Despite an extensive history of punitive practices towards what we know today as the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community, LGBTQ people have served in the United States military since its inception (GSAFE, 2018). Those LGBTQ Veterans who served during World War II, the Korean War, and the Vietnam War did so at a time when the military defined homosexuality as a mental disorder, with support from the organized medical community (e.g., APA).
Blog posts with the tag "Service Members"
The percentage of "523,626 female and male active duty Sailors and Marines who entered the U.S. military between 2006 and 2013" who had a PTSD diagnosis, according to a recent article in the Journal of Traumatic Stress -- Prevalence of Posttraumatic Stress Disorder and Psychological Comorbidities Among U.S. Active Duty Service Members, 2006–2013.
Stigma is relative, socially and culturally determined, and dynamic. Consequently, stigma is a difficult concept to operationally define. This is important because definitions shape and directly impact efforts to research and reduce stigma. In 2014, the RAND National Defense Research Institute published an extensive assessment of stigma-reduction strategies within the DoD (Acosta et al., 2014).
Cognitive Processing Therapy (CPT) is one of the gold-standard treatments available to adults with posttraumatic stress disorder (PTSD) and remains a first-line recommended treatment in the latest VA/DoD Clinical Practice Guideline for the Management of PTSD and Acute Stress Disorder (DVA & DoD, 2017). CPT is a robust and flexible treatment in that it can be delivered with or without a written trauma account, in person or via tele-health, and individually or in group format. Dozens of randomized control trials and effectiveness trials demonstrate that CPT is one of the most effective treatments for PTSD in both civilian and military-connected populations.
In late 2017, the Department of Veterans Affairs in conjunction with the Department of Defense published an update to their practice guidelines for the management of Posttraumatic Stress Disorder (PTSD). This two-part blog will highlight the major recommendations of the new practice guideline: part 1 will focus on recommendations for screening and assessment and part 2 will focus on treatment considerations. Although we hope that these blogs help to clarify the major elements of the new guideline, we strongly suggest that all clinicians review the guideline for themselves. The full guideline as well as the Clinician Summary and Pocket Guide can all be viewed and downloaded in PDF format here.