Military Psychiatry
Psychiatry
Military Medicine
Hospitals, Military
Biological Psychiatry
Child Psychiatry
Forensic Psychiatry
Community Psychiatry
Adolescent Psychiatry
Insanity Defense
Risk, psychiatry and the military. (1/16)
The relationship between combat and psychiatric breakdown has been well recognised for decades. The change to smaller, professional armed forces has reduced the risk of large-scale acute psychiatric casualties, and should have led to a corresponding decrease in long-term ill health, but this expected reduction seems not to have happened. Likewise, attempts at preventing psychiatric injury, by screening before deployment or debriefing after, have been disappointing. Three reasons for this are proposed: a rethinking of the relationship between trauma and long-term outcome, catalysed by the attempts of US society to come to terms with the Vietnam conflict; a broadening of the scope of psychiatric injury as it moved to the civilian sector; and the increased prominence of unexplained syndromes and contested diagnoses such as Gulf War syndrome. Traditional psychiatric injury is predictable, proportionate and can, in theory, be managed. These newer forms of injury are in contrast unanticipated, paradoxical, ill understood and hard to manage. Traditional approaches to risk management by reducing exposure have not been successful, and may increase risk aversion and reduce resilience. However, the experiences of civilians in wartime or the military show that people are not intrinsically risk-averse, provided they can see purpose in accepting risk. (+info)Perceived stress, heart rate, and blood pressure among adolescents with family members deployed in Operation Iraqi Freedom. (2/16)
This study compared the impact of the 2003 Operation Iraqi Freedom on heart rate (HR) and blood pressure (BP) and self-reported stress levels among three groups of self-categorized adolescents: (1) military dependents with family members deployed; (2) military dependents with no family members deployed; (3) civilian dependents. At the onset and end of the "major hostilities" of Operation Iraqi Freedom, 121 adolescents (mean age = 15.8 +/- 1.1 years) completed questionnaires evaluating the psychological impact of the war and were evaluated for HR and BP. The military deployed dependents exhibited significantly higher HR than other groups at both evaluations (both p < 0.04). Ethnicity by group interactions indicated that European American-deployed dependents had higher stress scores at both time points (p < 0.02). Military dependent European Americans exhibited higher systolic BP compared to the other groups on the second evaluation (p < 0.03). (+info)Deployment-related stress and trauma in Dutch soldiers returning from Iraq. Prospective study. (3/16)
BACKGROUND: Some questionnaire studies have shown increased mental health problems, including probable post-traumatic stress disorder (PTSD), in soldiers deployed to Iraq. AIMS: To test prospectively whether such problems change over time and whether questionnaires provide accurate estimates of deployment-related PTSD compared with a clinical interview. METHODS: Dutch infantry troops from three cohorts completed questionnaires before deployment to Iraq (n=479), and about 5 months (n=382, 80%) and 15 months (n=331, 69%) thereafter. Post-traumatic stress disorder was evaluated by questionnaire and clinical interview. RESULTS: There were no group changes for general distress symptoms. The rates of PTSD for each cohort were 21, 4 and 6% based on questionnaires at 5 months. The deployment-related rates of PTSD based on the clinical interview were 4, 3 and 3%. CONCLUSIONS: There was a specific effect of deployment on mental health for a small minority. Questionnaires eliciting stress symptoms gave substantial overestimations of the rate of PTSD. (+info)War & military mental health: the US psychiatric response in the 20th century. (4/16)
Involvement in warfare can have dramatic consequences for the mental health and well-being of military personnel. During the 20th century, US military psychiatrists tried to deal with these consequences while contributing to the military goal of preserving manpower and reducing the debilitating impact of psychiatric syndromes by implementing screening programs to detect factors that predispose individuals to mental disorders, providing early intervention strategies for acute war-related syndromes, and treating long-term psychiatric disability after deployment. The success of screening has proven disappointing, the effects of treatment near the front lines are unclear, and the results of treatment for chronic postwar syndromes are mixed. After the Persian Gulf War, a number of military physicians made innovative proposals for a population-based approach, anchored in primary care instead of specialty-based care. This approach appears to hold the most promise for the future. (+info)Psychosocial buffers of traumatic stress, depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom and Iraqi Freedom: the role of resilience, unit support, and postdeployment social support. (5/16)
