September 29, 2008Why America Has To Address Post-Combat PTSDThere is an excellent and harrowing article in the current New Yorker about a Marine staff sergeant and his brother and it ends in a murder-suicide in the Arizona desert, or double suicide, take your pick. I'm not going to recount the piece, which you should read for yourself, except to note that the Marine, Staff Sgt. Travis Twiggs, was a bad ass Marine who had a profoundly bad case of post-combat PTSD. From the article, it's clear to me that Twiggs didn't get particularly thoughtful treatment, but instead was doped up on loads of psych meds that seem to have made things worse, or didn't improve matters much. "His sergeant major recognized the symptoms, and, in June, sent him to a physician’s assistant, who prescribed the antidepressants Zoloft and trazodone. Antidepressants and antipsychotics are the main drugs used to control P.T.S.D. But, while his medications were being evaluated and adjusted, Twiggs was, by his own account, blunting their effect by mixing them with alcohol. He told Kellee that he couldn’t stand to look in a mirror. He was racked with guilt, in particular over the deaths of two young lance corporals in his platoon. The only thing that really helped, he wrote, was returning to Iraq. He went, in late 2006, on a weapons-testing mission for the Warfighting Lab, and, once again, his symptoms vanished. He wasn’t fighting, but at least he was in theatre. He was also good at his job. It goes from there. The big point to be made here is that an estimated 20 percent of Afghanistan and Iraq veterans are suffering from some level of PTSD and that works out to several hundred thousand troops. Current PTSD treatments don't seem to be having a lot of success. So what are we going to do as a culture about this? Continue giving these guys medications that don't work well and, in some cases, may be causing the sudden deaths of these troops? Or something else? I don't pretend to know what would work well for PTSD, especially in severe cases, but I know that this is a pressing issue before our country (there are other Twiggs sorts of stories out there) that will only get more pressing as time goes on and soldiers go on their fourth and fifth deployments to Iraq. As I've said before, we are going to be reaping the whirlwind of that war for a long time to come. It stands to reason that the US needs to undertake a very aggressive research effort on treating post-combat PTSD and find something that works instead of trying to tweak psychopharmacological treatments that are clearly miserable failures. (See clinicaltrials.gov for current PTSD trials and you'll get my point.) These guys deserve nothing less. Posted by Philip Dawdy at September 29, 2008 12:03 AM
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Trazodone made me sleep walking for two nights. The first day the psychiatrist said that it would go away... I had to wake up in the middle of the night in my living room making a speech a don't remember the content to make him see that is was not a good idea to put me on this drug. I believe that any human being who has been on battle fields has the RIGHT to have huge emotional problems. This is not a mental disorder and no serotonine, dopamine can cause any kind of relief.
This is such an important topic. The worst part is funding for obvious treatment (try getting a therapist or an appointment in that system), and if the treatment remains medication based only for such obvious TRAUMA, then there will never be proper help for post-combat PTSD, which, in some cases ruins men and women's lives forever. The U.S. has never addressed this PTSD enough, and it is time that we do; but of course it falls into mental health care, which is a system that is failing millions of Americans already. Posted by: Stephany at September 29, 2008 04:24 AMi really agree What a well written yet extremely disturbing story; additionally, a huge loss to our nation, the mental health community, the Military, and the family. Unfortunately, this is a story all too common, one that I feel is may become commonplace among our troops as this war hopefully subsides over the next several years. With bleak employment opportunities, financial hardships, familial readjustments and the effects of post-war related illnesses, this may be the tip of the iceberg. Sadly, in this time of economic crisis, this social crisis will be placed on the backburner, social service jobs will likely be cut (as they are usually one of the first to go), and the soldiers needs will not be met. I would love to see this as a topic in the current Presidential Debates but that will never happen. Posted by: Angie at September 29, 2008 05:37 AMThis topic hits one of my hot buttons. And I know it was unintentional, but the "gals" deserve nothing less also. There are countless women that have been there in the thick of things also with this war. My neice came back from Iraq pretty messed up. But the VA, in their infinite wisdom, declared she did not have PTSD because she had not had a combat-designated assignment and she couldn't have had that assignment because she is female. Didn't matter that she was stationed at a base that had daily mortars lobbed onto their compound. Didn't matter that she had one blow up less than 10 feet in front of her. Didn't matter that it had already been documented in her medical records that she was having coping difficulties and had been medivac'ed out to Germany before being sent back stateside. It took almost a year for her to get some kind of help and their first option was NOT talk therapy but rather to numb her up with several different psych meds. Which, by the way f'ed her up even more! I would like to share one valuable resource (and more helpful than the VA) that is available for veterans returning to the Pacific NW. It's called Returning Veterans Resource Project NW. They have a website at www.ReturningVeterans.com or they can be contacted at (503) 402-1717. It's my firm belief that the VA will never get this one