Wounds That Don't Merit a Purple Heart

You might not see a scar, but that doesn't make them any less severe. Here's another L.A. Times article that demonstrates why there really aren't any winners in war--Swopa at Needlenose provides the link:

In soldiers like {Sgt. Matt] LaBranche — their bodies whole but their psyches deeply wounded — a crisis is unfolding, mental health experts say. One out of six soldiers returning from Iraq is suffering the effects of post-traumatic stress — and as more come home, that number is widely expected to grow.

The Pentagon, which did not anticipate the extent of the problem, is scrambling to find resources to address it.

A study by the Walter Reed Army Institute of Research found that 15.6% of Marines and 17.1% of soldiers surveyed after they returned from Iraq suffered major depression, generalized anxiety or post-traumatic stress disorder — a debilitating, sometimes lifelong change in the brain's chemistry that can include flashbacks, sleep disorders, panic attacks, violent outbursts, acute anxiety and emotional numbness.

Army and Veterans Administration mental health experts say there is reason to believe the war's ultimate psychological fallout will worsen. The Army survey of 6,200 soldiers and Marines included only troops willing to report their problems. The study did not look at reservists, who tend to suffer a higher rate of psychological injury than career Marines and soldiers. And the soldiers in the study served in the early months of the war, when tours were shorter and before the Iraqi insurgency took shape.

"The bad news is that the study underestimated the prevalence of what we are going to see down the road," said Dr. Matthew J. Friedman, a professor of psychiatry and pharmacology at Dartmouth Medical School who is executive director of the VA's National Center for Post Traumatic Stress Disorder.

Since the study was completed, Friedman said: "The complexion of the war has changed into a grueling counterinsurgency. And that may be very important in terms of the potential toxicity of this combat experience."...

Combat stress disorders — named and renamed but strikingly alike — have ruined lives following every war in history. Homer's Achilles may have suffered from some form of it. Combat stress was documented in the late 19th century after the Franco-Prussian War. After the Civil War, doctors called the condition "nostalgia," or "soldiers heart." In World War I, soldiers were said to suffer shell shock; in World War II and Korea, combat fatigue or battle fatigue...

A war like the one in Iraq — in which a child is as likely to die as a soldier and unseen enemies detonate bombs — presents ideal conditions for its rise.

Yet the Army initially sent far too few psychiatrists, psychologists and social workers to combat areas, an Army study released in the summer of 2003 found. Until this year, Congress had allocated no new funds to deal with the mental health effects of the war in Iraq. And when it did earmark money, the sum was minimal: $5 million in each of the next three years...

Whether people like Matt LaBranche seek and receive treatment will determine how deep an effect the stress of the war in Iraq ultimately has on U.S. society.

Before the war, LaBranche was living in Saco, Maine, with his wife and children and had no history of mental illness.

He deployed to Iraq with a National Guard transportation company based in Bangor. He came home a different person.

Just three days after he was discharged from Walter Reed, he was arrested for threatening his former wife. When he goes to court Dec. 9, he could be looking at jail time.

He lies on a couch at his brother's house most days now, struggling with the image of the Iraqi woman who died in his arms after he shot her, and the children he says caught some of his bullets. His speech is pocked with obscenities.

On a recent outing with friends, he became so enraged when he saw a Muslim family that he had to take medication to calm down.

He is seeing a therapist, but only once every two weeks.

"I'm taking enough drugs to sedate an elephant, and I still wake up dreaming about it," LaBranche said. "I wish I had just freaking died over there."