February 11, 2009 1:50 PM

Military Struggles With Response To PTSD

By
CBSNews
(CBS)  The Pentagon says 1 in 5 service members who come home from Iraq or Afghanistan suffer from post-traumatic stress.

Some find their experiences too much to bear. There were 115 military suicides last year, and 93 through just August of this year.

The biggest obstacle to getting those numbers down may be the military culture itself, reports CBS News correspondent Kimberly Dozier.

First Sergeant Jeff McKinney was a model soldier, a newlywed, and a new father.

Now, his family says, he's a casualty of war. Two wars really: the war in Iraq, where he served honorably, and the war within the military over how to deal with post-traumatic stress disorder.

On July 11, 2007, McKinney, serving on his second tour, killed himself in front of his men. He had endured months of sleeplessness, nightmares and guilt over losing so many of the soldiers he commanded.

"I think he felt like he couldn't send one more broken body home, one more dead person home," Jeff McKinney's father, Charles McKinney, said.

McKinney's personal battle mirrors the war within the U.S. Army, between those who call combat stress a killer, and those who call it an excuse.

In McKinney's case, there had been troubling signs, but he hadn't been taking the medication given to help him cope -- and his captain feared taking him off duty would destroy his career.

Commanders like First Sergeant McKinney are often the hardest to convince they need help.

"We've got a rough and tough, sort of macho culture that says none of that soft squishy touchy feely stuff," said Brigadeer General Loree Sutton, director of the military's Center for Psychological Health and Traumatic Brain Injury. "Well, we need to bring the brain out of what has been a black box."

But that's fighting Army tradition.

Commanders at one army base posted a fake "Hurt Feelings Report" -- portraying a crying cartoon face -- to mock soldiers seeking help for combat stress. Selections on the form included: "I am a crybaby," "I want my mommy" and "All of the above." It was tacked on the barracks bulletin board, next to the sign-up sheet, for the mental health clinic.

Sutton says the military's challenge is to teach soldiers - and commanders - that the nightmares or flashbacks aren't signs of weakness.

"It's about starting a different dialogue, giving folks permission to talk," she said.

The military is testing promising pilot programs.

Instructor and former Army ranger Steve Robinson, who works for the organization OneFreedom.org says it's about training the brain to cope with traumatic memories: "Teaching soldiers skills like visualization, event resolution, breath work, quiet time so they can process what happened."

But for First Sergeant McKinney, there were no such tools to cope. His wife says she knows what she'll tell her son.

"He needed help and nobody helped him," Chrissy McKinney said. "And that's the reason why he died."

But, she said, "He died a hero."

Copyright 2009 CBS. All rights reserved.
Add a Comment See all 24 Comments
by Ahulani March 7, 2009 9:50 PM EST
Dear blughat20,
I just read your e-mail and your story is so similar to a friend of mine, who was buried for hours under a crashed helicopter in Vietnam. He too lived for years with a life damaged by PTSD. However,a few years ago, he has found a very simple technique called TAT that has made his memories like a movie, but without the emotional charge on them any more. He can be with what happened and not have a diminished life. In fact, he is an amazing guy, full of the life and love that everyone wants and deserves.

Please, look at his story at http://www.tatlife.com/ where he talks about what happened. and also look at this Youtube video with a vet who just finisned a short workshop last summer.http://www.youtube.com/watch?v=uFvB_YpgOpk

I am sure there is help for you there. You do not need to relive anything, but you are able to let the trauma dissolve into the past and not have it negatively affect your present life.

I know this sounds amazing, but now he does work with Vets with similar issues. He and other TAT professionals are there for all combat vets and their families who have been traumatized. PTSD is a brain injury and it can be helped. This group did a workshop with combat vets last summer for a few days and their lives have been changed in beautiful, astounding ways. There are testimonials on the site and ways to contact people trained to help you.

Whatever you decide, bless you and may you find all the help you need. And thank you for your life as a warrior.
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by psychjerry December 28, 2008 12:43 AM EST
The Department of Defense/Department of Veterans Affairs Practice Guidelines have placed Eye Movement Desensitization and Reprocessing (EMDR) in the highest category, recommended for all trauma populations, at all times.

Nonetheless, I believe that it is imperative that any lingering misconceptions surrounding its effective use be dispelled, in order that more soldiers are afforded the opportunity to ease their suffering, by applying this remarkable therapeutic approach. EMDR is a form of psychotherapy that assists patients in resolving disturbing memories.

