military families

shell shock

military PTSD

battle fatigue

psychological strain in military

military family culture has a rigid _____________ structure

authoritarian

military family culture has class system with 2 distinct subcultures:

officer and enlisted ranks

there is a concept of _______ _____ in military families

mission first

behaviors in children after deployment of parent: infants (birth-12 months) (4)

anorexia, weight loss, irritability, and apathy

behaviors in children after deployment of parent: toddlers (1-3 years) (4)

sullen, tearful, tantrums, and sleep problems

behaviors in children after deployment of parent: preschoolers (3-6 years) (2)

regression and assuming blame

behaviors in children after deployment of parent: school age children (6-12 years) (4)

understand potential danger, irritability/aggression, whininess, and fear for parent safety

behaviors in children after deployment of parent: adolescents (13-18 years) (3)

rebellion, irritability, and challenging authority

cycle of deployment: predeployment

denial and anticipation of loss; getting affairs in order

cycle of deployment: deployment

lasts through first month of separation; loneliness, sadness, abandonment of spouse/hard time with ADLs

cycle of deployment: sustainment

1 month after to time of deployment; establishing new support systems and starting new routines

cycle of deployment: redeployment

one month before return; how will they communicate with partner/reestablish relationship

cycle of deployment: postdeployment

most difficult; 3-6 months after return; adjustment

concerns of women in the military

sexual harassment/assault, treatment/conditions, and parenting issues

TBI

traumatic brain injury

3 most common disorders among veterans

depression, PTSD, and substance use disorder

secondary trauma/vicarious traumatization

family members have somatic sx that the war vet came home with and take on emotional distress

co-occuring disorders

substance abuse and MH issues at the same time

TBI and PTSD main drug class

SSRIs

hypnosis use

anxiety and depression

acupuncture use

PTSD

pet therapy use

relaxation

propranolol use

angry outbursts and nightmares

clonidine

angry outbursts and nightmares

primary pharm and nonpharm treatment

SSRIs and CBT

donepezil use

increase cog functioning