Stealth PTSD (DMW TOP Salvage)

I'm in therapy. It's a great feeling to finally be getting better.

However, there's something I'm finding out that really bugging me. For those who don't know, I'm an Iraq war veteran. I served with the 3d ACR in Iraq during their 07-09 deployment. Which means that I was present during what was later called "The worst of the Sectarian Violence", however you want to make a euphemism of that.

The thing that I find is that while I would occasionally have symptoms of mental illness, what is most horrible is the things I didn't see. The little niggling things that affect your daily life but you don't acknowledge. What I've come to think of as "Stealth PTSD" because it flies under your awareness, but is still just as effective in ruining your life.

So, here's the little symptoms I suffered that I'm finally getting help for. Keep in mind I'm also diagnosed as a hypo-mania/Atypical depression Bipolar, so some of this may apply to my other diagnosis as well as PTSD.

1. Trigger Avoidance.

This may not seem like a bad thing. After all, if there's things that cause you to go into a full blown flashback, it would make sense to avoid them. However, when avoiding your triggers, if it gets into a situation where it totally interferes with your daily life, there's a major problem. Like for example, the fact I haven't willingly gone outside during the night for four years.

Yes, you read that right. Four years. Didn't even think about it, until I started medication and therapy. Haven't been to a major crowd event in four years. Crowds make me jumpy, so even going to an award ceremony for my daughter makes me nervous.

What's worse is that I didn't see myself as consciously avoiding those things. I'd make excuses, avoid them, claim I didn't have time, anything. I had OBVIOUS triggers that I knew and was avoiding, but also talking about. It's the little subtle triggers I was also avoiding but wasn't aware I was doing it. It totally interfered with my life, but I didn't do anything about it.

2. Self-Care.

I hadn't bought a pair of shoes in over 2 years when I looked at my feet and noticed they were bleeding. This was after the medication had kicked in. I was in actual pain. I hadn't done my laundry in months. I wasn't taking care of myself. I was so totally focused on trying to get little things done, like pay rent, get kids to school, make sure kids eat, etc... that I was totally neglecting myself. I'd push it to the back of my mind, just like I used to do during the war.

I'd focus on tasks, environment, anything else. It was an ingrained habit. And then, one day, I looked at my feet.

It sneaks up on you. A day here, a day there, and soon, you're looking like the crazy veteran stereotype that people associate with PTSD. Not because you aren't aware that you're sick, but rather, because you're so focused on the little tasks that are vital that you ignore everything else. Army training, ported to civilian life, and taken in as a behavioral tag.

3. Self-medication.

I was functionally an alcoholic for about 2 years after I got back.

Every other night, I'd drink a six pack of beer. I'd claim that was normal, and I'd see plenty of other soldiers doing it, so I figured, hey! No problem.

Every other night.

Once again, it didn't interfere with my life. I was getting shit done. I was paying the rent. I was fine. I wasn't the problem. And then I went to the VA and they told me I had "Fatty Blood" and needed to cut down on my alcohol intake or I'd kill my liver.

That finally got through to me. I still drink, but MUCH less. I didn't need to go to a twelve step program, I needed to cut down on my drinking. I needed to understand why I was doing what I was doing.

Before I found a medication that worked, I used Medical Marijuana. I'd honestly still prefer to be on that for some of the worst symptoms. However, the fact that I had to use it for my panic attacks was a stopgap measure. I really needed to find out what the final cause of my problems was, and is, not self-medicate it away.

Those are just the symptoms I noticed However, I'm sure there's a ton more that people experience that just fly under the radar. The problem is that the Army doesn't prepare you for not seeing the symptoms. They will tell you to be aware of the heavy and obvious ones, but when you deal with those, it's the little ones that will sneak up on you and ruin your life.

All I can say is thank you to my family for getting me to the help I needed. Thank you to my incredible counselor who didn't judge me for being who I am, what I believe, and who I have had sex with.

It's still too little too late, and I know that for every veteran like me who has family and advocates to help out, there's hundreds who don't. It's the people who think they're fine who might be the worst off

(A Sad post note to this was my family and the local therapists gave up on me after ten months. It dropped me right back down to nearly zero until I got to Portland and REALLY started over. Overall, having the run pulled out from under you can hurt almost as bad as the trauma. Just glad to be where I am and doing what I am today. Just one damn day at a time.)

