“I am under a lot of pressure to not diagnose PTSD”—says military doc

From Salon today we see what is already been whispered about here and there. Soldiers denied benefits for war injuries and told that their emotional problems were pre-existing, etc, all so that the government doesn’t have to support these men and women thrown into the war our government created. Now we have proof.

By the way, I believe virtually all mental health problems regardless of diagnosis boils down to some manifestation of PTSD. It’s the only credible diagnosis out there when it’s truly a “mental problem.” Then there are quite a few very real physical issues that can cause psychiatric symptoms which routinely get overlooked by psychiatrists.

Listen to the segment of a doc confessing the pressure for him to NOT diagnose PTSD here.

Here is the article from Salon:

“Sgt. X” is built like the Bradley Fighting Vehicle he rode in while in Iraq. He’s as bulky, brawny and seemingly impervious as a tank.

In an interview in the high-rise offices of his Denver attorneys, however, symptoms of the damaged brain inside that tough exterior begin to appear. Sgt. X’s eyes go suddenly blank, shifting to refocus oddly on a wall. He pauses mid-sentence, struggling for simple words. His hands occasionally tremble and spasm.

For more than a year he’s been seeking treatment at Fort Carson for a brain injury and post-traumatic stress disorder, the signature injuries of the Iraq war. Sgt. X is also suffering through the Army’s confusing disability payment system, handled by something called a medical evaluation board. The process of negotiating the system has been made harder by his war-damaged memory. Sgt. X’s wife has to go with him to doctor’s appointments so he’ll remember what the doctor tells him.

But what Sgt. X wants to tell a reporter about is one doctor’s appointment at Fort Carson that his wife did not witness. When she couldn’t accompany him to an appointment with psychologist Douglas McNinch last June, Sgt. X tucked a recording device into his pocket and set it on voice-activation so it would capture what the doctor said. Sgt. X had no idea that the little machine in his pocket was about to capture recorded evidence of something wounded soldiers and their advocates have long suspected — that the military does not want Iraq veterans to be diagnosed with PTSD, a condition that obligates the military to provide expensive, intensive long-term care, including the possibility of lifetime disability payments. And, as Salon will explore in a second article Thursday, after the Army became aware of the tape, the Senate Armed Services Committee declined to investigate its implications, despite prodding from a senator who is not on the committee. The Army then conducted its own internal investigation — and cleared itself of any wrongdoing.

When Sgt. X went to see McNinch with a tape recorder, he was concerned that something was amiss with his diagnosis. He wanted to find out why the psychologist had told the medical evaluation board that handles disability payments that Sgt. X did not, in fact, have PTSD, but instead an “anxiety disorder,” which could substantially lower the amount of benefits he would receive if the Army discharged him for a disability. The recorder in Sgt. X’s pocket captured McNinch in a moment of candor. (Listen to a segment of the recording here.)

“OK,” McNinch told Sgt. X. “I will tell you something confidentially that I would have to deny if it were ever public. Not only myself, but all the clinicians up here are being pressured to not diagnose PTSD and diagnose anxiety disorder NOS [instead].” McNinch told him that Army medical boards were “kick[ing] back” his diagnoses of PTSD, saying soldiers had not seen enough trauma to have “serious PTSD issues.” (read the rest of the article here)