Healing Combat Trauma

Reserved to Fight: New Documentary Features Young Veterans Realizing "You Are Not Alone"

There's a new documentary out, showing on PBS this month (click here to find your local station), co-produced by the Iraq and Afghanistan Veterans of America (IAVA) and called "Reserved to Fight." This is how the director describes it:

"In May 2003, Fox Company of Marine Reserve Unit 2/23, returned home from front-line combat in Iraq. Reserved To Fight follows four Marines of Fox Company for four years through their postwar minefield of social and psychological reintegration into civilian life. The return to their communities proves as formidable a battle as the more literal firefights of previous months. Living among loved ones who don’t yet understand them and how they have changed, contending with a media focused on the politics rather than the human experience of war, and suffering from a psychological disorder that is difficult to acknowledge, these young veterans grapple to find purpose and healing.

For each Marine, their new status as a young veteran leaves them often without goals, camaraderie, or an immediate channel for the adrenaline that their combat-ready bodies still produce, even many months later. Most significantly, they lack a safe place internally to store the images, sounds, and experiences collected from war. Encroaching civilian reality only serves to widen the painful gap that exists between them and the society in which they live; a gap which they feel so personally and painfully.

Taking anti-war media personally, Mark Patterson returns home adamantly speaking out against those who oppose the war. He is unwilling to admit that the war has affected him, and his life becomes consumed with trying to convince his peers that his actions in Iraq were correct. But when his long-time girlfriend and emotional support, Jana, suddenly breaks up with him, severe depression forces him to confront his past, drastically reshaping his future. Matt Jemmett is immediately diagnosed with Post-Traumatic Stress Disorder (PTSD) after his return home, but when traditional therapy doesn’t work, he decides he needs seclusion and takes a job in a remote desert location
working with at-risk youth.

Raised in a strict religious society, Earl Simmons’ abuse of alcohol to fight traumatic memories of the war leaves him unable to fulfill a two-year church mission. Returning to his community for a second time, shame and seclusion force him to face his demons. Upon returning home, Chris Nibley just wants to be normal: “start a family and have a lot of kids.” However, finding himself depressed, he soon
realizes that he does not fit into this concept of “normal”. As a result he is left feeling isolated and without direction. All attempts to find happiness only leave him hopeless of ever finding his sense of purpose in America again and he makes a rash decision to volunteer for a second tour in Iraq; knowing, almost hoping, he will die.

As the Marines’ individual stories unfold, we discuss the mental stress of war and its affect on veterans of WWII and Vietnam.

Ray Howarth, a prisoner of war and purple heart recipient of WWII, struggled with severe emotional stress resulting in random bursts of rage. Forty years after the war he decided to visit a therapist and found “I was never deprogrammed from war.” Now Howarth has dedicated his life to helping veterans
readjust. Terry Haskell, a Vietnam veteran, reflects on his experience after coming home and shares “I was lost for ten years, I think time finally healed me. I could forgive.”

It is the stories of these veterans that make this film distinctive. While their lives are the vehicles for this story, it is ultimately about all veterans. Today, thousands of veterans walk a similar tight rope hinged on confusion, loneliness, isolation, and despair. This film will help them realize they are not alone, while offering awareness both for the veterans and their communities."

Sounds worth watching.  In reality, reservists face special challenges unique to them.  Non-career military, they are expected to "resume" normal lives as quickly as possible, but with all the same difficulties, sometimes even more, than those who are active-duty military.  Like the National Guard, special care needs to be paid to the unique challenges of reservists.  Wrenched from the common experience of wartime, they go back to civilian lives separated from their buddies, with whom they could otherwise hope to process the combat experience.  Similarly, they also return to families, jobs and communities that frequently expect them to be more or less "fine," because they're now back from the war, yet with few resources to help them or their families integrate these divergent experiences.

