Saturday, 12 March 2011

Insight from an Iraq Veteran - Transition from Combat to Civilian Life


The stressful and frustrating transition from combat life to civilian life isn’t easy, and can be made more difficult by financial stresses, unemployment, relationship crises, physical wounds such as traumatic brain injury (TBI), and untreated mental health issues such as post-traumatic stress disorder (PTSD).
After navigating and negotiating the dangers of combat, there are hundreds of people returning home to find figurative land mines while trying to transition back into civilian life, returning to or applying for jobs, applying for benefits, or simply reaching out for help.

Every person who has been in combat is significantly changed as a human being and about one third or more of returning vets experience a more severe PTSD. This interferes with our lives, our work and our relationships.

I know to be fact after having served 12 years in the Military, that I have the training to be in the combat zone, but having been in combat has diminished my perception of civilian life, and civilian people. Now, I feel like I don’t have the training or the know how to be a civilian again.
One of the problems with our perception as combat vets is that we feel that there is no safe place anymore and that we won't be understood by families and friends. One of the fears that I still carry, and the fear of a lot of combat veterans is that if I tell you what I really did over there, you’re not going to like me anymore or you're going to judge me. I currently have friends who call me "the merc" simply because I worked as a security contractor in Iraq and Kosovo. And from trying to reach out and navigating around the comments and perceptions made by friends and family, I find it more and more difficult to open up and take the step to transition and heal. I feel that If I tell you the brutal truth and the reality of what happened while deployed, you simply wouldn’t understand. So I can’t say what I really feel and this prevents me and thousands of others who have seen war from transitioning back into civilian life. This prevents us from healing.


Written by a private security contractor veteran from Iraq.

Deployment to a Combat Zone and its Affect on Our Families

The effects of deployment on families:

Families often deal with stresses such as frequent moves or the absence of a parent. Deployment to war creates additional issues for a family to handle, especially regarding post traumatic stress disorder veterans.
Families face a number of challenges before, during, and after deployment. This emotional cycle of deployment begins when news of deployment is released to the family. It starts with a short period of strong emotions, such as fear and anger. As departure grows closer, a period of detachment and withdrawal may occur. This can happen to prepare for the person being physically gone.

During the deployment family members have a range of feelings and experiences, including:
  • Concern, worry or panic
  • Loneliness, sadness
  • Added family duties and responsibilities
  • Learning new skills, making new friends
  • Fear for their service member's safety
  • Feeling overwhelmed
  • Financial difficulties
  • Dealing with problems on their own
  • Understanding what your loved ones have been through
  • Concern over being needed and loved

A childs reactions to a parent's deployment will vary with each child. Any persons reactions depend on their age, maturity and any other behavioral or mental health problems a person might have. The mental health of the at-home parent often affects their child's distress level. This is especially true for young children. If parents successfully handle the stress of deployment, their children are less likely to have mental health or behavior problems.
What happens after the deployed person returns?


Experiences during deployment have helped make families and the deployed person more responsible:
  • You have grown but you have also faced many challenges. Remember, readjustment following the return from every deployment takes time. Reunions can be happy and stressful. There is usually a "honeymoon" phase shortly after demobilization, but it will probably be temporary.
  • Children have grown.
  • A deployed person has been through traumatic experiences. You have had to face new situations in your deployed persons absence. You might also feel angry because you had to handle so much on your own while they were away.
  • Family members at home have changed, too. You may have developed new relationships.
  • You may be feeling pride in what you were able to accomplish while your service member was away. 
  • For some couples, issues of infidelity may have arisen. Partners may need to talk about each other's commitment to the relationship.
  • Family members are affected by the reactions to common stressful situations that occur after a deployed person spends time in a war zone. Understand that these reactions often have more to do with deployment to war than with the family, and remember that it takes time to readjust.
  • Certain symptoms seem to have the greatest impact on relationships. The most troublesome for newer Veterans following time in Afghanistan and Iraq seem to be sleep problems, dissociative symptoms (problems with knowing who or where you are), and sexual problems.

Parents and other family members of deployed person must make the same readjustments as the deployed person.
They, too, must realize that everybody has grown and changed:
  •  Their relationship with the deployed person will also be different. While they take time to get reacquainted, they will need to be aware of boundaries. It's easy for family members who have cared for a deployed person in the past to fall into old patterns. They want to take care of their loved one again in ways the person no longer needs or wants.

Impact of PTSD and other mental health problems on families
Many deployed persons returning from deployment to the recent conflicts are reporting family adjustment issues:
  • Some deployed persons report shouting with, shoving, or pushing current (or former) partners.
  • Some deployed persons say that their partner or children are afraid of them.

When the common reactions to war don't get better over time, or get worse, it may indicate more serious problems. If reactions are impacting life at home, work or school it is time to seek assistance for post traumatic stress disorder.

