Honest talk about PTSD

Post-traumatic stress disorder, or PTSD, can be caused by a constellation of circumstances — some affecting millions of folks, like the 9/11 terrorist attacks; others intensely personal, such as a sexual assault, bullying or physical trauma from a sports-related injury or car accident.

It’s commonly found in victims of gun violence, combat veterans and first responders.

In short, PTSD can happen to anyone.

Researchers at the National Center for PTSD estimate that 7 or 8 of every 100 Americans will have PTSD at some point in their life, and 8 million adults will have PTSD during any given year. Among veterans, the numbers are much higher: We know that around 11 to 20 percent of those who served in Iraq developed PTSD; in Vietnam the rate hit about 30 percent. Today we have more than 1.3 million active servicemen and servicewomen in the Army, Navy, Air Force and Marines with Special Operations forces deployed in more than 145 countries, according to The Nation and Stars and Stripes. While 31 service members died in actions overseas in the first 11 months of 2017, according to Defense Department data, 20 vets a day commit suicide — often a result of untreated PTSD.

The latest cause of PTSD that we are hearing about is from taking children away from their parents at U.S. border crossings. The reason many of these families are here is because they’re fleeing extreme violence in Central American countries like San Salvador and Honduras.

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Now there’s a double trauma for each child to process, and there’s a good chance that the resulting PTSD may accompany them for years and result in many behavioral problems, ranging from depression, anxiety and drug abuse to rage and violence.

And what about the parents? Ever seen the film “Sophie’s Choice”? Adapted from the William Styron novel, the 1982 film told the story of the Polish holocaust survivor Sophie Zawistowski (Meryl Streep won the Academy Award for Best Actress — maybe best ever!) and what happened after she had to choose which of her two children to leave behind and then deal with her later separation from her son at the Auschwitz concentration camp. She survives the camp, but later when she is living in Brooklyn, she doesn’t survive the PTSD.

No matter the trigger, symptoms of PTSD may include sleep problems; becoming quick to anger and other intense emotional outbreaks; flashbacks; recurring upsetting memories; and thoughts of suicide.

Treatment with a trained therapist will help you open up about your experience and also may include instruction in meditation, progressive muscle relaxation, yoga, tai chi and acupuncture. A good therapist will use some of the newer therapies, including virtual reality exposure and wise use of medications to temporarily treat anxiety and depression.

If you cannot get to a therapy session in person, explore telemedicine (the Department of Veterans Affairs is doing a lot of this) and internet-delivered cognitive behavioral treatment for PTSD.

There soon may be a new medical treatment for PTSD that promises to be quite effective. The results of a Phase II clinical trail are in, and it seems that using MDMA (otherwise known as Molly and ecstasy) with adjunctive psychotherapy in a controlled setting may be
somewhat effective and well-tolerated in reducing PTSD symptoms in veterans and first responders. A 12-month followup found sustaining benefits.

More information will become available over the coming months. But for now, if you’re suffering the effects of PTSD, see a therapist. If someone you know has PTSD, offer support and understanding. Suggest that he or she check out online resources at www.ptsd.va.gov and Sharecare (https://bit.ly/2ygmibk).

Let’s not be a country that creates PTSD in children or their parents. The Statue of Liberty harbors the words, “Give me your tired, your poor, your huddled masses yearning to breathe free.” Breathing free — that’s the dream of everyone who has to contend with PTSD.
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Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. To live your healthiest, tune into “The Dr. Oz Show” or visit www.sharecare.com.
© 2018 Michael Roizen, M.D. and Mehmet Oz,
M.D.
Distributed by King Features Syndicate, Inc.

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