Editor's note: If you want to read about another Marine battalion that served in Iraq, 1/25, also known as "New England's own," read this earlier blog entry, linked here, which mentions and links to the extensive coverage by the Boston Globe -- which gave reporter Charles Sennott a year to follow the battalion -- and the Providence Journal Bulletin. A good video, which we've also blogged about earlier, here, is from the Norfolk County (Massachusetts) District Attorney's office, called "PTSD and Veterans: Beyond the Yellow Ribbon." It talks about various re-adjustment issues after combat and particularly focuses on reservists.  Highly recommended.

Racktime, Sacktime: The Importance of a Good Night's Sleep for Brain and Heart Health

Trying to pull together two seemingly unrelated concepts lately: the importance of a good night's sleep (heck, any decent sleep would be a good idea) and heart health, let's look at this longish quote from an interesting and worthwhile book, The Cortisol Connection: Why Stress Makes You Fact and Ruins Your Health -- and What You Can Do About It, by Shawn Talbott, Ph.D. 

 

Essentially the background here is that high cortisol levels are both common in veterans with PTSD, and implicated in the literature with increased risk of death from heart disease.  It's also thought that cortisol causes other problems, including weight gain, diminished libido, increased blood pressure, and other topics of interest to veterans and their families, some of whom struggle with all these issues.

 

By writing a whole book about cortisol levels and their effect on health, Talbott is able to isolate the importance of some things we might not ordinarily think about (as well as suggest improvements). Says Talbott on cortisol levels and sleep:

 

"If you’re like most people, you understand that stress management can be used effectively to help with stressful events.  After reading the previous chapters, you now know that effectively managing your stress response will help you maintain your cortisol levels within a more normal range.  What you may not know, however, is that as little as a night or two of good, sound, restful sleep may do more for controlling your cortisol levels and reducing your long-term risk for many chronic diseases than a whole lifetime of stress-management classes.  Here’s why:

 

When you were just a few months old, a mere babe, your brain had you programmed to sleep about 18 hours a day – not a very stressful existence.  Upon reaching adulthood – say, about 20 years of age – your nightly allotment of sleep had been slashed to less than seven hours (six hours and 54 minutes, according to the National Sleep Foundation.)  That’s around two hours less than the eight to nine hours recommended by sleep experts for optimal physical and mental health. 

 

Progressive changes in your body’s internal clock (the suprachiasmatic nucleus), combined with alterations in your patterns of hormone secretion, have you going to bed later, and waking up earlier with each successive decade, resulting in nearly 30 minutes less sleep per night with each passing decade. 

 

By the time we reach our thirties and forties, we’re getting 80% less time in the most restful “slow-wave” period of sleep (as compared to our teenage years), and by the time we hit our 50s and 60s, we get almost no uninterrupted deep sleep.  (We still get some deep sleep, but it tends to come in short fragments that do little in terms of recovery and repair for mind and body.)

 

What does this lack of sleep mean for your cortisol levels?  It means that the average 50-year-old has nighttime cortisol levels more than 12 times higher than the average 30-year-old – yikes!  Perhaps the worst piece of news is that not only will an inadequate quality or quantity of sleep result in elevated cortisol levels, but high cortisol will also limit both your ability to fall asleep – and the amount of time that your mind spends in the most restful stages of deep sleep.  This sets you up for a vicious cycle of poor sleep, elevated cortisol, and subtle changes in metabolism that lead you down the path toward chronic diseases.  So get some sleep!"

 

-- Source: The Cortisol Connection: Why Stress Makes You Fact and Ruins Your Health -- and What You Can Do About It, by Shawn Talbott, Ph.D.

