IRAQ WAR CLINICIAN GUIDE

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- -- p-p-.- DEPARTMENT OF VETERANS AFFAIRS NATIONAL CENTER FOR PTSD Iraq War Clinician Guide 189 Appendix I Transition Assistance Information for Enduring Freedom and Iraqi Freedom Veterans The Department of Veterans Affairs (VA) has maintained an active Transition Assistance Program and Disabled Transition Assistance Program (TAPIDTAP) throughout the United States and around the world. Since the implementation of TAPIDTAP through the original legislation (P.L. 101-237) and the legislation which expanded TAPIDTAP (P.L. 101-51 0) VA has provided benefit information to separating service members and their families. VA encourages all separating service members to contact their respective Transition Centers to determine when the VA Transition Assistance Briefings are scheduled. These briefings provide information which will help you make the transition to civilian life easier by identifying many of the VA benefits available to you. You may find the locations of the briefing sites through the Department of Defense transition t~ortal web site. When the site comes up, click on the "At Your Service" link. Click on the Military Services Transition Assistance Locations link to locate the center nearest you. (http://www.dodtransportal.org/dav/lsnmedia/LSN/dodtransportal/) Links to Other Information * National Center for PTSD - The mission of the National Center for PTSD (Post Traumatic Stress Disorder) is to advance the clinical care and social welfare of Americas veterans through research, education, and training in the science, diagnosis, and treatment of PTSD and stress-related disorders. (www.ncptsd.org) PTSD Specific to OEFIIF Veterans - Information for clinicians, veterans and family members. (www.ncptsd.org/topics/war.html) Armv Review Boards A- - Discharge review and correction to military records such as the DD 214. (https://secureweb.hqda.pentagon.mil/ACTS~Online/gui/Login.aspx?ReturnUrl=Yo2fACT S-Online%2fgui%2flanding.aspx) - GOV Benefits.Gov - This Federal Government web site contains links to many Federal and State benefits programs. You can search by Federal agency, State, or category of program. (www.govbenefits.gov)
Iraq War Clinician Guide 190 Appendix J <strong>WAR</strong>ZONE-RELATED STRESSREACTIONS: WHATVETERANSNEEDTO KNOW A National Center for PTSD Fact Sheet JuliaM. Whealin, Ph.13. Traumas are events in which a person has the feeling that he or she may die or be seriously injured or harmed, or events in which he or she witnesses such things happeningto others or sees their effects. Traumatic events are of course common in the war zone, but they are common in the civilian world too, so that in addition to war zone experiences, many military personnel will have experienced one or more traumatic events in their civilian lives. When they are happening, traumas often create feelings of intense fear, helplessness, or horror for those who experience them. In the days and weeks that follow, they often create longer-lasting stress reactions that can be surprising, distressing, and difficult to understand. By understanding their traumatic stress re-actions better, lraq War veterans can become less fearful of them and better able to cope with them. While reviewing the list of effects of trauma below, keep in mind several facts about trauma and its effects: It is very common to have problems following exposure to war or other trauma. But traumatic stress reactions often become less frequent or distressingas time passes, even without treatment. Veterans with PTSD often worry that they are going crazy. This is not true. Rather, what is happening is that they are experiencing a set of common symptoms and problems that are connected with trauma. Problems that result from trauma are not a sign of personal weakness. Many mentally and physically healthy people experience stress reactions that are distressing and interfere with their daily life at times. If traumatic stress reactions continue to cause problemsfor more than a few weeks or months, treatment can help reduce them. Traumatic war experiences may cause many of the following kinds of (often temporary) reactions in veterans: Unwanted remembering or "re-experiencing." Difficulty in controlling distressing memories of war is experienced by almost all trauma survivors. Although these memories are upsetting, on the positive side, these memories mean that a person has a chance to make sense of what has happened in order to gain mastery over the event. The experience of these memories can include: unwanted distressing memories as images or other thoughts; feeling like the trauma is happening again ("flashbacks"); dreams and night-mares; and distress and physical reactions (e.g., heart pounding, shaking) when reminded of the trauma. Physicalactivation or "arousal."The body's "fight-or-flight" reaction to a life-threateningsituation continues long after the event itself. It is upsetting to have your body feel like it is over-reactingor out of control. Again, on the positive side, these fight-or-flight reactions help prepare a person in a dangerous situation for quick response and emergency action. Signs of continuing physical activation, so common following participation in war, can include: difficulty falling or staying asleep; irritability, anger, and rage; difficulty concentrating; remainingconstantly on the lookout for -DEPARTMENT OF VETERANS AFFAIRS NATIONALCENTER FOR PTSD
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