If the idea of chaplains getting together to discuss their interests makes you think of genteel spiritual conversations, consider the topic discussed at the August bimonthly teleconference of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) Chaplain Working Group — combat and killing in relation to posttraumatic stress disorder (PTSD) and spiritual distress.

The Chaplain Working Group routinely delves into spiritual and behavioral conflicts arising from deployment. It’s the nature of their calling that chaplains grapple with difficult issues, and the nature of war that military chaplains must address constructs that deeply challenge common beliefs. One such example is that spiritual health, behavioral health and the use of deadly force are not necessarily mutually exclusive.

What’s the impact of multiple deployments and repeated traumatic stressors on service members? Why are a significant number of military personnel experiencing psychological injuries following their deployments? What treatment options are available? What’s being done to help advance the field of traumatic brain injury (TBI) and psychological health?

If these questions are on your mind, consider reading the special edition of “Military Medicine.” Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) subject matter experts and others share updated research to better understand current psychological health and TBI conditions affecting the health, occupational and personal functioning of service members and veterans. Published by The Association of Military Surgeons of the United States (AMSUS), the journal identifies effective screening tools, diagnostic technologies and treatments for major areas of concern like posttraumatic stress disorder (PTSD), depression, substance use disorder and TBI.

Dr. James Bender is a former Army psychologist who deployed to Iraq as the brigade psychologist for the 1st Cavalry Division 4th Brigade Combat Team out of Fort Hood, Texas. During his deployment, he traveled through Southern Iraq, from Basra to Baghdad. He writes a monthly post for the DCoE Blog on psychological health concerns related to deployment and being in the military.

When most people hear the words “psychologist,” “mental health” or “shrink,” they think “mental illness.” After all, why should you talk to those guys unless you have posttraumatic stress disorder (PTSD) or depression? It’s unfortunate that some people think that way, because in addition to helping with serious conditions like PTSD and depression, behavioral health specialists can offer much more. A big part of psychology concerns itself with improving physical performance.

	A Backpack Journalist Hannah Rauhut poses with retired Sgt. Maj. Sam Rhodes, founder of Wounded Warrior Horsemanship program. (Courtesy photo)

Military kid Hannah Rauhut was given an assignment: create a multimedia presentation about a topic that was important to her. While some 13-year-old students might use the opportunity to discuss anything on their minds (my own “groundbreaking” middle school presentation addressed what brand of chocolate chips make for a tastier cookie), Rauhut had a more passionate approach — educate her peers on posttraumatic stress disorder (PTSD).

Her presentation included facts, a video she made of the local Wounded Warrior Horsemanship program and a live interview with founder retired Sgt. Maj. Sam Rhodes on coping with PTSD. Not only did Rauhut get a perfect score and gratitude from her enlightened classmates, she’s now raising awareness nationwide as a journalist for A Backpack Journalist, a program that teaches military youth about resilience through creative expression. I spoke with Rauhut about the significance of raising awareness of PTSD, especially for youth.

	U.S. Air Force photo by Master Sgt. Chance Babin

The earth is flat.
Money buys happiness.
Posttraumatic stress disorder (PTSD) is not real; it’s just in your head.

Some myths carry greater consequences than others. Myths about what PTSD is, who it affects, why you might have it and what can be done are unfortunately, common and harmful. Not being able to distinguish between fact and fiction can be the difference between living with hope and promise and living with despair for someone with the diagnosis.

Myth: Only Weak People Get PTSD

Identifying truths about PTSD is challenging given that it’s not easily understood either by someone experiencing the related psychological symptoms or by their family and friends. Being uninformed contributes to numerous misconceptions about the disorder, such as having PTSD means you’re not mentally tough. That plays particularly well in the military culture where standards of toughness are high and implemented with rigor.