Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

With “groundbreaking research on the psychology of resilience” (Adam Grant), a top expert on human trauma argues that we vastly overestimate how common PTSD is in and fail to recognize how resilient people really are. After 9/11, mental health professionals flocked to New York to handle what everyone assumed would be a flood of trauma cases. Oddly, the flood never came. In The End of Trauma, pioneering psychologist George A. Bonanno argues that we failed to predict the psychological response to 9/11 because most of what we understand about trauma is wrong. For starters, it’s not nearly as common as we think. In fact, people are overwhelmingly resilient to adversity. What we often interpret as PTSD are signs of a natural process of learning how to deal with a specific situation. We can cope far more effectively if we understand how this process works. Drawing on four decades of research, Bonanno explains what makes us resilient, why we sometimes aren’t, and how we can better handle traumatic stress. Hopeful and humane, The End of Trauma overturns everything we thought we knew about how people respond to hardship.

Current research and clinical observations suggest pronounced gender-based differences in the ways people respond to traumatic events. Most notably, women evidence twice the rate of PTSD as men following traumatic exposure. This important volume brings together leading clinical scientists to analyze the current state of knowledge on gender and PTSD. Cogent findings are presented on gender-based differences and influences in such areas as trauma exposure, risk factors, cognitive and physiological processes, comorbidity, and treatment response. Going beyond simply cataloging gender-related data, the book explores how the research can guide us in developing more effective clinical services for both women and men. Incorporating cognitive, biological, physiological, and sociocultural perspectives, this is an essential sourcebook and text.

This book is intended for clinicians at all levels of experience who seek a guide to the assessment of psychological trauma and its effects. After discussion of the theoretical foundation for understanding human responses to traumatic events, Dr. Carlson addresses both conceptual and practical aspects of selecting and administering measures to assess traumatic experiences and trauma responses. Additional chapters provide guidance in interpreting results of assessments and diagnosing trauma-related disorders and a brief introduction to major forms of treatment of trauma-related disorders. Profiles of 36 recommended measures of traumatic experiences and trauma responses are included and are designed to make it easy to find the information needed to obtain the measures. Measures profiled include self-report and interview measures of trauma, self-report measures of trauma responses, structured interviews for posttraumatic and dissociative disorders, and measures for children and adolescents. Flowcharts provide a quick reference for choosing measures at each stage of the assessment process.

Presenting an evidence-based treatment for couples in which one or both partners suffer from posttraumatic stress disorder (PTSD), this step-by-step manual is packed with practical clinical guidance and tools. The therapy is carefully structured to address both PTSD symptoms and associated relationship difficulties in a time-limited framework. It is grounded in cutting-edge knowledge about interpersonal aspects of trauma and its treatment. Detailed session outlines and therapist scripts facilitate the entire process of assessment, case conceptualization, and intervention. In a large-size format for easy photocopying, the book includes 50 reproducible handouts and forms.