Saturday, February 12, 2011

Once a Warrior - Always a Warrior: Navigating the Transition from Combat to Home - Including Combat Stress, PTSD, and mTBI PDF

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Being back home can be as difficult, if not more so, than the time spent serving in a combat zone. It's with this truth that Colonel Charles W. Hoge, M.D., a leading advocate for eliminating the stigma of mental-health care, presents Once a Warrior - Always a Warrior, a groundbreaking resource with essential new insights for anyone who has ever returned home from a war zone.

In clear, practical language, Dr. Hoge explores the latest knowledge in combat stress, PTSD (post-traumatic stress disorder), mTBI (mild traumatic brain injury), and other physiological reactions to war, and their treatment options.

Recognizing that warriors and family members both change during deployment, he helps them better understand one another's experience, especially living with enduring survival skills from the combat environment that are often viewed as "symptoms" back home. The heart of this book focuses on what's necessary to successfully navigate the transition - "LANDNAV" for the home front.

Once a Warrior - Always a Warrior shows how a warrior's knowledge and skills are vital for living at peace in an insane world.

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  • Audible Audio Edition
  • Listening Length: 11 hours and 8 minutes
  • Program Type: Audiobook
  • Version: Unabridged
  • Publisher: Tantor Audio
  • Audible.com Release Date: April 23, 2012
  • Language: English
  • ASIN: B007WOSVAS

Once a Warrior - Always a Warrior: Navigating the Transition from Combat to Home - Including Combat Stress, PTSD, and mTBI PDF

Why is this book great

1. Page 146. There is a specific scale which clearly defines control issues or extended use of controls in a person's life to help stabilize PTSD. These control factors can bring a sense of stability to a person but turn off other people. Because of these control issues, I have people turn against me. That hurts me and probably them-which is why they turned against me.

2. Page 175. Brings home FULLY why people do not get help. Anyone who wants to work with those of us who have these PTSD conditions needs to understand this. Not just read the page-have this page burned in our memory. Xerox this page and carry it in your pocket.

3. Page 275. The V's at the end of the book are the solution to get us somewhat stable from the PTSD mess left in our heads. These V's can build good action plans. These V's should be the foundation of everyone's encounter notes!

This book also teaches all the therapies and treatments out there. The book doesn't really make judgements. This book just lays out the options. The same could be said for navigating the system. Most people do not understand how navigate the system. Most people do not know-they are about to enter a system. They just want help. They are about to get that help by entering a system. Navigating the system is almost never taught or recognized.

If I had enough money I would buy this book and drop it by air drop all across America.

The down side
The author doesn't seem to recognize the importance of the amount of veteran's returning with characteristics of Axis II. Axis II symptoms are in large numbers of current returning veterans. Repeated deployments? I do not know.

There is:
I want you-I hate you.
I am here-I am gone.
This is a soldier's book. Written by a military psychiatrist whose published articles in scientific and medical journals has been on the cutting edge of military traumatic disability research, Once a Warrior dispenses with doctor-talk and is directed to the grunt at the front who is trying to come home - in every sense of the word.
Using a format that consists of both didactic, plain-talk instruction and a set of self-help exercises, this book addresses what have been called the "signature injuries" of the Iraq and Afghanistan theater wars, posttraumaric stress disorder (PTSD) and traumatic brain injury (TBI), specifically focusing on so-called mild traumatic brain injury (mTBI), which usually does not result in dramatic symptoms and impairments like loss of vision, impaired speech, or immobility, but which can produce a wide range of more subtle, yet significantly disabling physical, cognitive, emotional, and behavioral symptoms. These include dizziness, sleep loss, fatigue, sensory hypersensitivity, impaired concentration and memory, irritability, impulsivity, and depression. In fact, many of the symptoms of mTBI overlap with those of PTSD, often confounding accurate differential diagnosis and appropriate treatment planning.
Early chapters describe the challenges of transitioning from a red-alert war-zone mentality to the vagaries of civilian work and family life. Subsequent chapters provide practical strategies for dealing with tension and stress, improving sleep, avoiding overuse of alcohol and drugs, modulating anxiety levels, managing anger, dealing with irrational guilt and justifiable grief, and using meditation, mindfulness, and narrative approaches to lower stress.

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