This book takes a case-based approach to addressing the challenges psychiatrists and other clinicians face when working with American combat veterans after their return from a war zone. Written by experts, the book concentrates on a wide variety of concerns associated with posttraumatic stress disorder (PTSD), including different treatments of PTSD. The text also looks at PTSD comorbidities, such as depression and traumatic brain injury (TBI) and other conditions masquerading as PTSD. Finally, the authors touch on other subjects concerning returning veterans, including pain, disability, facing the end of a career, sleep problems , suicidal thoughts, violence, , and mefloquine "toxidrome". Each case study includes a case presentation, diagnosis and assessment, treatment and management, outcome and case resolution, and clinical pearls and pitfalls. Post-Traumatic Stress Disorder and Related Diseases in Combat Veterans is a valuable resource for civilian and military mental health practitioners, and primary care physicians on how to treat patients returning from active war zones.
I. Introduction 1. The Basics of Post-traumatic Stress Disorder, Administrative Issues, and Cultural Competency Elspeth Cameron Ritchie 2. Posttraumatic Stress Disorder Screening in US Military and VA Populations Daniel J. Lee, Christopher H. Warner, and Charles W. Hoge 3. Therapeutic Alliance in the Treatment of Combat PTSD James C. West 4. Shame and Moral Injury in an Operating Iraqi Freedom Combat Veteran Jonathan R. Dettmer, Erika M. Kappes, and Patcho N. Santiago II. Established and Evidence-Based Treatments 5. Updates in Psychopharmacology for PTSD and Related Conditions: Focus on the Active Duty Service Member Elspeth Cameron Ritchie and Christopher S. Nelson 6. Prolonged Exposure for Combat Veterans with PTSD Connie L. Barko, Rohul Amin, and Joshua N. Friedlander 7. Virtual Reality Exposure Therapy for Combat-Related PTSD Judith Cukor, Maryrose Gerardi, Stephanie Alley, Christopher Reist, Michael Roy, Barbara O. Rothbaum, JoAnn Difede, and Albert Rizzo 8. Psychoanalytic Approaches to Treatment-Resistant PTSD Joseph E. Wise III. Emerging Treatments 9. Accelerated Resolution Therapy Wendi M. Waits, Kevin E. Kip, and Diego F. Hernandez 10. Meditation for Combat-Related Mental Health Concerns Marina Khusid 11. Use of Transcranial Magnetic Stimulation for the Treatment of PTSD Geoffrey G. Grammer, Jeffrey T. Cole, Cody J. Rall, and Caroline C. Scacca 12. Adding a Face and the Story to the Data: Acupuncture for PTSD in the Military Anita H. Hickey and Robert Koffman 13. The Use of Stellate Ganglion Block in the Treatment of Panic/Anxiety Symptoms (Including Suicidal Ideation), with Combat-Related PTSD Eugene Lipov 14. Canine Connection Therapy: Finding Purpose and Healing Through the Training of Service Dogs Meg Daley Olmert, Michelle Nordstrom, Marshall Peters, Matthew St. Laurent, and Rick Yount IV. Comorbidities 15. Trauma and Pain: Linking Emotional and Physical Symptoms Genelle Weits 16. The Multifactorial Approach to PTSD in the Active Duty Military Population Rita Richardson, William D. Rumbaugh, Jr., and Hanna Zembrzuska 17. Comorbid PTSD, Bipolar I and Substance Use Disorder Rachel Sullivan 18. Psychosis Masquerading as PTSD Eric G. Meyer and Brian W. Writer 19. The Mefloquine Intoxication Syndrome: A Significant Potential Confounder in the Diagnosis and Management of PTSD and other Chronic Deployment-Related Neuropsychiatric Disorders Remington Nevin and Elspeth Cameron Ritchie 20. Polytrauma with Sexual Dysfunction in a Female Soldier Following IED Blast Exposure Jonathan R. Dettmer, Shannon C. Ford, and Kyle J. Gray 21. A Community Building Approach to PTSD Using the Arts in a Military Hospital Setting Seema Reza, Kerrie Earley, and Matthew St. Laurent V. Cultural Competence/Special Populations 22. Mental Health Care of Special Operations Forces Paul Sargent 23. Treating War-Related Moral Injury and Loss with Adaptive Disclosure: A Case Study Alexandra L. Laifer, Amy D. Amidon, Ariel J. Lang, and Brett T. Litz 24. Treatment of Conversion Disorder with PTSD Paulette T. Cazares 25. Intimate Relationship Distress and Combat-Related PTSD Nicholas Tamoria, Miguel Alampay, and Patcho Santiago