You'd have to read Talbott's book -- and you should -- to learn more about the relationship between high stress, cortisol levels and disease (as well as his recommendations for what to do about it).  However, even several items we've got linked to this blog are possible suggestions, among others, for getting a better night's sleep.  Not to pun, but most experts' recommendations on this topic often sound like a "real snore," they're so basic (practice sleep 'hygiene,' set a regular bedtime, warm milk for tryptophan, don't exercise within several hours of bedtime, etc.)  What's of greater interest to me at least is what items can we use to de-stress or relax more completely so that we can sleep.  Some suggestions:

 

Sleep Soundly CDs, by Steven Halpern; The Delta Sleep SystemDVD, by Dr. Jeffrey Thompson; and, of course, the highly-recommended Pacific Light DVD, by Thomas Day Oates, Jr.  And of course the restful, soothing lavender sleep pillow, which you can make yourself; or if you're really lucky, a massage.

 

Happy Zzs...

Swift Silent and Deadly - That's First Recon Marines - But It's Also Combat Trauma and PTSD

"Make that -- 'Swift, Silent, Deadly' -- and ridiculously hottt!"

That's a modified Paris Hilton-ism, we know, but... of course we're talking about Rudy Reyes, former 1st Recon Marine, playing himself on the HBO series, "Generation Kill," from the book of the same name, by Evan Wright. (If you've read Nate Fick's wonderful book, "One Bullet Away: The Making of a Marine Officer," you've also read about Rudy Reyes in that.)

We've written about Rudy Reyes before on this site; and we're secretly chuckling about how absurdly many people worldwide are searching for -- literally -- ANY scrap of news about The Hotness That Is Rudy-- or preferably any pictures.  His own website seems to be "under construction" -- let's hope it gets online soon to satisfy the teeming hordes of fans, internationally.

In the meantime, though -- it's important to remember that Rudy has seen and done, many many things in his time - in battles in Afghanistan and Iraq.  First Recon Marines are known as "Swift, Silent and Deadly" ... and if you think Marines in general are ROCK STARS (we certainly do -- our friend the Beautiful Redhead, married to a Marine officer, gave us a T-shirt that said just that) -- well, Recon Marines are all that and then some.  It's the most physically, emotionally, mentally demanding job in the Marine Corps.

If, while you're waiting around for Rudy Reye's website to become active, or learn more about his "Hero Living" DVD series planned -- you might want to take a few moments and educate yourself more fully about some of the downsides of being "the best of the best" -- it's the PTSD that can come from the obscene amounts of combat and arduous undertakings you're exposed to.  The good news is that not everyone gets PTSD.  The bad news is, the chances of it increase with exposure to combat trauma -- and, for those whom it affects, it's a battle harder than any fight they've ever had.

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Rob Honzell, who, like Rudy Reyes, was also a Marine sergeant in First Recon -- but in Vietnam -- has written a good book about his experiences.  He calls it "First Person: Combat PTSD," and it's pretty eye-opening.  I had it on my bookshelf for quite a while before I opened it and really gave it a read -- but when I did, I couldn't put it down.  Rob in the meantime has become a friend, and frankly I was feeling guilty about not having taken his book more seriously; so I did.  It's quite a book.  

If you know Rob at all, you know that the reason he's willing to plumb the depths that he has in this book, and draw water from the deep end of the pool, is because of his deep, abiding and heartfelt concern that veterans today not have to go through what he's gone through as a combat veteran with PTSD.  Rob spent "one year, seven months, and twenty-one days" as a Recon Marine in Vietnam -- and has fought courageously ever since, to keep a toehold in the land of the living, and the land of the sane.  For anyone who thinks that Vietnam vets with PTSD just check out of life and don't contribute to society, Rob isn't in that mold.  He had his fun -- years as a traveling musician in Canada (he was a drummer in a bar band) -- but also his serious side -- decades spent in law enforcement as a police officer, police chief, K-9 officer, and criminal justice teacher.  He's completed his master's degree, and is struggling to complete a Ph.D. in psychology -- so that he can help other veterans, with PTSD. 

