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PTSD Update 226 Marriage | 5 Things Spouses Should Know
You never invited combat stress or post-traumatic stress disorder to be a part of your marriage. But there it is anyway, making everything harder. Sometimes you want to give up. Why does everything have to be so, so hard? Other times, you wish someone would just give you a manual for dealing with the whole thing. Surely there's a way to know how to handle this disease? Like the rest of marriage, loving someone who suffers from PTSD or who is trying to work through the ghosts of combat doesn't come with a guidebook. And although the whole thing can feel very isolating (everyone else seems fine! Is my marriage the only one in trouble?) that doesn't mean you're alone. Therapists who specialize in PTSD know that while some couples may put on a good show for the outside world, dealing with trauma is hard work and, no, everything is not perfect.

If you're dealing with PTSD at home, you are not alone. Husband and wife team Marc and Sonja Raciti are working to help military couples work through how PTSD can impact their marriages. Marc, a veteran, has written a book on the subject, "I Just Want To See Trees: A Journey Through PTSD." Sonja is a licensed professional counselor. The Racitis said there are five things that a spouse dealing with PTSD in marriage should know.
1. It's normal for PTSD to impact the whole family -- If you feel like your life has changed since PTSD came to your home, you're probably right. The habits that might help your spouse get through the day, like avoiding crowded spaces, may become your habits too. "PTSD is a disease of avoidance -- so you avoid those triggers that the person with PTSD has -- but as the partner you begin to do the same thing," Sonja Raciti said. Remember that marriage is a team sport, and it's OK to tackle together the things that impact it.
2. Get professional help -- The avoidance that comes with PTSD doesn't just mean avoiding certain activities -- it can also mean avoiding dealing with the trauma head on. But trying to handle PTSD alone is a mistake, the Racitis said. "We both are really big into seeking treatment, getting a professional to really help you and see what treatment you're going to benefit from," Sonja said. "Finding a clinician who you meet with, and click with and really specializes in PTSD is so, so important."
3. No, you're not the one with PTSD. But you may have symptoms anyway -- The Racitis said it is very common for the spouses of those dealing with PTSD to have trouble sleeping or battle depression, just like their service member. That's why it's important for everyone in the family to be on the same page tackling the disease -- because it impacts them too.
4. Be there -- As with so many issues in marriage, communication is key, the Racitis said. But also important is being supportive and adapting to whatever life built around living with PTSD looks like for you. "You have to adapt -- the original man you married has changed. The experience has changed him and that's part of life," Sonja says. "He has gone through something that has been horrific, and life altering and life changing, and together you're going to adapt to that and you're going to help support each other in that."
5. Don't give up -- It can seem very tempting to just give up and walk away, they said. After all, the person you married may have changed dramatically. And while splitting may ultimately be the right answer for you, it doesn't have to be only solution on the table. "Don't give up," Marc said. "It's so easy to do. It's the path of least resistance. But people who engage, people who actively engage -- these are the marriages that survive."
[Source: Military.com | Amy Bushatz | January 17, 2017 ++]
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Traumatic Brain Injury Update 59 ► ONR Spearheads BLAST Monitoring
Contrary to the 4 JAN TREA report on the discontinuance of BLAST device monitoring, Military Times is now reporting that the Office of Naval Research (ONR) is spearheading the development of the technology to better analyze and diagnose the effects of traumatic brain injury. The Blast Load Assessment Sense and Test (BLAST) — is designed to be a portable system that can measure shock pressure and analyze injury thresholds for the brain. “A system like BLAST is vitally important because it can help recognize the signs of TBI early and tell warfighters they might need medical attention,” said Dr. Timothy Bentley, a program manager overseeing the research for ONR’s Warfighter Performance Department. “This reduces the likelihood of someone enduring multiple blasts and suffering more serious brain injury. BLAST also is unique for its unique suite of technology.”

Brain injuries have become a primary concern of Congress and defense experts over the past several years. As a result of an increase in TBI related cases from military veterans in Iraq and Afghanistan, Congress passed the Traumatic Brain Injury Act of 2008, which requires the Centers for Disease Control and Prevention and the National Institutes of Health to best determine information dissemination practices and procedures to help facilitate TBI diagnosis and treatment. That collaborative exercise produced a report to Congress in summer of 2013 that found roughly 33,149 U.S. military veterans were diagnosed with TBI in 2011, and 59, 218 Iraq and Afghanistan veterans were potentially treated for TBI from 2001 to 2011. It is believed that more than 327,000 vets have been diagnosed with a TBI since 2000, with the VA spending roughly $32 million a year on TBI research.
BLAST operates by utilizing tiny sensors that can be fitted onto helmets and body armor. The sensors can survive blast environments and collect necessary data for medical personnel or even a corpsman operating in the field, retrieved potentially by some form of barcode scanner. The retrieved data can provide a corpsman with necessary information including an assessment vibration test on an injured service member that can determine whether or not the injured warfighter needs to stand down or can remain in the fight. “BLAST sensors can provide valuable blast pressure data that can be used to assess the possibility of TBI,” said Dr. Amit Bagchi, a scientist at the Naval Research Laboratory. “The more data we have, the better we can predict the presence of TBI.” The technology is designed to be deliverable to Navy and Marines within a three to five year timeline. The sensors are currently being tested in laboratories, but over the next year and a half the sensors should graduate to field testing with Marines undergoing breacher training. [Source: MilitaryTimes | Shawn Snow | January 13, 2017 ++]
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