As a Pennsylvania psychologist, I have been using EMDR since 1995, after having completed my formal EMDR training, under the direction of Dr. Shapiro, EMDR''s originator. Most of today%u2019s concerns about this therapy seem to be centered on the notion that there exists little evidence for its use as one of psychotherapy''s empirically supported treatments. In so much as it is vital that no health care provider do patient harm, my question is to consider the harm that could occur, however, if EMDR is not offered as a timely treatment option.

Throughout the years, it has been my experience that EMDR helps patients to make a link between what they "know" to what they "feel." This "break-through" is vital, especially with the trauma patient who is finally able to resolve their disturbing memories. Numerous studies also appear to support this same contention.

Psychologist Gerald A. Solfanelli
http://www.ThePsychologist.com
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by harp1963 December 27, 2008 10:26 PM EST
I work with a really good guy who tried to get FMLA at work for PTSD and was denied. He told me sometimes what he experienced really bothers him, but he can''t get his doctor at the VA to do the paperwork for the FMLA.
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by blughst20 December 27, 2008 6:37 PM EST
The lack of knowledge in the comments to this aricle is astounding. I am 100% disabled from PTSD. I was a helicopter pilot in Vietnam and spent 18 mos in combat. Numerous medals, missions ect. ect. I can tell you for 24 years my life was a nightmare. Then I found a friend who understood me and got me into a treatment program. After 10 weeks of intensive inpatient treatment and I had some understanding of what caused all my self destructive habits. Since it was 24 years to late for a "cure". I now live with PTSD and try to regulate my life best I can. It is the people like many of the postings here that made my life even worse."get over it" "it was a long time ago". You don''t get over it. You don''t forget. You can''t most combat vets can''t. So lest you''ve been there and examined your life after word best is just to listen and learn. And a side note: It not political unless the politicians refuse to do something to help soldiers who return from combat.
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by renonv5 December 27, 2008 5:53 PM EST
morphndol8: Did something awful happen to you? You seem to be in a very dark place....
Posted by willo1301

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I was hoping if we all ignored it, it might go away.
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by ingabowyer December 27, 2008 5:44 PM EST
Rest in Peace soldier. Jeff, you were a good man. This story did not truly capture all you were and all you did. The Army (and your fellow countrymen) let you down, because they/we can''t or won''t recognize that mental health is as important as physical health. Our fighting troops experience trauma that can''t be wiped away by the glib reproach: "grow a pair."

Bush and Chaney may be responsible for getting us into this assinine war, but we are responsible for helping 1st Sgt. Jeff McKinney and his fellow troops face the trauma of war.
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by jokon1 December 27, 2008 11:37 AM EST
Hello first im a atomic veteran who came down with hairey cell leukemia because of the tests in 1955 i took part in yucca flats nevada operation tea pot.Now that said lets get down to the real problem fixing the va and the many problems it has taking care of our veterans old and new Instead of blaiming this one and that one for our present problems lets start to straighten them out.We have many concerns in oucountry today and taking care of those who protect us as far as im concern is one the the most important one. In 2009 we face issues that all americans must pull together to solve. Lets concern our selfs with that and stop looking for fault it will not change anything As a people working as one we can change anything that is thrown at us lets start thank you for reading this note joe cohen hastings-on-hudson new york
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by runningralph December 27, 2008 9:36 AM EST
In order to relieve stress the military should re-institute the draft. Volunteers make better soldiers, but most draftees will do well. The officer corps should always communicate what they are fighting for. If an officer vacillates or gives the impression that the war is about bloodlust or showing how brave he is the soldiers will have doubts. Doubt leads to stress.
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by woodjd42 December 27, 2008 8:20 AM EST
these guys get the best care in the world,they get good pay for what they do, and knew from the start what they were getting into.like at any job there
are risk,occupational hazards is the term.I was in Vietnam in 70,I don''''t look back but through my rear view mirror.I do not wor-ship war or my time in it.
these men should just grow a pair and be grate-ful
they walk among the living.


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Posted by decotoguy

What did you do in nam and where were you?

I could not disagree more with you statement. I too am a VV and have seen many of good men become casualties of war after the fact just because of thinking like yours.
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by neo269 December 27, 2008 8:15 AM EST
Soldiers aren''t stupid. They know that the Liberals and Dems not only don''t support them or their mission, but have actively the Terrorists who have been murdering them. If this country really supported the troops there would be a lot fewer problems with PTSD - and a lot fewer dead soldiers.
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