right. After all, look at how much they've done for our Vietnam vets. Posted by: SallyT at September 29, 2008 06:33 AMAaron, Psychotropic drugs for PTSD are cheaper, doncha know? Though I have read of a FEW good but costly programs (talk therapy, outdoor therapy and the like), basically I understand that the military has very few of these for PTSD. For all the zillions going into top notch artificial limbs, there is a pecking order for service, just as there is in real life with any service for mental health problems. The artificial arm guys win. The PTSD guys lose. I cannot place blame on young men who are enticed, in a disgusting way, and preyed upon, by the services, to get them to go fight. When I was up in the mountains this summer, the predominant ads were "Join the National Guard". The service has their demograhics down - they know where to go to find young men/women who either 1. have few to no alternatives to going in or 2. buy this as a service to their country. I wish we could have another massive rally, or at least a rally in Lafayette Park, with signs on several issues: Ban psychotropics for PTSD, Ban tasers - they kill people on psychotropics, train the police, EDITED*******, plus some street theater. Those of us who have lost our loved ones to lethal psychotropic meds could wear black, carry coffins. I feel so much pent-up anger at this government. I hope a shred of humanity will emerge if Obama wins, as I don't see such a shred in his opponent. END i had to edit out some of this comment as it violated this site's policies. Philip Posted by: Sorrowful at September 29, 2008 09:10 AMAaron, I'm appalled by the clinical-trial's recruitment - once again they are being recruited. And same techniques:
If this is science I have to learn what is the meaning of this word. Posted by: Ana at September 29, 2008 09:52 AM Strangely enough this trial has been completed: What is learned from this study is not worthy? This has been one of my big concerns about this war for quite a long time. I've actually had a letter or two to editors published on the topic. Not only are we medicating the heck out of veterans who have had to endure multiple tours in Iraq, we are even medicating the soldiers who are there fighting. Frankly it just terrifies me to think of soldiers on antidepressants and God knows what else actually fighting on the front line. I can only imagine what kind of PTSD this might give you once you "wake up" from the blunting effects if you remember things at all and how impaired your judgment would be in the thick of some crisis. Ach! How many innocent people are having their lives destroyed forever in all sorts of multiple ways? I think the New Yorker has something going about PTSD as this isn't their first article on the topic. Here is another one about an alternative (to meds) therapy. http://www.newyorker.com/reporting/2008/05/19/080519fa_fact_halpern Thanks for posting this. It's a good article. Posted by: Sara at September 29, 2008 10:27 AMAaron is right on the issue of PTSD not being a disease but a natural consequence of extreme stress causing trauma. PTSD can be described as a collection of overwhelming negative emotions connected to memory. There is an alternative therapeutic technique that seeks --not to remove such memories-- but to diminish to zero their emotional impact. Thus, the technique is named "Emotional Freedom Technique", allowing people to have freedom from intrusive, damaging emotional responses. The technique has been described as: "EFT is a simple and safe approach for dealing with some of the emotional issues commonly encountered in near-death experiencers such as posttraumatic stress disorder (PTSD). EFT is a self-healing method that is spreading rapidly across the country. It is an easy-to-learn energy psychology therapy. EFT involves self-tapping on acupuncture meridian points while repeating short statements about a particular emotional experience or belief. Activation of the energy meridians in this fashion deletes the body memory of the issue connected to the cognitive memory allowing anxiety to be replaced by emotional freedom." EFT has been shown to be remarkably effective in treating PTSD by healing the ~cause~ of the condition, rather than by masking its symptoms, which is all that psych meds ever do. It has helped individuals with severe traumatic damage, including rape victims, Vietnam War veterans, etc. Regardless of its efficacy and the relatively short time required for treatment, however, it is unlikely that EFT will be provided for America's returning soldiers for one reason. Economics. There is more money to be made from the long-term "maintenance" of a patient by providing continuous "treatment" with pharmaceutical drugs than by implementing a methodology that alleviates the problem within a short period of time. EFT cannot be patented, therefore there is no profit in it for the drug companies whose monetary influence causes politicians to get and stay elected. And this is our America. For more information about EFT, you can Google it, see EFT videos at YouTube, or download for free a complete manual for learning the technique at http://www.emofree.com For specific information about EFT and PTSD, you can visit this link: http://www.emofree.com/Articles.aspx?id=30 or http://tinyurl.com/4a2wj6 hi all. to let you know, i've removed aaron's comment and banned him from the site since he used his comment to call for the murder of doctors. that is against my site's policies. while i'm not a huge fan of some psych docs, calling for their murder is absurd and criminal and i won't tolerate it. Posted by: Philip Dawdy at September 29, 2008 10:59 AMPhilip, Jack, There is not SIMPLE WAY to heal trauma. "i've removed aaron's comment and banned him from the site since he used his comment to call for the murder of doctors. " Oops. Missed that. I definitely do not get behind that kind of thing. Posted by: Sherry at September 29, 2008 01:34 PMI work for a suicide hotline, two actually. One you might be familiar with.....
