Sheepdog Tip of the Day, After Combat tip 64

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PTSD is like being overweight. Many people carry around 10, 20, or 30 pounds of excess weight. Although it influences the individual every minute of every day, it might not be a big deal health wise. But for those people who are 500 pounds overweight, it will likely kill them any day now. There was a time when we could only identify people who had "500 pounds" of PTSD. Today we are better at spotting folks who carry lesser loads, 30, 40 or 50 pounds of PTSD. I have read statistics that say 15 percent of our military is coming home with "some manifestation of psychological problems." Others claim it is 20 percent and still others report 30 percent. Well, depending on how you want to measure it, 30 percent of all college freshmen have some manifestation of psychological problems. Mostly what is being reported on today are people with low levels of PTSD (30, 40 or 50 pounds of PTSD) who in previous wars would not have been detected. We are getting damned good at identifying and treating PTSD and, when the treatment is done, most people are better for the experience. PTSD is not like frostbite. Frostbite causes permanent damage to your body. If you get frostbite, for the rest of your life you will be more vulnerable to it. PTSD is not like that. PTSD can be more like the flu. The flu can seriously kick your tail for a while. But once you shake it off, you probably are not going to get it again for the rest of the year. You have been inoculated. PTSD can kick your tail for a while (months and even years). But once you have dealt with it, next time it will take a lot more to knock you off your feet because you have been stress inoculated.

Lt. Col. Dave Grossman, On Combat




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