(One OTHER little note: Medical Marijuana HELPS more than psychiatric meds. When I wrote this I was forwarding all of my diaries to my therapist, to show how I was getting better. The Self Censorship at TOP really shows in this one, IMHO.)

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Raggedy Ann's picture

Raggedy Andy has PTSD from his childhood. Medical marijuana and one hell of a fantastic counselor are saving his life, too. My positive thoughts are with you.

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"The “jumpers” reminded us that one day we will all face only one choice and that is how we will die, not how we will live." Chris Hedges on 9/11

detroitmechworks's picture

Because the state of mind I was in when I wrote it was still in denial.
(Essentially I was saying what therapists were TELLING me to think. Should've been a freaking sign, but I was too obsessed with doing everything I could that I parroted the non-truths.)
Sorry to rant, but I now know the difference between a good therapist and a bad one. A good one listens, a bad one talks.

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Raggedy Ann's picture

We were fortunate to find this one. He's been seeing him weekly for about 20 months. It's a long road, but if you have someone like that, who you are trusting with your life, offering guidance and support, you're going to be willing to do the work.

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"The “jumpers” reminded us that one day we will all face only one choice and that is how we will die, not how we will live." Chris Hedges on 9/11

for anxiety -- I'm going to drop him a little note and suggest he talk to his doctor about medical cannabis if the meds don't work or end up with nasty side effects. He's up there in Portland so no issues with access, other than the fact he's on a limited income so not sure if cost would be a factor (I don't think insurance covers MMJ yet). The sooner we get a saner drug policy, the more people can actually be helped.

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detroitmechworks's picture

You don't need "Fancy" MMJ to get it to work. And I don't need to take it every day either. Overall cost is about 25-40 dollars a month for a nice low-dose Indica. (Course I also maximize my value by: A. Using A bubbler, B. Only using enough to get the calm/relaxation. I don't smoke to get "High")

If he's got panic/anxiety, I find that the best is a Blueberry Indica Hybrid. Blue Cheese, Blue Diesel, etc... anything with Blueberry dominant is very useful, and usually is fairly low on THC.

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Gerrit's picture

together, mate. Maybe we could talk here on c99 among the club about the recovery stuff. I was diagnosed with PTSD 3 years after the invasion. I've been in therapy - bad and, now, good, since 2006. It's better since the Forces punted me with a medical discharge: out of uniform the world's slowly getting better. I have a champion family; we went through a lot, but we've all reconciled and work together now. I've been on every damned meds out there, but my doc's got it down to the essentials now. I take Nabilone for nightmares: it's the cannabis chemical something, something, and it helps, sometimes. Soon as we can get on an acreage, I'm going on marijuana for daytime symptom control. Medical or homegrown, I don't care. I don't know if there are other vets here. I hope so. There are so many guys - and girls- hiding under the bed with a bottle and a gun. I'd be dead if I didn't get help and if my family gave up on me. Oh, the best meds yet is the dog we got me. I have a 3-yr old Golden Retriever. She helps me get off our property: we go for a walk every day. My wife wants to train her as a therapy dog so I can go to the mall or so. Except I don't want to go to a mall! A good dog - the right breed - is a real help. I just focus on a peaceful heart: after a freakout, I just work back to that.

Well, here we are, still breathing whether we want to or not. Trying to make the best of things. You keep your stick on the ice, mate.

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detroitmechworks's picture

But I did get a free large fish tank. At some point I need to get a stand. (Kids love Neon Tetras, and there's a few other fish I love seeing)

One thing I'm VERY glad of is that as soon as I started using MMJ regularly I haven't had a drop of alcohol since. I honestly did it because my kids tell me I'm a MUCH better person after I take my medicine than when I would drink. Reason enough, IMHO.

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Gerrit's picture

and I have my one beer at the end of the day. Much cheaper - 80 cents per 450 ml bottle. I can just never have two. Our kids have it right. My wife got a fish tank for next to free on kijiji and she loves her little fishies :=) I call them rabbit fish cause there's a lot of babies! Plus, it's great cat TV.