Will keep Philip posted on what I learn.
PTSD is a perfect example of the problems with psychiatry. It really is a good idea to provide counseling and empathy to veterans if they want it but let's not forget these guys face the same rotten society we all live in and often come back from the war to no money, no jobs, lost family in addition to the trauma from the war.
http://paulajcaplan.net/files/Vets_are_not_cr.pdf Posted by: Sally at September 29, 2008 04:48 PMPsychotherapy works for PTSD but it takes a well trained therapist and it takes a long time. We have a shortage of well trained therapists who understand trauma and who aren't trying to use shortcuts that impress but don't work in the long term. We need to start training therapist now in long term psychotherapy of PTSD. Posted by: Alison Hymes at September 29, 2008 05:44 PMana: I understand your skepticism regarding the claim that EFT is a simple method that can heal PTSD. Our current model is as Alison Hymes expressed: "Psychotherapy works for PTSD but it takes a well trained therapist and it takes a long time. " Our belief, based upon previous experience, is that such healing takes a considerable amount of time. What I'm telling you is that there is significant evidence that there is a ~new~ methodology that has been shown to be effective for quite severe PTSD within fairly short time spans, sometimes as few as two or three EFT sessions. I know that sounds unbelievable. That is why I included links so you can look into the issue and see for yourself. I have seen DVDs of Gary Craig (developer of EFT) treating Vietnam Veterans who had been suffering for 30+ years with PTSD. Typically, they had devastating intrusive memories that caused them to experience severe negative emotions. On the DVD, you can observe Gary Craig administering EFT, with the result that these men were able to recall the toxic memories, but without feeling any emotional discomfort whatsoever. As for your suggestion that my posting information relevant to this discussion constituted spam, I strongly object. I have nothing to gain from people reading about EFT at a website! I'm not an EFT practitioner, nor do I know any, nor have I ever even had EFT treatment myself. (I live on a remote island and there are no EFT practitioners here.) I only shared this information because the epidemic numbers of Americans returning from overseas with PTSD is a national tragedy. That their suffering is either ignored or is "treated" by the administration of dangerous psychiatric medicines is a disgrace, and we American citizens owe it to our brave military personnel to provide them with truly effective therapy. I shared what I know about EFT in an effort to get helpful information out into the public. I certainly derive no personal benefit or advantage from doing so. Posted by: Jack at September 30, 2008 11:18 PMJack, I'm deeply concerned with the lack of access to good long-term psychotherapy as Stephany and Alyson Hymes have stressed. Posted by: Ana at October 1, 2008 06:58 AMHi, Ana, Just to clear up a few things: First, the website about EFT that I directed people's attention to doesn't really "sell" anything. If you go there, you can download a complete manual that provides an overview of the method as well as detailed instructions so people can begin using EFT on themselves immediately. The website sells DVDs, but the licensing agreement allows buyers of the DVDs to make as many copies as they want, to give away. Their interest is not in making money, but in making EFT available to as many people as possible. EFT is not merely helpful for PTSD, but also for innumerable other conditions: phobias of all sorts, anxiety, addictions, eating disorders, depression, insomnia, OCD, neuropathy---the list is endless. I'm not sure why you'd say that this approach is not relevant "as a treatment for PTSD or any kind of emotional problem." One of the web pages I cited: http://www.emofree.com/articles.aspx?id=30 has a large number of case studies of people who have been helped with many variants of trauma related distress, and classic PTSD. (EFT is effective for other issues as well, but the discussion here on this page at furiousseasons.com relates to PTSD.) Here is a noteworthy comparison of EFT and "good long-term psychotherapy." There are EFT practitioners who offer to charge, not on a per-session basis, but for a complete course of treatment. In other words, a client may come to an EFT therapist with an emotional problem they want resolved. They may then agree on a maximum dollar amount that the therapy should cost. If treatment takes more than the equivalent number of sessions, further sessions are free. Or alternatively, if the EFT therapy is not able to resolve the problem, the client isn't charged. THAT is how effective ---in the short term--- EFT can be. Can you imagine a psychotherapist who would agree to such terms? In fact, the therapeutic goal of typical psychotherapy is not to resolve or "cure" a client's problem, but to help get them to a place where they can cope with having the problem, and have a reasonably successful life in spite of continuing to have the problem. The goal of EFT is quite different: it is to resolve the problem so that it no longer affects the client adversely, at all! Ana, I can understand how you would believe that such a thing is impossible. Then again, before penicillin was invented, the idea of taking a pill that could cure pneumonia was believed to be impossible. Once again, I suggest that it is worth looking into EFT. If, however, you have some other reason for rejecting EFT as a treatment option, well, that is your opinion, and you have every right to your beliefs. It was not my intention to change anybody's mind, but rather, to make people aware of a potentially invaluable treatment alternative for returning servicemen and servicewomen. --Jack