BACKGROUND: Little research has examined the role of protective factors such as psychological resilience, unit support, and postdeployment social support in buffering against PTSD and depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF). MATERIALS AND METHODS: A total of 272 OEF/OIF veterans completed a survey containing PTSD and depression screening measures, and questionnaires assessing resilience, social support, and psychosocial functioning. RESULTS: Lower unit support and postdeployment social support were associated with increased PTSD and depressive symptoms, and decreased resilience and psychosocial functioning. Path analyses suggested that resilience fully mediated the association between unit support and PTSD and depressive symptoms, and that postdeployment social support partially mediated the association between PTSD and depressive symptoms and psychosocial functioning. LIMITATIONS: Generalizability of results is limited by the relatively low response rate and predominantly older and reserve/National Guard sample. CONCLUSIONS: These results suggest that interventions designed to bolster unit support, resilience, and postdeployment support may help protect against traumatic stress and depressive symptoms, and improve psychosocial functioning in veterans. (+info)Combat-related posttraumatic headache: diagnosis, mechanisms of injury, and challenges to treatment. (6/16)
CONTEXT: Studies have revealed the rates of posttraumatic stress disorder (PTSD) and concussion among US soldiers returning from combat, but only one study has focused on the subpopulation of soldiers with headache. OBJECTIVES: To determine the rate of PTSD among US soldiers with comorbid chronic posttraumatic headache attributed to head injury, to identify common mechanisms of head injury, and to identify the common challenges a healthcare provider must face when treating US soldiers with chronic posttraumatic headache attributed to head injury. METHODS: Between July 2007 and December 2008, the author examined 42 US Army soldiers with complaint of chronic headache. In March 2009, the author retrospectively reviewed the outpatient records for diagnoses, mechanisms of injury, and challenges to treatment. RESULTS: The rate of concussion, defined by the Defense and Veterans Brain Injury Center Working Group on the Acute Management of Mild Traumatic Brain Injury in Military Operational Settings, was 95%. The rate of PTSD, as determined either with the PTSD Checklist or by confirming a prior diagnosis by another healthcare provider, was 97.9%. Both rates are remarkably higher than rates reported in the literature. The most common mechanisms of injury were proximity to blast (18 [45.2%]) and direct target of blast (15 [35.7%]). The most common treatment challenges were overuse of headache-abortive medications (10 [23.8%]) and poor patient followup (7 [16.7%]). CONCLUSION: Physicians should be aware that the rates of PTSD and concussion for US soldiers, most often linked to involvement in or proximity to a blast, are higher for soldiers complaining of chronic headache. Physicians should also be aware of the potential for overuse of medications in this patient population. (+info)Combat-related mental health disorders: the case for resiliency in the long war. (7/16)
More US military service members have been deployed since 9/11 than in the previous 40 years. A greater number of these deployed service members are surviving, which has increased the incidence of combat-related mental health disorders among veterans of "The Long War." The societal cost of caring for veterans with such disorders is expected to surpass that of the Global War on Terror, which is estimated at $600 billion. Because the prospect of stopping all deployment is remote, standardized prevention and treatment methods must be used to eliminate these "invisible wounds of war." It is imperative that high-quality, evidence-based, and cost-effective treatments--pharmaceutical and nonpharmaceutical--be developed. Although no approved medication currently exists for the prevention of posttraumatic stress disorder, the blood pressure medication propranolol has shown promise in erasing the behavioral expression of fear memory and may be useful for preventing more severe emotional disorders. In addition, a nonpharmaceutical method known as stress inoculation training is ideally suited to military populations and should be incorporated into military training programs. Furthermore, osteopathic physicians can improve resilience in the communities they serve by considering the dynamic of body, mind, and spirit in their patients. Applying these methods, teaching self-regulation traits, and removing barriers to care will build resiliency among service personnel for The Long War. (+info)Psychiatric diagnoses and punishment for misconduct: the effects of PTSD in combat-deployed Marines. (8/16)
(+info)Military psychiatry is a subspecialty of psychiatry that deals with the prevention, diagnosis, and treatment of mental illnesses and psychological issues in military personnel. It involves providing care to active-duty military members, veterans, and their families who are experiencing problems such as post-traumatic stress disorder (PTSD), depression, anxiety, substance abuse, and other psychological challenges related to combat or military life. Military psychiatrists also play a crucial role in developing policies and programs that promote mental health and resilience within the military community. They may serve in various settings, including military treatment facilities, deployed units, and veteran affairs medical centers.
