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PTSD A support forum for anyone whose loved one is suffering with PTSD or having problems with family reintegration post-deployment.

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Old 12-19-2007, 03:28 AM   #1 (permalink)
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Is it possible???

The doctors told my husband that he had the beginning signs of PTSD and my friend who has it says he sounds like he has it.... but the doctors took back that he has PTSD.... what's up with that???
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Old 12-19-2007, 06:45 AM   #2 (permalink)
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Did they offer an alternate diagnosis? Maybe it's just general depression, or they don't have conclusive enough signs to actually start medicating/treating him for such a strong disorder.
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Old 12-19-2007, 01:16 PM   #3 (permalink)
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I would go get a 2nd oppinion...from a doctor of base
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Old 12-19-2007, 01:18 PM   #4 (permalink)
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Was he actually diagnosed? did the doctor give him a reason why he thinks is not PTSD anymore? Does your husband thinks he has PTSD?
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Old 12-19-2007, 01:50 PM   #5 (permalink)
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If they say it's the "beginnings" of PTSD then it's not oficially PTSD,there's a lot of criteria for diagnosis, including time period, most likely it's daignosably "acute stress" which is the START of PTSD. After SIX months of the problems and them causing adverse affects in his life then it is DIAGNOSABLY PTSD. I suggest he get help NOW so that these things don't get worse, because more often than not they do. It's GREAT that he went in early to see what's going on. That's encouraging, and because it's early he can prevent it getting much worse. There are some resources posted in here.
It won't hurt to get a second opinion if you wish to though.
Good luck and we're here for you!

PS- if you want to tell us, what exactly is going on ?
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Old 12-19-2007, 02:04 PM   #6 (permalink)
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Diagnostic Criteria

Also, if it was a PHYSICIAN as opposed to a psychologist or psychiatrist (the difference- psychiatrist is an MD and leans more towards medications. They are also able to prescribe whereas psychologists can't except for in New Mexico and Arizona right now.) then that's why he "took it back." He's not qualified legally to make that diagnosis.
I looked in my DSM-IV-TR (That's the book Psychologists and counselors use to diagnose mental disorders) for you and found exactly what the description is. This is what they will look for to diagnose the problem. Note that they don't have to have ALL these symptoms, just a specific number.

Diagnosis of Posttraumatic Stress Disorder (PTSD)
There is no laboratory test for PTSD. The diagnosis of PTSD is based on the clinical history of the patient and the occurrence of a traumatic event. A diagnosis of PTSD cannot be made without a clear history of a traumatic event.

The American Psychiatric Association (APA) specifies the symptoms and criteria for PSTD in its Diagnostic and Statistic Manual of Mental Disorders:

Diagnostic Criteria for Posttraumatic Stress Disorder

The person has been exposed to a traumatic event in which both of the following were present:

The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others.

The person’s response involved intense fear, helplessness, or horror.
Note: In children, this may be expressed instead by disorganized or agitated behavior.

The traumatic event is persistently reexperienced in (or more) of the following ways:
Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions.
Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed.
Recurrent distressing dreams of the event.
Note: In children, there may be frightening dreams without recognizable content.
Acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated). Note: In young children, trauma-specific reenactment may occur.
Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
Physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following:

Efforts to avoid thoughts, feelings, or conversations associated with the trauma.
Efforts to avoid activities, places, or people that arouse recollections of the trauma
Inability to recall an important aspect of the trauma
Markedly diminished interest or participation in significant activities
Feeling of detachment or estrangement from others
Restricted range of affect (e.g., unable to have loving feelings)
Sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)

Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following:
Difficulty falling or staying asleep
Irritability or outbursts of anger
Difficulty concentrating
Hypervigilance
Exaggerated startle response
Duration of the disturbance (symptoms in Criteria B, C, and D) is more than 1 month.

The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

APA. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. 1994. Washington, DC: American Psychiatric Association (APA).

Another tool used to evaluate symptoms of PTSD is the Clinician-Administered PTSD Scale (CAPS), a self-reporting questionnaire that assesses the nature of trauma, the patient's current condition, and the prognosis. The CAPS also helps identify associated conditions or complications, such as guilt and an impaired sense of surroundings.

Differential Diagnosis
Other conditions cause many of the symptoms experienced in PTSD and these conditions must be ruled out. Additionally, conditions such as substance abuse and depression develop as complications of PTSD. Ultimately, the distinguishing factor is the fact that the patient has experienced a severe trauma.

Some of the conditions that must be ruled out include the following:

Adjustment disorder
Depression
Panic disorder
Substance abuse or dependence disorder
Furthermore, malingerers — that is, people who falsely claim to be traumatized—sometimes feign PTSD symptoms in order to win money in a court case as compensation for "emotional suffering."

Course
The course of PTSD is often determined on when the person begins to experience symptoms.

Immediate Onset

Better response to treatment
Better prognosis (i.e., less severe symptoms)
Fewer associated symptoms or complications
Symptoms are resolved within 6 months
Delayed Onset

Associated symptoms and conditions develop
Condition more likely to become chronic
Possible repressed memories
Worse prognosis
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About 50% of those who have acute onset of symptoms recover within 6 months. Roughly 30% develop chronic symptoms that may affect them for the rest of their lives. Others experience intermittent periods of symptom severity and remission.

Hope this helps!
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Old 12-19-2007, 03:07 PM   #7 (permalink)
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well they told him he has combat stress and anixeity(sp?) and he was having night terrors as well.... then was the whole homicidal and suicidal tendencies.... but anyways, they told that the next week they'd put him on meds.... well he went back the next week and he'd just got off the phone with me, and they said oh you don't have PTSD anymore, you are fine becuase you are happier.... and he told the doctor, "that's because i just called my wife you idiot!" and yea, it's been a fun deployment with his superiors and their wives......
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Old 12-19-2007, 03:08 PM   #8 (permalink)
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maybe get him into a counselor or get a second opinion.
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Old 12-19-2007, 04:09 PM   #9 (permalink)
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we just gave up.... if he has anything they find it in his post deployment eval....
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Old 12-19-2007, 04:52 PM   #10 (permalink)
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Combat Stress and anxiety are the start of PTSD and as far as him being happier so it's not ptsd.. wow, that dumbss should be kicked in the stones!
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