new name for ptsd

New Name For Ptsd - It's been called bullet concussion, combat fatigue, the soldier's heart, and more recently, post-traumatic stress disorder, or PTSD.

Now, military leaders and psychiatrists are engaged in a heated debate over whether to rename the old and bellicose condition.

New Name For Ptsd

Military officials and some psychiatrists say removing the word "discomfort" instead of "injury" would restore the label that barred soldiers from seeking treatment. "No 19-year-old child has any discomfort," Gen. said. Peter Chiarelli, who led the military's efforts to reduce suicide until his retirement in February.

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Today, a working group of twelve psychiatrists will hold a public hearing in Philadelphia to discuss the name change. This problem culminates when the American Psychiatric Association publishes the Diagnostic and Statistical Manual of Mental Disorders, the first mental health bible since 2000.

The relatively simple request from the military has raised new questions about the causes of PTSD, how best to treat the condition, and the barriers that prevent troops from helping. The change could also have greater financial implications for health insurers and federal defaulters.

Chiarelli has addressed PTSD and suicide issues after doing two tours in Iraq and is working harder than any other officer to change the way military members with mental health issues think about safety. But his efforts were not diminished by death.

PTSD refers to the intense and potentially debilitating symptoms that some people experience after a traumatic event such as a fight, car accident, or kidnapping. According to Chiarelli and the psychiatrists pushing for change, the word "injury" implies that people can recover with treatment. Meanwhile, disorder means something is permanently perverted.

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Chiarelli was the first to use the word "disorder" when referring to a condition like PTS. The name was adopted by the Pentagon's top officials, including Secretary of Defense Leon Panetta. However, PTS did not attract the attention of the medical community due to concerns that insurance companies and government officials would not pay for a condition not explicitly labeled as illness, ailment or injury.

A group of professionals working on change should be asked to discuss whether the dreams, aversions, and flashbacks normally associated with PTSD are best described by the injury.

Those in favor of the new name argue that PTSD is the only mental illness that can be caused by an outside force.

"It's kind of a traumatic experience that changes the way our memory system works," said Frank Ochberg, a professor of psychiatry at Michigan State University.

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The intensity of the trauma, whether it's a kidnapping, a car accident, or a terrifying fight, is so overwhelming that it changes the physiology of the brain. In this sense, PTSD is more like a gunshot wound or a broken leg than a typical mental disorder or illness. "She was able to get a clean medical report before the trauma and there was a big difference afterward," Ochberg wrote in a thank you letter to Chiarelli who asked for the change.

Psychiatrists who resist change say PTSD has more in common with bipolar or depressive disorder than with thyroid cancer.

"The concept of injury usually refers to a separate time. At some point the bleeding stops. Sometimes the wound heals quickly, sometimes it doesn't," said Matthew Friedman, director of the National Center for PTSD at the Department of Veterans Affairs. The disorder can last for decades.

While everyone is equally likely to get a gunshot wound, not everyone who has been traumatized suffers from PTSD. Genetics, military training, and even cohesion in a soldier's platoon all play a role in determining whether the combat experience leads to PTSD or just bad memories, experts said.

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"The word 'disorder' means that some people are more vulnerable than others," said John Oldham, president of the American Psychiatric Association.

Treatment of the disease usually involves the memory of the traumatic event under controlled conditions until it loses its power.

PTSD first appeared in the third edition of the diagnostic manual, which came out in 1980. Doctors who lobbied for its inclusion eventually measured it to identify the pain and suffering of Vietnam War veterans.

Prior to the establishment of the PTSD diagnosis, Vietnam War era hawks believed that soldiers suffering from such symptoms were treated during World War II. They found it to be weaker than its World War II counterparts. "They were seen to suffer in silence with a calm mind," said Charles Figley, director of Tulane University's Institute of Traumatology. Pigeon-war veterans often portray Vietnam War veterans as crazy, insane, and dangerous.

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The name change debate is also driven by official politics. In 2008, the military considered Purple Hearted soldiers suffering from PTSD, but ultimately decided that brain science had not advanced enough to diagnose people suffering from the condition.

Name change advocates say the change as "injured" would make it easier to prosecute the standards. Post-traumatic stress disorder has been called everything over the years, from a shocked heart to an "irritable heart." Now the Seattle-based retired commander and former Army deputy commander is trying to change the name of the group again to encourage more military treatment.

Speaking at the American Psychiatric Association meeting in Philadelphia earlier this month, Gen. Peter Chiarelli wants to replace the word "disorder" with "injury" - eventually changing PTSD to PTSI. His position, supported by other military officials, created a great deal of controversy.

A Seattle native, Chiarelli retired after his retirement in January. He now runs a nonprofit working in brain research called Mind One in Research, which held its first annual meeting in Los Angeles last week.

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Talking from Los Angeles, she gives what she says is the common reaction of a young soldier who was told to go to a therapist. "Boy," he said, "I don't want to be diagnosed with a disorder. What I'm working on is a direct result of a traumatic experience in war.' "

According to Chiarelli, "disorder" means something is wrong with the person, while "injury" puts PTSD on par with other war wounds. "We call it Traumatic Injury, right?" He asks rhetorically.

Chiarelli says war is not the only situation where a modern name can do harm. for example, sexual victims who are often diagnosed with PTSD. "Is it fair to say that a woman was abducted because she was reacting to her 'discomfort'?" he wondered aloud.

But PTSD is an important diagnosis in the military. This has many benefits, as evidenced by a recent scandal at Madigan Army Medical Center at the Lewis-McChord Joint Base in which forensic psychologists advocated the hospital not using the diagnosis because of the costs involved.

Post Traumatic Stress Disorder (ptsd)

Chiarelli claims that the name change did not affect the benefit. But others are not so sure. "Once you have an injury, you follow a treatment regimen and wait for recovery," said Charles Figley, director of Tulane University's Institute of Traumatology.

Chiarelli argues that a big part of the problem is that we don't know enough about the brain to best understand PTSD, and there is no reliable test that allows doctors to make this diagnosis. "You don't like to take your temperature or see a valve crack," he said.

Similarly, Chiarello says very little is known about TBI. He says that after 10 years of war, his disappointment with this ignorance finally led him to Single Mind Research, which aims to become the research brain of the American Heart Association by bringing together his fields of study on Balkanization. The organization's first business venture, held in the University District, spurs further research into TBI and what Chiarelli hopes to be called PTSI.

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Statewide, most respondents to a Department of Commerce survey agree that rent prices are too high and buying a home is too expensive. Many Veterans have experienced or experienced mental disorders as a result of the event.

Many people automatically think that if someone experiences a traumatic event and has a mental health problem because of it, they must have PTSD.

Many veterans are particularly surprised when they are not diagnosed with PTSD, but instead with another mental health condition.

There has been some acceptance around the diagnosis of PTSD; that it is acceptable for a veteran to have a mental diagnosis. Oftentimes, other mental illnesses diagnosed can be just as powerful and debilitating, and often stem from the same events.

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While this is a possibility, if a veteran with a history of anxiety prior to military service may have had a traumatic experience while on active duty, there are still a few things to consider.

A common problem with the difference between mental health conditions is that many have very similar symptoms.

Add to that the fact that most of us don't want to enter the room.

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