Psychiatry is the branch of medicine focused on the diagnosis, treatment, and prevention of mental, emotional, and behavioral disorders. A psychiatrist is a medically trained doctor who specializes in psychiatry, and they are qualified to assess both the mental and physical aspects of psychological problems. They can use a variety of treatments, including psychotherapy, medications, psychoeducation, and psychosocial interventions, to help patients manage their symptoms and improve their quality of life.
Psychiatrists often work in multidisciplinary teams that include other mental health professionals such as psychologists, social workers, and mental health nurses. They may provide services in a range of settings, including hospitals, clinics, community mental health centers, and private practices.
It's important to note that while I strive to provide accurate and helpful information, my responses should not be used as a substitute for professional medical advice, diagnosis, or treatment. If you or someone else has concerns about mental health, it is always best to consult with a qualified healthcare provider.
I apologize for any confusion, but "Military Personnel" is not a medical term. It refers to individuals who serve in the military forces of a country, including the Army, Navy, Air Force, Marine Corps, and Coast Guard. Medical terms typically refer to specific conditions, diagnoses, treatments, or anatomical features related to healthcare. If you have any questions about medical terminology or concepts, I would be happy to help clarify!
"Military medicine" is a specific branch of medical practice that deals with the diagnosis, treatment, and prevention of diseases and injuries in military populations. It encompasses the provision of healthcare services to military personnel, both in peacetime and during times of conflict or emergency situations. This may include providing care in combat zones, managing mass casualties, delivering preventive medicine programs, conducting medical research, and providing medical support during peacekeeping missions and humanitarian assistance efforts. Military medicine also places a strong emphasis on the development and use of specialized equipment, techniques, and protocols to ensure the best possible medical care for military personnel in challenging environments.
"Military hospitals" are healthcare facilities that are operated by the military or armed forces of a country. They provide medical care and treatment for active duty military personnel, veterans, and at times, their families. These hospitals can be located within military bases or installations, or they may be deployed in field settings during military operations or humanitarian missions. Military hospitals are staffed with healthcare professionals who have received additional training in military medicine and are responsible for providing a range of medical services, including emergency care, surgery, rehabilitation, and mental health services. They also often conduct research in military medicine and trauma care.
Biological psychiatry is a branch of medicine that aims to understand and treat mental disorders by studying the biological mechanisms underlying behavior, cognition, and emotion. This can include the study of genetics, neurochemistry, brain structure and function, and other physiological processes that may contribute to the development and expression of mental illnesses.
Biological psychiatrists use a variety of approaches to understand and treat mental disorders, including psychopharmacology (the use of medications to treat psychiatric symptoms), neurostimulation techniques (such as electroconvulsive therapy or transcranial magnetic stimulation), and behavioral interventions (such as cognitive-behavioral therapy).
The ultimate goal of biological psychiatry is to develop more effective treatments for mental illnesses by gaining a deeper understanding of the underlying biological mechanisms that contribute to their development and expression.
Child psychiatry is a medical subspecialty that focuses on the diagnosis, treatment, and prevention of mental, emotional, and behavioral disorders in children, adolescents, and their families. It incorporates various disciplines, including psychology, pediatrics, neurology, social work, nursing, and education, to provide comprehensive care for children with complex needs.
Child psychiatrists use a biopsychosocial approach to understand the underlying causes of a child's difficulties, considering genetic, biological, developmental, environmental, and psychological factors. They are trained to perform comprehensive evaluations, including diagnostic interviews, cognitive and neuropsychological testing, and psychiatric assessments, to develop individualized treatment plans.
Treatment modalities may include psychotherapy (individual, family, or group), medication management, psychoeducation, and coordination with other healthcare professionals and community resources. Child psychiatrists often work in various settings, such as hospitals, clinics, private practices, schools, and residential treatment facilities, to ensure that children receive the necessary support and care for their mental health concerns.
