Symptom Media

PTSD Combat Veteran

This training title PTSD Combat Veteran highlights the major symptoms of Post-Traumatic Stress Disorder.  Symptoms of Post-Traumatic Stress Disorder may include: recurrent recollections of the event, distressing dreams of the event, acting or feeling as if the traumatic event were recurring, intense distress when exposed to internal or external cues that symbolize or resemble an aspect of the traumatic event, persistent avoidance of stimuli associated with the trauma including thoughts, feelings, conversations, activities, and recollections, diminished interest or participation in activities, feeling of detachment from others,  restricted affect, difficulty falling or staying asleep, outbursts of anger, difficulty concentrating, and exaggerated startle response.

The patient in this episode demonstrates many of the classical symptoms of Post-Traumatic Stress Disorder.

Sleep Disturbance:
The patient reports that he has dreams about the events from combat overseas every night, fearful of sleeping or closing his eyes.  He reports that nightmares persist every night, making him afraid to go to sleep.  He reports that being in heavy traffic increases his levels of anxiety.

Exaggerated startle response:
The patient reports that when he attended the county fair and the fireworks went off, it triggered memories from being in war.  The patient reports that he ran for cover and was tackled by the police who were thinking he had stolen something and was fleeing.  Only when the patient stated that he was a combat veteran did the police let him go and understood his anxiety.  The patient states that he becomes severely startled when ever a car back fires, followed by becoming increasingly anxious.

Intense distress when exposed to internal or external cues that symbolize or resemble an aspect of the traumatic event:
The Sergeant reports he witnessed and experienced multiple, traumatic combat events which interfere with every day living, often making him feel nauseated.  He gives examples such as the loud sounds of a saw cutting into wood and busy traffic.  He reports that traffic makes him anxious since he remains afraid that when his car is stopped someone will place an IED under his car.  When in traffic he reports that he sweats, shakes, and feels he cannot breathe. He reports that the sounds of cars’ backfiring remind him of explosions, causing him to feel that he is once again under enemy fire. The patient reports that smells such as hair burning or smells of diesel fuel bring a rush of memories of combat.  The patient reports that the smell of diesel fuel reminds him of the time when he smelled two friends burning to death when their humvee exploded. The smells of diesel fuel also remind him of two other observed tragic humvee incidents.

Persistent avoidance of stimuli associated with trauma:
When discussing the difficult and vivid memories of combat, the patient stops talking and wants to change topics.  He reports that he must avoid all cues which remind him of combat including: loud sounds, being caught in traffic, smelling diesel fuel, and other cues for remembering bad times during combat and missions. As a result, he reports he is now avoiding all social situations which may have unexpected cues which can launch floods of bad combat memories. He reports he restricts himself to staying at home.

Feeling of detachment with others:
As the Sergeant talks, he has difficulty talking about these episodes, experiencing hesitation, shame, and embarrassment as seen with his eye movements and his constantly looking down at the floor.  From time to time, we observe that the patient exhibits moments of breathlessness.

Restricted Affect:
The patient does not demonstrate the usual full range of affect, appearing restricted in emotions. He reports that the combat events are difficult to talk about and when he does talk he appears to experience hesitation, shame, and embarrassment.

All segments are portrayals by actors. The training titles DO NOT include actual patients.

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Actual Running Time of this training title is approximately 11 minutes and 30 secondsSubscribe today to view films in their entirety.

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