Post Traumatic Stress Disorder PTSD and the Military

Following trauma, most people experience stress reactions but many do not develop PTSD. Mental health experts are not sure why some people develop PTSD and others do not. However, if stress reactions do not improve over time and they disrupt everyday life, help should be sought to determine if PTSD is a factor.

As a lead-in to PTSD Awareness Month in June, PTSD and options for treatment will be explored.

The PowerPoint slides:
Answers to questions we didn’t get a chance to cover during the webinar:
Additional resources:

Table of Contents:
0:00 — Introduction of speaker, Dr. Shannon McCaslin
1:02 — Polls about demographic of webinar’s audience

5:18 — Presentation begins, overview
7:03 — History of PTSD
7:59 — PTSD diagnosis in the DSM 5
13:23 — General prevalence of the disorder and of trauma

16:14 — Types of trauma in military service
17:34 — Readjustment after combat exposure
20:08 — Prevalence of PTSD in veterans (Millennium cohort study)
22:49 — Military sexual trauma

25:15 — Assessing for PTSD
27:00 — Co-morbidity
27:20 — Clinical practice guidelines, types of treatment
31:11 — Medications (Pharmacotherapy)

31:51 — Question and answer with audience
32:43 — “In what settings are most vets with PTSD served, and what are the needs that remain unmet?”
34:18 — “Is anyone researching if returning vets are having problems accessing services?”
35:10 — “I would like to get training in evidence-based treatments for PTSD. Do you have recommendations?”
36:55 — “What is the most common substance abuse diagnosis for veterans with PTSD?”
38:15 — “Is there any research of the side effects of pharmaceuticals on vets with PTSD such as suicidal ideation?”

39:27 — RESOURCES (From VA and elsewhere)
39:45 — Community Provider Toolkit with PTSD mini clinic
43:51 — Substance use and PTSD in Community Provider Toolkit
45:06 — National Center for PTSD
45:49 — AboutFace, a website with stories from veterans
47:15 — Published International Literature on Traumatic Stress
47:48 — Programs on (sections for general public and providers)
48:35 —, shares veteran’s stories
49:00 —, DCoEOutreachCenter
49:35 — PTSD Coach Phone App and other apps

51:23 — Where to get help (program locator, helpline, government sites)

54:05 — Screening, Brief Intervention and Referral to Treatment and the ATTC network

Shannon E. McCaslin, PhD, is a Health Science Specialist at the U. S. Department of Veterans Affairs National Center for PTSD in Palo Alto, CA.

Dr. McCaslin’s research interests include the elucidation of risk and resilience factors for chronic PTSD in military Veterans and emergency service workers; the development and testing of PTSD interventions; and community partnerships to support recovery. She is particularly interested in addressing the impact of PTSD and associated conditions on overall quality of life. Her current projects include a study of the relationship of PTSD to social, occupational, and physical health in Veterans who served in Iraq and Afghanistan, with the intent of identifying additional factors important in treatment and recovery; an examination of the impact of co-morbid pain and PTSD, using an fMRI paradigm; and a collaborative project with investigators at Travis Air Force Base of a brief intervention for acute anxiety in soldiers currently serving in Afghanistan.

PowerPoint slides:
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Source: Youtube