I'm sorry for any confusion, but "Military Facilities" is not a term that has a specific medical definition. Military facilities generally refer to buildings, land, and infrastructure used by military forces for various purposes, such as training, housing troops, manufacturing weapons, or storing military equipment. It does not fall under the purview of medical definitions. If you have any questions related to medical terminology, I would be happy to help!
Forensic psychiatry is a subspecialty of psychiatry that intersects with the law. It involves providing psychiatric expertise to legal systems and institutions. Forensic psychiatrists conduct evaluations, provide treatment, and offer expert testimony in criminal, civil, and legislative matters. They assess issues such as competency to stand trial, insanity, risk assessment, and testamentary capacity. Additionally, they may be involved in the treatment of offenders in correctional settings and providing consultation on mental health policies and laws. Forensic psychiatry requires a thorough understanding of both psychiatric and legal principles, as well as the ability to communicate complex psychiatric concepts to legal professionals and laypersons alike.
Community psychiatry is a branch of psychiatry that focuses on providing mental health services within the context of a person's community, rather than in a traditional clinical setting such as a hospital or clinic. The goal of community psychiatry is to provide comprehensive, accessible, and personalized mental health care that is integrated into the individual's natural support systems, including their family, friends, and social networks.
Community psychiatrists work closely with other mental health professionals, social workers, and community organizations to develop and implement treatment plans that address the unique needs of each individual. They may provide services in a variety of settings, such as community mental health centers, group homes, schools, and primary care clinics.
The approach of community psychiatry recognizes that mental illness affects not only the individual but also their family, friends, and larger community. Therefore, interventions often focus on improving social determinants of health, such as housing, employment, and education, in addition to providing traditional mental health treatments like medication and therapy.
Overall, community psychiatry aims to reduce stigma around mental illness, improve access to care, and promote recovery and resilience in individuals with mental health conditions.
Adolescent Psychiatry is a branch of medicine that deals with the diagnosis, treatment, and prevention of mental disorders in adolescents, which are individuals typically ranging in age from 13 to 18 years old. This field requires specialized knowledge, training, and expertise in the unique developmental, emotional, and behavioral challenges that adolescents face. Adolescent psychiatrists provide comprehensive assessments, including medical and psychological evaluations, and develop individualized treatment plans that may involve psychotherapy, medication management, and/or coordination with other healthcare professionals and community resources. They also work closely with families to help them understand their adolescent's mental health needs and support their recovery process.
Geriatric psychiatry is a subspecialty of psychiatry that focuses on the mental health concerns of older adults, usually defined as those aged 65 and over. This field addresses the biological and psychological changes that occur with aging, as well as the social and cultural issues that impact the mental health of this population.
The mental health conditions commonly seen in geriatric psychiatry include:
1. Dementia (such as Alzheimer's disease)
2. Depression and anxiety disorders
3. Late-life schizophrenia and other psychotic disorders
4. Substance abuse and addiction
5. Neurocognitive disorders due to medical conditions, such as Parkinson's disease or stroke
6. Sleep disturbances and insomnia
7. Delirium and other cognitive changes related to acute illness or hospitalization
8. Mental health concerns related to chronic medical conditions, such as diabetes or heart disease
9. End-of-life issues and palliative care
10. Issues related to grief, loss, and transitions in later life
Geriatric psychiatrists are trained to recognize and manage these conditions while also considering the potential impact of medications, physical health problems, sensory impairments, and social supports on mental health treatment outcomes. They often work closely with primary care physicians, neurologists, social workers, and other healthcare professionals to provide comprehensive care for older adults.
The Insanity Defense is a legal concept, rather than a medical one, but it is based on psychological and psychiatric assessments of the defendant's state of mind at the time of the crime. It is used as a criminal defense in which the defendant claims that they should not be held criminally responsible for their actions due to mental illness or disorder that prevented them from understanding the nature and wrongfulness of their behavior.
The specific criteria for an insanity defense vary by jurisdiction, but generally, it requires evidence that the defendant had a severe mental illness or cognitive impairment that significantly affected their ability to appreciate the nature and wrongfulness of their conduct or to conform their behavior to the requirements of the law. If successful, the insanity defense can result in an acquittal, hospitalization, or other dispositions that do not involve incarceration.
It's important to note that the insanity defense is not a determination of whether the defendant is "crazy" or "insane," but rather an assessment of their mental state at the time of the offense and its impact on their legal responsibility for their actions.