Maybe we vets here should share triggers and what-works. Like recipes! Hah, hah.

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detroitmechworks's picture

As far as recipes go, I like to do weird fusion cooking. I especially prefer Olive oil in almost everything. After lifting rounds for years it's amazing how much damage you can do to your hands, so the Olive oil has the added benefit of softening my calluses. Smile

My major trigger was desert air/wind at sunset. Moving to Portland with its near CONSTANT rain was actually a great move from the arid California coast.
Other things I have problems with is any group above 100 people (Concerts are OK, but I need meds usually beforehand...)

As far as fish go, my daughter wants "Glass Catfish" which are gorgeous. Honestly If I could have any pet at all I'd want a Corvid, but unfortunately they require a LOT of open space. (They HATE cages...)

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Martha Pearce-Smith's picture

Alcoholism runs in my family. Both of my parents (they were both military too...WWII) and both of my brothers.
Two of my three husbands were alcoholics too. My dad and both husbands only drank ~just~ beer.
Three years ago I buried my third husband who died of alcoholic liver failure. It is slow, and painful way to die...
Again, I am so glad you have stopped drinking...

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detroitmechworks's picture

Both of my Parents drink EVERY day. (Vodka)

Yeah, it definitely runs in my family. Was really nice of my kids to help me pull out of it. I'm REALLY proud of them. It takes a lot of courage to tell a parent when they are wrong, and they did it when it mattered.

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RantingRooster's picture

I just want to say 1) thank you for sharing such a deeply personal story and 2) recognize how brave an act that truly is and 3) I'm a vet myself (C battery 1/17th, 3 Corps Ft. Sill) and if you ever want to just talk, I'm here.

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C99, my refuge from an insane world. #ForceTheVote

detroitmechworks's picture

I'm actually amazed at how many Vets made the trip over to this site from TOP.
And I did AIT at Ft. Sill, but ended up at Lion Battery, Saber Squadron, 3d ACR, Ft. Hood.

But thank you, I may end up taking you up on that offer some time. Not that there's not a lot of organizations for Vets, but since I don't drink anymore the American Legion's not my style.

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My son is there.

And. Sill? How can anybody sleep at night there? All those kabooms in the wee hours.

I pray for all our brave soldiers, and especially when they aren't feeling so very brave.

My son serves in a support capacity, does not drive tanks. But we are all in this together.

We got your backs, all y'all.

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Grannus's picture

Add another one who made the trip. 12th Cav here. Seems to be a lot of Cav.

I'm one of the lucky ones. No recognizable PTSD from my time playing pop-up target.

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mimi's picture

would share their experience with a PTSD burdened Veteran in their family or relationship. It's hard to share, as we are not gone through it and haven't lived the Veterans experiences. At least I find the sharing very hard to do. It's just tough. I am in no mood to talk, on the other hand that is what I would have needed most. Whatever. As I said I am in no mood to talk other then recommending your diaries. Thanks for reposting them here.

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detroitmechworks's picture

For families that have somebody suffering in them. I know for a fact there's very few organizations to HELP those families. (Apparently my mom's therapist told her to kick me out on my ass when she asked for help, after a different one told me to go home for help.)

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stevej's picture

what you have been through and are going through. It does sound as if you are on the way to finding some sort of piece though.
I am learning a lot by reading your posts.
Same with Gerrit's writing.

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“To learn who rules over you, simply find out who you are not allowed to criticize.” -Voltaire

detroitmechworks's picture

There's probably a thousand who don't. I think I was just lucky that BEFORE I entered the Army I had a background in Writing, and Theater. It really helps communicate the feelings when you understand them a bit better.
(IMHO, everybody should take arts classes, if only to help them understand human emotion better)

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stevej's picture

and definitely agree with this:

(IMHO, everybody should take arts classes, if only to help them understand human emotion better)

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“To learn who rules over you, simply find out who you are not allowed to criticize.” -Voltaire

detroitmechworks's picture

At least as far as the economy goes nowadays. I forget who said it, but to paraphrase "The Sciences Teach us how we can live, the arts show us WHY we live."

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stevej's picture

both the arts and the science camp and tbh they are both undervalued now. We live in an MBA world.

