felker, B., ... & McFall, M. E. (2007). Anger, hostility, and aggression among Iraq and Afghanistan war veterans reporting PTSD and subthreshold PTSD. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 20(6), 945-954.
Kang, H. K., Bullman, T. A., Smolenski, D. J., Skopp, N. A., Gahm, G. A., & Reger, M.A. (2015). Suicide risk among 1.3 million veterans who were on active duty during the Iraq and Afghanistan wars. Annals of epidemiology, 25(2), 96-100.
Mehan, M. & Schneider, D. (2007). Military overmedicating troops, counselors charge. Retrieved from https://abcnews.go.com/Blotter/story?id=3936723&page=1
Orazem, R. J., Frazier, P. A., Schnurr, P. P., Oleson, H. E., Carlson, K. F., Litz, B. T., & Sayer, N. A. (2017). Identity adjustment among Afghanistan and Iraq war veterans with reintegration difficulty. Psychological Trauma: Theory, Research, Practice, and Policy, 9(S1), 4.
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