Jack, Thank you, Ana. I wasn't surprised that the psychoanalysis study showed such a high level of efficacy. I completed a course of psychoanalysis that took eleven years, but was, I feel, quite successful in helping to integrate the fragmented self I had at that time. It's a shame that psychiatry has devolved into a sophisticated pill-pushing racket. No one seems to understand how incredibly dangerous and destructive psych meds are! I was damaged by my doctor prescribing me Xanax over the course of nine years ---when that type of drug should never be prescribed for more than two or three weeks at the most. (I wrote a book about my experience: THE BENZO BOOK. People can buy it, or read it for free on-line.) --Jack Posted by: Jack at October 3, 2008 12:11 AMJack, I agree that EFT (an offshoot of TFT)needs to produce solid, valid proof for its claims. So far all the independent research I have seen done on TFT, EFT and other offshoots says that it is just junk science in line with the QRAY bracelet. Heck you would probably get the same results by wearing a QRAY (placebo effect). Sorry but this is just another example of the flood of "snake oil" salesmen that are flooding people with so called therapies and "proof" or studies to allegedly back them up but in reality the "studies" do not stand up to the light of honest inquiry and scientific method. http://www.geocities.com/pseudoscience_2000/eft.htm http://www.quackwatch.org/01QuackeryRelatedTopics/mentserv.html Posted by: JD at October 5, 2008 03:55 AMJD, I am certain that you are, as you say, a "fan of the truth or at least the truth as we best understand it." That statement sums up my own feelings, too. What I stated was: "In fact, the therapeutic goal of typical psychotherapy is not to resolve or 'cure' a client's problem, but to help them get to a place where they can cope with having the problem, and have a reasonably successful life in spite of continuing to have the problem." What you responded with, from the ACA, actually states the same thing: "...Through counseling you examine the behaviors, thoughts and feelings that are causing difficulties in your life. You learn effective ways to deal with your problems by building upon personal strengths." Note that the ACA says that you "learn effective ways to deal with your problems", not "resolve your problems." The problems remain. They are not cured. You are taught by counselling to cope with them. Ask a therapist sometime, this question: "How many of your patients have you cured of the condition for which they came to you?" The truth is, they will not say they have cured anyone because they cannot make such a statement. I don't mean to suggest that these people are venal and work only for money, although long term therapy is obviously an expensive undertaking for the client. To deride EFT as "snake oil" when it has claimed many thousands of people who testify that it has cured them of distress is to suggest those people are ~wrong~ to have experienced relief. The further suggestion that the only benefits it delivers are from the placebo effect is ridiculous as an argument. What would be better, to have been the recipient of a placebo which caused a problem to resolve, quickly and inexpensively? Or to eschew that for a traditional method that provides only the ability to "deal with the problem" and costs many thousands of dollars? --Jack Your defense of EFT is horribly flawed. By your logic it is acceptable for anyone to market and sell something that is nothing more than an inert substance and make all sorts of claims about it simply because some of its users report it worked (i.e. QRAY bracelet). EFT is not free nor cheap. With 6 billion + people in the world it is quite easy to get people to say something worked even when the product was junk. If anyone (that includes the pharma folks) want to make big claims they need to provide big proof. Real proof by accepted methods not ghost written crap or flawed studies. This applies to EFT as well. The problem I have is that I think ALL these things need to be held to the same standard (that includes psychiatry). I have seen more snake oil adds on television then I see actual medications yet the anti-psych crowd often appears to be fine with this. As for the ACA statement. If you learn how to fish you don't go hungry. Same applies with how problems. "Curing" you means that you need to be dependent on a therapist anytime you have a clinical problem. Learning how to deal with them without a therapist is the goal. There is no "cure" for being human. Assuming EFT works