First, though, he has to get his own case in check, and that's been an arduous battle since Vietnam, where the nightmares and hallucinations started, while he was still in combat.  Killing dozens of people, up close and personal has left its mark -- in his book he gets wistful over snipers having it easier, because at least they kill their targets at a distance, and don't have to get soaked with their victims' blood, or watch them take their last breath, from inches away. By the end of the book, when you realize how many people Rob killed in combat, and then also realize the kind, caring person he is (evidenced by his work in law enforcement, for instance -- his book shares some good stories about that) -- you can see why his experiences in Vietnam got to him. 

On the one hand, he was at the top of his game.  His prowess in Okinawan karate gave the Marines an opportunity to further hone his skill as a killing machine; and his overall smarts helped him to be a very strategic, effective one at that.  But one thing comes through loud and clear in his book: that the innocent, 17 year old boy who joined the Marines straight out of high school, and later raised his hand to volunteer for Recon, when the call went out -- that boy not only died in Vietnam, that boy had literally no idea what he was getting himself into. 

Was 40 years of nightmares and the torture of a PTSD-wracked life, with all that that entails, a "fair trade" for not even two heavy-duty years in Vietnam?  That's a tough one.  How about the health problems, coping struggles, failed marriages, hard relationships with children, and simple fight for sanity and survival?  Rob carries the memory of the people he killed, and the way he killed them, every day.  I think that's part of how you can tell he's a "good person" -- because it still bothers him -- in fact it started bothering him at the time.  But of course he had to suppress that, a) to survive and b) to continue to do a good job.  Ever since, though, those memories have been a constant companion, despite the amount of good he's done in his life, and continues to do.

He writes poignantly in the book about that 17 year old boy, who's long gone by now, except in spirit, as he talks about what he imagines the "end of the road" will be like:

"I don't know when or where my journey will end.  You don't terminate dozens of people's lives and not have to stand in front of God and ask his forgiveness.  I have used, and I have been used, in my life; and I'm sure I'll have to answer to God for that also. I know it sounds weird, but I hope to go into heaven as that 17 year old boy that was always smiling, laughing, loving, and full of life..."

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I have to say, because I've come to really care about Rob, I sure hope his "exit" isn't anytime soon.  But it's impossible to learn his story and not realize how high a price veterans can pay, in service to their country.  And the more intense the service -- like Recon Marines -- the more intense the price they're likely to have paid.  They deserve our respect, and honor, and with that, our compassion. 

In the civilian world, there's a concept called "Informed Consent." If someone informs you of the risks, say of surgery or medication, you can always evaluate them and decide pro or con.  Then, if something comes back to bite you later, at least you know that you were warned ahead of time, and made your own decision.  In the military world, obviously, not so much.

I seriously doubt that if any commanding officer had explained to that 17 year old guy at the time, "hey, you look to be in great physical shape, how'd you like to do a super-demanding job for us that's called being a Recon Marine" -- and then explained what the human cost of suffering would entail, for the next 40 years of his life -- that he'd have had any takers. I wonder sometimes whether even the officers knew what the costs would be for the recruits.  In any case, it's been one hell of a journey for Rob, during which he's contributed quite a bit of good to society, and also never been able to fully and completely manage the horrors of what being a Recon Marine exposed him to. 

I have to say, I'm proud of him for what he did -- both as a Marine, and as a veteran -- to do his job, no matter how terrible, excellently at the time, and then afterwards, have this considerable desire that other veterans not have to walk the same incredibly difficult path he's walked.  It's an honor to be his friend, and I hope that somewhere in the bazillions of hits from people wanting to find out about one former Recon Marine -- Rudy Reyes -- that they take the time to also learn about the life and struggles of another former Recon Marine -- Rob Honzell.  They're both worthy of our attention; but I wonder -- will they both receive it?  If you haven't picked up Rob's book, it's a short but effective education in what it takes to serve our country, and the cost that can exact from the veteran, in very human terms. 

I learned just the other day that Rob's counselor at the VA is hoping to recommend his book to all her patients who are combat veterans.  That's a nice, and belated, testament to the caring heart behind this warrior: someone who's willing to pull the skeletons out of his closet, in the hopes that more recent veterans, and their families and caregivers, will understand more quickly the tremendous costs of combat trauma in terms of human suffering among the participants.