Summary
The effects of war can extend far beyond the deployed person and /or their family. Children and families can struggle with changes resulting from an absent parent or spouse. Families can also face problems when the deployed person returns and everyone has to deal with post traumatic stress.
The mental health of the at-home parent plays a key role in how children cope with deployment. The mental health of the deployed person returning from war also affects the children and indeed the whole family. The needs of the entire family are important.

Warzone-Related Stress Reactions: What Families Need to Know (PDF). From the Iraq War Clinician Guide.

Recovering from the War: A Guide for All Veterans, Family Members, Friends


Learn about what your veterans faced, the normal effects of war, how Post-traumatic stress disorder affects families, and how to recover from ptsd.
Reviews
"A book every veteran will want to give his or her spouse, and every spouse will want to give his or her veteran. A systematic investigation of the costs of war for active duty service members, veterans and their families, including information on how to recover from combat trauma. The examples are from Vietnam, but the experience is universal: I am reading your book right now. I picked it up in Kuwait coming back from leave. It has been very good ... I have learned a lot. I just want to say this book of yours is just awsome it brings tears to my eyes as I write this to you. I wish I had it long time ago. I have to tell you that I truly believe as a kid of a vet that we, ourself, end up with ptsd. I act so much like my father it is scary. -Iraq "IED hunter" combat engineer."


"I am writing because I recently read your book, and it brought to light a few areas that were lacking in my Family Readiness Group discussions and re-integration training. My platoon leaders and platoon sergeants have all read the book, and (against copyright laws, sorry) we have photocopied appropriate excerpts for all soldiers to read. I have 26 of 100 soldiers still married (deployed at 38 of 100, 2nd deployments are tough on young couples) and I plan on personally buying each of them a copy of your book and mailing it to the spouse before we re-deploy.  Thank you so much for your help.-T R, Captain, writing from Iraq."
 

Friday, 11 March 2011

Tai Chi for Relaxation and Stress Management




I have been practising Tai Chi for several months and I find that it lowers my stress levels and improves my mood.
In all the forms of Tai Chi there are movements that involve briefly standing on one leg, which may improve balance; circular movements of the shoulders and wrists which improve suppleness and circulation; learning the sequence of the set movements may improve cognitive function such as concentration; the social atmosphere can sometimes forge friendships and alleviate loneliness and anxiety; and the exercise itself can boost a person's mood and alleviate depression. (Chen, Y.K.: Tai-Chi Ch'uan - Its Effects and Practical Applications, pages 10-12. Newcastle Publishing, 1979)
All forms of Tai Chi have been noted by YK Chen as regulating body weight, improving cognitive, lung, digestive and heart functioning as well as improving skin tone and bone structure.
Research on Tai Chi in general, carried out at the University of Toronto by by Dr. Dahong Zhou, shows that Tai Chi provides moderate exercise which is equivalent to brisk walking. Dr. Zhou also mentions that Tai Chi in general reduces stress levels and emotional problems while improving "concentration, attention, composure, self confidence, and self control". Zhou indicates that Tai Chi generally reduces hypertension, relieves chronic headaches, dizziness and insomnia, has benefits for people suffering with mild arthritis and rheumatism, improves breathing and blood circulation and is "an excellent exercise for the mind." His research shows that due to the low intensity of most forms of Tai Chi, that as an exercise regimen it does not lead to fatigue or stress. (Zhou, Dahong, M.D.: The Chinese Exercise Book, pages 19-22. Hartley & Marks Publishing, 1984)
Click Here!

Children Coping with Parents Deployed to War



Children face many challenges because of a deployment to war. Deployed parents need to explain to their children where they are going, and how long they will be away. 
As one Dad deployed to Iraq phrased it:
"We need to take time to talk to our children about our feelings, what we do on our job, and what we think of our job. Help them know where we will be and plan ahead to keep in touch with them regularly and often.
Children also need to understand what will happen when the we return home. The amount that children can understand and how they cope depends on their age and how mature they are."

The effects of deployment on children.
Researchers have found that children with deployed parents tend to worry more and be afraid and sad. During war, a child may feel their world is less safe and predictable. Children may fear that you, the parent or other loved family member who is deployed may die in the war. Even if no close family member is affected, they may still feel unsafe.
  • Preschoolers (3-6 years) might think their parent was deployed because "I was bad." They may react with toileting issues, thumb sucking, sleep problems, clinginess, and separation anxiety. They may also be touchy, depressed, aggressive, or complain about aches and pains.
  • Very often, preschool and school-age children also worry about the safety of the parent at home. (One deployed Dad says that his Oldest Son assumed the role of the provider of safety. He assumed the father figure role during his time away from home.)
  • School age children (6-12 years) may perform more poorly in school. They may become moody, aggressive, or whiny. They may get stomachaches, headaches, etc.
  • Teens may become angry and act out. They can also withdraw or act like they don't care about things. Adolescents may also not like new family roles and responsibilities after the deployed parent returns home.
Children may play at war, acting out both sides, and creating good outcomes where the "bad guys" are beaten. This does not mean that they are comfortable with or understand real events. Children play best and most creatively when they feel safe. When they feel real threats or the danger of losing a parent, their play is more likely to be anxious and sad. Play doesn't really give them the answers they need for their fear and worry. Children need adults who can help them work through their fears.
Teenagers may deal with anxiety by engaging in risky and/or illegal behaviors. Teens may be better able to understand these events, but even they still need to be assured and comforted.
Is my child okay?
Make sure you are available for your kids. Be there to listen. Pay attention to how your children are playing. If games end with emotions like sadness, aggression, or worry, help your child work out more positive solutions. Above all, kids need to be sure that we will take care of them as best as and as well as we can.
These are some things to watch for:

