Our Lives With Post Traumatic Stress Disorder and Traumatic Brain Injury

PTSD

4th of July

070811_1913~01     I finally did it! After eleven long years, I finally attended a fireworks display with my kids! Guess what?! I survived not only the fireworks, but navigating the crowds with three little ones…by myself!

 

All in all, I actually enjoyed myself! The girls were able to play on the bouncy houses, get their face painted, and even stood in line for patriotically over-priced snow cones! The girls were able to get those twisted balloon things that end up being made into all kinds of things (one had an alien that rode on her shoulders, one had a sword, and one had a flower). Granted, none of the balloon characters made it home, but they were free, so I wasn’t terribly heart broken (especially since I’m allergic to the stupid things).

I had originally decided to attend because my teen invited me. I figured with her there, I’d be able to get through the fireworks. Well, she went AWOL with her friends and I only saw her once the entire evening. Thankfully, my best friend and her family showed up just minutes before the show started. Between her and Chauncey, they got me through. I purposely sat far enough away that I couldn’t hear them launching, and I enjoyed all but the absolutely largest shells. Those were the ones that I could feel the repercussion of their explosion in my chest and that would trigger me, but as I said, my service dog Chauncey (who did amazingly well with the fireworks) and my best friend saw me through.

I definitely think we will do it again next year. Perhaps I will be able to convince a couple of my fellow veterans to attend with me. Just showing up was a huge step for me and I hope I can share that with others next year.

Moral of this story: don’t be afraid to face your fears…you may be pleasantly surprised at the results. If they aren’t what you expected them to be, you will at least know that you tried. Perform an after action and see if there is anything you could do differently next time to improve the outcome!

 


Memory Issues Related to PTSD

Brain There have been many studies related to memory issues related to Post Traumatic Stress Disorder. This particular study, a literature review by Kirstin W. Samuelson entitled: “Post-traumatic stress disorder and declarative memory functioning: a review” looks at the association between “everyday memory problems with emotionally neutral material”.

Studies have shown that many PTSD patients complain of memory problems, aside from those symptoms that are part of the diagnostic criteria (intrusive thoughts, difficulty remembering parts of the trauma, etc.). This study focuses on declarative memory – that is memories that can be consciously recalled, like facts and knowledge. This type of memory can be broken down into two aspects: semantic memory which stores factual information and episodic memory which includes specific personal experiences.

The author notes “It should be emphasized that overall, decrements in memory performance due to PTSD are subtle, […] still, the findings are clinically meaningful when they represent a change in functioning before and after trauma”. She goes on to say that “the pattern of memory deficits reveal that PTSD most significantly impacts the initial acquisition and learning phases of memory, as opposed to the retention phase”.

In plain English this is a great big “duh!” to those of us with PTSD. We deal with this every day. We forget the simple things, we give up on school because learning seems so much harder than it used to be before…before our world changed. Things that once seemed a piece of cake are now complicated and hard to remember.


Battle PSTD, Not Each Other

In the PTSD community there seems to be a discord between those who’s PTSD was caused by combat action and those who saw no direct enemy action but were deployed and lastly, those with PTSD who never deployed. It is a longstanding view in the military that those who have never deployed are somehow less of a soldier than those who have and that lends greatly to this problem, but what about the group who has deployed but never once had to fire their weapon?

I will readily admit that I am a part of the second group. I deployed with a Combat Support Hospital. I never once fired my weapon; not that we were ever issued ammunition to defend ourselves if we had to…in fact, for my entire deployment, I never had a single round issued to me, even while I was outside the wire in Iraq (but that’s an entirely different story, the majority of my PTSD symptoms are related to multiple mass-casualty incidents throughout my career and an MST in 2002).

Excluding TBI, the symptoms of PTSD are the same, regardless of what the stressor was that caused the disorder. Some cases are much more severe and debilitating than others. That should not change the way we support each other. With all that we have endured, all that we still endure (our own demons, respect and common courtesy from our chains of command, the fight for our hard earned benefits, VA backlogs, etc) we should find a way to come together. The fact that we do have PTSD should be a uniting factor, not an issue that further divides us. We need to come together, support each other and work toward finding a way to heal, to remove the stigma, remove the barriers to effective treatment, fix the VA’s backlog and staffing issues, and to work to find a way to help those who will come behind us. Our predecessors have set the stage for us, it is up to us to carry that torch forward, but we cannot be divided in doing so. Its time for the pissing matches to come to an end. Its time to form a unified front and fight that battle that lies before us… The fight against PTSD.