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Rudy Reyes is also a gem: someone who's had a hard life and made much of it, given it his all, and is pretty much poised right now to be a star.  I know he knows firsthand the challenges of extreme combat, as a Recon Marine.  I hope that he will use some of his burgeoning celebrity power and charisma for good -- lending his influence for issues that concern wounded Marines and other servicemembers, like combat PTSD.  Like Rob Honzell before him, and his prowess with Okinawan karate, Rudy's facility with martial arts has been a big part of his success, and where he finds some much-needed personal balance. 

Wherever life takes these men, I hope that others will continue to be blessed for knowing them, and for the substantial contributions they have made, both in service to their country and beyond. In Rob Honzell's case, with the publication of his book devoted to making clear the lifetime cost in suffering from just one former Marine's longtime battle with PTSD, I'm pretty sure we already are.  Thank you, Rob.

When PTSD Sufferers Can't Sleep, Award-Winning "Pacific Light" DVD Brings Some Healing Peace

Hyperarousal or heightened anxiety.  Flashbacks, nightmares, intrusive memories.  Intense physiological stress symptoms: pounding heart, rapid breathing, nausea, muscle tension, sweating. Difficulty falling or staying asleep.  Irritability or outbursts of anger. Difficulty concentrating. Hypervigilance, or being constantly “on guard.” An exaggerated startle response, or jumpiness. Inability to relax. All these symptoms are very familiar to PTSD sufferers and their families.

Pacific Light, Wind and Waves Healing Music DVD for Stressed and Anxious Patients.

Into this mix comes the award-winning "Pacific Light" DVD, and the elusive promise of an interlude of healing peace, that might even involve a good night's sleep.

Time, Inc. awarded Pacific Light its first place award for health and medical media.  Alternative Medicine mgazine calls Pacific Light "a breathtakingly beautiful video."  And over 400 hospitals use "Pacific Light" to help provide an atmosphere of healing peace for distressed patients and their families.  Walter Reed, the Mayo Clinic, the U.S. Army, U.S. Navy and the U.S. Marine Corps at Twentynine Palms, plus hundreds of other institutions are becoming fans of this DVD, a combination of stunning cinematography of some of the West Coast's most beautiful locales, filmed at sunrise and sunset, with no cheesy voiceover instructing patients to relax -- instead, the Grammy-nominated, award-winning soundtrack of R. Carlos Nakai's cedar flute music, as arranged by Billy Williams.

Pacific Light is the second DVD in a series by Thomas Day Oates, Jr., an amazing person and personal friend, whose own bouts with serious illness changed his career path into cinematography.  Oates has a very strong conviction about the importance of distressed patients and their families being able to create a space for "healing peace" - he believes the words are almost synonymous -- and that without a sense of peace, people can't begin to heal.

Apparently, a number of hospitals, hospices, and patients agree -- the testimonials are pretty impressive; and even without them, watching a clip of the gorgeous scenery and its peace-inducing soundtrack make the point instantly accessible.  For hospitals and institutions, click here. For individuals and families, click here. Website linked here.  Ordering info: 1-877-835-0838. Special pricing for veterans and their families: $19.98, including shipping and handling (within the U.S./APO/FPO). Call to inquire.

Editor's Note: You know who/where else needs this DVD?  Balad Military Hospital in Iraq. Landstuhl Regional Medical Center in Germany. The Combat Stress Control Unit. Mologne House Hotel in DC. Military chaplains in Iraq, Afghanistan, and stateside.  PTSD residential programs at the VA. VA Medical Centers.  Wounded warrior units.  Wounded troops, wherever they are recovering, at home and abroad.  The possibilities are practically endless.  And not just for the troops themselves: for their caregivers as well, who often are also suffering from vicarious trauma.