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An employee with the post-traumatic stress disorder program at
a medical facility for veterans in Texas
sent an e-mail message to staff members suggesting them to stop diagnosing PTSD
in order to save time and money treating veterans.
The message was dated March 20 and titled “Suggestion,” and
it was addressed to several staffers including psychologists, social workers
and a psychiatrist.
“Given that we are having more and more compensation seeking
veterans, I’d like to suggest that we refrain from giving a diagnosis of PTSD
straight out. Consider a diagnosis of Adjustment Disorder, R/O PTSD,” Norma
Perez, a PTSD program coordinator and psychologist at the Olin E. Teague
Veterans’ Center in Temple
Texas. (R/O stands for “rule
out.”)
“Additionally, we don’t…have time to do extensive testing
that should be done to determine PTSD,” the e-mail added.
The e-mail was obtained and released publicly on Thursday by
VoteVets.org, a veterans group that had criticized the Bush administration’s
policies in Iraq and Afghanistan,
and Citizens for Responsibility and Ethics in Washington, a nonprofit
government watchdog group.
In response to Perez’s e-mail, Veterans Affairs Secretary
James B. Peake released a statement saying the e-mail was “inappropriate” and
does not concord with the VA policy.
“VA’s leadership will strongly remind all medical staff that
trust, accuracy and transparency is paramount to maintaining our relationships
with our veteran patients,” Peake said, as quoted the Washington Post. He also
added that Perez has been “counseled” and is “extremely apologetic.”
PTSD is one of several conditions known as an anxiety
disorder. It is caused by a psychologically traumatic event involving actual or
threatened death or serious injury to oneself or others. Such triggering events
are called “stressors.” Symptoms include
nightmares, flashbacks and substance abuse.
According to a Rand Corp. report released last month and suggestively titled “Invisible Wounds of War:
Psychological and Cognitive Injuries, Their Consequences and Services to Assist
Recovery,” about one in five troops who fought in Iraq or Afghanistan
have symptoms of major depression or PTSD.
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