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“To learn who rules over you, simply find out who you are not allowed to criticize.” -Voltaire

lotlizard's picture

The late founder of that company said and really seemed to believe that products good for the human spirit could be created only by marrying technology with the liberal arts.

As a commencement speaker, he also told a graduating class that one of the things he did that later proved to be a key step in his career and the computer industry was, to audit a calligraphy course after dropping out of college.

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Pricknick's picture

and retired vet, I can understand the battle you're facing.
The use of marijuana has been a lifesaver for many vets that I deal with on a regular basis. As a bonus, the hobby of growing their own has helped many to better understand how out of touch they were with things that bring joy and comfort to everyday life.
Best of luck on your return to the living.

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detroitmechworks's picture

My landlord respectfully asked me not to grow plants on his property, even though I have the right to do so. Since he's been really great, and asked me rather than demanding it, I decided to agree.
(BTW, I have the BEST landlord I ever had in my life. Never demands anything, only makes requests, and has been extremely prompt on any maintenance issues.)

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I love your expression at the end...one damn day at a time. I know from where that comes and like your version better.

Sure wish you could have a dog. One damn day you will. Peace.

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detroitmechworks's picture

And honestly, I never got along with those groups. Far too cultish...

I like this version better...

[video:https://www.youtube.com/watch?v=JOIcnlB1DCM]

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and I hope it helped to just bring it out in the open, get some reactions, possibly some helpful, practical advice.
I was raised by a Dad who was almost shot in two during the D-Day invasion. 8 machine gun shots to your torso does much more than cost some organs.
My high school and college buddies went to Nam, came back weird, and didn't get help until the late 90's.
I represented a vet in a dwi a few years ago. He was never sober. He had no defense. I convinced the district attorney to stake a straight plea of guilty, fine and court costs paid on day of judgment, because there was simply NO WAY he could survive probation. Or jail. I begged him to get help at the VA. I could use it, like, discuss his post-conviction in therapy was more important than probation officers giving him a lie detector test.
He didn't quit drinking, but did stop drinking and driving, he was eating, and was able to find some peace. He was shocked at his ptsd diagnosis. I checked on him often, asked his relatives to go visit, sort of report back to me if the therapy was working.
He died of heart failure 2 weeks ago. I am probating his will which I prepared for him. His kids thanked me, said the last few years of his life were some of his most contented.
Well, fuck. I need to go cry some.
Back later.

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detroitmechworks's picture

I'm glad at least things did get somewhat better for him. It's really a shame how many veterans are just ignored by the vast majority of our society, and it seems like it just gets worse as time goes on.

Thank you for doing what you have. I know it probably meant the world to him, even if he never said it.

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He actually called me to talk about his therapy. He did thank me. Another vet came back, actually did some time for manslaughter 20 years ago, and he came to me when he got HIS felony dwi charge. The assistant district attorney had never known a Nam vet. My client went nuts, was stalking the judge, just out of control. I called for extra security in the courthouse when he had to appear. He would carry his picture with his thanks from President Johnson with him to court. That man was a fucking fearless warrior. I had a conference with the DA and presiding judge, convinced them to give him probation on the condition he attend regular VA therapy sessions, and that the responsibility of him going to prison would be on him, not me, not the prosecutor, not the judge. I was beginning to be afraid of him myself!
So, they did it. And 5 years later, he is sober, in therapy, going to the VA every week, and when he sees the DA, or Judge, he shakes their hand, they have a good talk. Both of those men have told me they were glad I was creative. Of course, when I see him, I get hugs, kisses, love you so much's, and reports on everything in his life, all of it positive.
I saw him at the feed store 2 weeks ago. We were both buying tomato plants for our gardens. I continue to fuss at him to everything he is supposed to do, and he continues to give me love and kisses.
Days like that, I love my job.

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hester's picture

so many: Gerrit, RR, Pricknick, on the cusp make it so palpable. Thank you so much for the post and for all the heartfelt responses and openness it generated. This is a good place to be.

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detroitmechworks's picture

This was on the "Rec" list at TOP, prior to the purge.

I'd like to think they'd accept this kind of thing, but it's also VERY anti-war, which isn't kosher anymore...

But I totally agree, this is a GOOD place.

Edit: Sorry, response to Hester... still occasionally screw up on my responses.

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