it still does not cure in anyway different than traditional therapy does. If you "cure" cancer it does not mean it won't come back. Posted by: JD at October 10, 2008 09:10 PMJack - A little tidbit that jumps out about EFT from its creator Gary where he states "we do not claim that the results described in the many testimonials and other success stories included on this website and on our DVDs are typical of what EFT users experience" Another thing that throws up the red flag is this: This is why one of our sayings is, "Try it on everything." It is as close to a Universal Healing Aid as anything I've seen. I personally see good things come from various alternative therapies, especially in an adjuctive role. Massage, Tai Chi, Yoge, are just a few that have benefits. But when people try to make claims such as the EFT and then turn around and admit to no valid proof, and a disclaimer even saying they do not claim the results they show people are typical ones...well that is a huge red flag. Some other things that leap out as red flags: EFT often does the job for you cleanly and thoroughly in one or two sessions ... and we sometimes achieve noticeable results in a few brief rounds of EFT. We label these near-instant results as "one minute wonders." You can also use it for everything from the common cold to multiple sclerosis And there is more but I think it makes the point. Lets not have a double standard here and say that only some professions need valid proof and others do not. I would love if the claims made by eft were true. Their disclaimer shows the truth however. There is no silver bullet that can universally heal everything (other than death). Posted by: JD at October 11, 2008 06:36 AMAnd here is a good article from the Skeptical Inquirer on called Can We Really Tap Our Problems Away? http://www.csicop.org/si/2000-07/thought-field-therapy.html Posted by: JD at October 11, 2008 06:52 AMJD, I'm not weighing in on the EFT thing but I think what your wrote below sums up so much of the problem with therapism and the biopsych line: ""Curing" you means that you need to be dependent on a therapist anytime you have a clinical problem. Learning how to deal with them without a therapist is the goal." People certainly have right to buy and sell this stuff, it's selling it as science that creeps me out, but then you guys might not like the same panaceas as me. Telling you what I perceive has worked for me is fine, presenting fako pr crap and clothing it in the robe of science, crime (again I don't know about eft I'm talking therapism and psychiatry). Posted by: Sally at October 11, 2008 06:22 PMI haven't seen this thread since last autumn. JD, you seem bound and determined to refute EFT without examining it yourself personally. One way you have of dealing with it is to say that it's as ridiculous as a Q-Ray bracelet... then cite the flaws with the Q-Ray bracelet. You say that one thing that "proves" that EFT is b.s. is that it claims to be a Universal Healing Aid, and that no such thing could possibly exist. That's ridiculous. Isn't SLEEP a Universal Healing Aid? One of the premises of EFT is that all physical and emotional problems are a disruption of the flow of energy through the body. The tapping methods taught in EFT work to restore the proper flow of energy. That's why they can cure more than one condition. You seem to think that EFT is a money-making scam. Please try to understand that EFT practitioners help individuals by guiding their sessions as the ~teach~ them the method. Once someone learns how to do EFT, they then to it on themselves and never have to pay a practitioner ever again. Does that sound like any scam you ever heard of? What other "therapist" trains you so that you won't need a therapist? You say you would "love if the claims made by eft were true." Well, how would you know if they are true unless you learn about it and try it for yourself? If anybody writes a testimonial, you discount their statements by saying that with so many people in the world, you can get a handful of them to say anything. You're right about that, in that there ~are~ ripoffs that use testimonials in precisely that way--- but that doesn't get you any closer to the truth about EFT, because what if the people writing EFT testimonials are, in fact, genuine? And you post a link to The Skeptical Inquirer --someone whose purpose in life is to dismiss ~every~ idea that doesn't fit his criteria. The point of all of this is not who is right and who is wrong. It's to help find relief for people who are suffering. The current methods of dealing with PTSD are inadequate and even dangerous (prescribing benzodiazepine drugs long-term leads to a terrible dependency; see www.benzo.org.uk). I urge you to explore the EFT website (www.emofree.com) thoroughly, with an open mind, and call some of the EFT practitioners you can find at the website. In other words, ACTIVELY seek the truth, for yourself. If EFT turns out to be b.s., you will have lost nothing but some time. If it turns out to be, truly, a Universal Healing Aid? Think of the value to you of what you will have found! Posted by: Jack at May 4, 2009 09:23 AMPost a comment
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