Bad temper, difficulties being soothed
Tearfulness, sadness, talking about things that scare them
Anger toward people, picking on minority groups
Getting irritated and fighting with others
Changes in sleep patterns, trouble sleeping
More clinging behaviors at home, not wanting to go to school
Physical complaints (stomachaches, etc.)
Wanting attention
Things to do to help children cope with war.

  • Provide extra attention, care, and physical closeness.
  • Understand that they may be angry (and perhaps rightly so).
  • Limit exposure to news, especially when news repeats and is violent. Younger children should be shielded from this kind of news as much as possible. It will needlessly increase their worry of events they don't understand.
  • Respect your child's timing and ways of coping. Very young children may want to close their eyes or just go out and play. Don't confront children or force them to talk about things when they don't want to.
  • Keep an open door for the absent parent or loved one. Talk with him or her as often as possible, and for important dates like birthdays, holidays, etc. Talk about what it will be like when that person returns and what it would be like if they were here now. This is really important for younger children who may not understand why their loved one is not here.
  • Help your children develop and enjoy fun activities. Distraction can make time go by faster.
  • Stick to routines and plan for upcoming events.
  • Suggest positive and creative ways of coping for older children and adolescents (create scrapbooks and videos, write letters, take photos).
  • Discuss things. Let kids know they can talk about how they feel. Accept how they feel and don't tell them they should not feel that way.
  • Tell kids their feelings are normal. Be prepared to tell them many times.

Talk to help your children deal with war
Take the time to talk about war and deployment. Remember that talking can only make your family stronger. Don't ignore the subject. Do not minimize your child's concerns or stressors. Many parents would like to ignore the situation because thinking about war makes them feel vulnerable and powerless to protect their children and most parents feel that if we bring it up and discuss it is a negative thing. Talking about it ONLY helps and strengthens your family.
Children need a real message about what is happening around them. Children are very good at knowing when things are being hidden from them. Be truthful and honest regardless of the age of your child, but without overburdening, or overwhelming them.
And most importantly, provide lots of love and support.

Make sure that you, the parent-at-home, has support and assistance to cope with your partner's deployment.

With thanks to the Department of Veteran Affairs for contributing to this information.

Relax and Cure Trauma


  1. If you are stressed or depressed, one of the most amazing ways to feel better, is to make time to relax. If you need help right now, then find out how to be trauma free in 7 days or less here....
  2. Prepare to relax. Once you have accepted that there are negative stressors impacting your life, it's important to make room for relaxation amid all those busy things you're doing. Adding relaxation to your day will improve your productivity, not lessen it; while not adding relaxation into your life can lead to burn out, fatigue, stress-related illnesses, and constant insomnia. Ways to prepare for adding relaxation back into your routine include:
    • Let go of guilt. Many religious and cultural beliefs instill the value of hard work very deeply. Over time, and increasingly so with the advent of smart technology that keeps us hyper-wired 24/7, many of us have come to believe that being "on-the-go" constantly is the only way to prove our value. Having an unrealistic interpretation of "hard work" will end up wearing you down – hard work is giving your tasks the attention they deserve at the time they deserve, not letting it bleed into all hours of your day!
    • Accept that sleep is a very important part of life. During sleep, your mind continues learning in ways that are not possible during waking hours. Sleep restores and refreshes your body in myriad ways that do not occur when awake. Do not be tempted to devalue the worth of sleep. Moreover, the alleged ability of some people to thrive on four hours sleep per night is the exception, not the rule – most of us need the 6-8 hour sleep cycle for full restoration.
    • Recognize that finding your own optimal ways to relax may take time, and some trial and error. Don't give up – keep searching until you find the right combination of activities that relax you and rejuvenate your enthusiasm for living fully.
  3. Practice breathing techniques. Slow down your breathing and actively concentrate on it. This is always the easiest way to self calm, provided you remember to resort to it.
    • Breathe in through your nose and out through your mouth.
    • Inhale deeply, count to five, then exhale slowly, counting to five. Do this ten times to relax your muscles and nerves. Always relax on the out-breath.
    • For an excellent remedy to cure stress from trauma Click Here!