The prevalence of PTSD in military personnel has increased over the years in that
according to Rosenheck and Fontana (2007) the number of veterans reporting PTSD between
1999 and 2004 grew from 120,265 to 215,871 (a 79.5% increase) (as cited in Sharpless &
Barber, 2011). In another study that examined the prevalence of PTSD increased four to to seven
times between the years of 2002 to 2008 after the conflict in Iraq (289,328-300,000 veterans with
39.9% being diagnosed with a mental health diagnosis and 21.8% of those being diagnosed with
PTSD) (Sabella, 2012; McGrane, 2011). McGrane (2011) also references that in April 2008,
18.5% of veterans returning from Iraq and Afghanistan have PTSD and there are 300,000
soldiers deployed who suffer from PTSD with a comorbidity of depression or anxiety but are
more often than not, go undiagnosed or treated before being sent on another deployment (Elhai,
Contractor, Tamburrino, Fine, Cohen, Shirley, Chan, Liberzon, Calabrese, and Galea, 2015).
Without debate, the more time spent in combat, the higher risk of PTSD and research found that

Post-Traumatic Stress Disorder Diagnosis in Regards to Military Personnel
7
veterans younger than age 25 had high rates of PTSD and other comorbidities such as substance
abuse compared to veterans older than age 40 (Sabella, 2012).
Treatment options
The most common treatment for PTSD, in particularly military personnel, is first
completing the “PTSD Checklist (PLC-M) or the Primary Care-PTSD screen (PC-PTSD). The
PLC assess the 17 PTSD DSM-IV symptoms using 17 self-reported items, in which each item is
scored on a Likert scale (0-not at all and 5-extremely). The possible scores could range from 0
and 68. The PC-PTSD is a four-item screen that has been mandated by the United States
Department of Defense (DoD)
to be used during post-deployment health assessments and by the
Veterans Health Administration within the Department of Veterans Affairs (VA) to be used
during routine primary care visits” (Tiet et al., 2013, p.135). The PC-PTSD are dichotomous
(yes/no) items to determine the presence of nightmares, avoidance, paranoia (being on guard),
and emotional numbness that can have a total score from 0 to 4 (Tiet et al., 2013). After
assessing the risk of a possible diagnosis for PTSD, there are multiple evidence based treatments
available for the person who is diagnosed to utilize.
The first type of treatment that has shown great promise when dealing with veterans
suffering from PTSD is Cognitive Behavioral Therapy (CBT) which helps a patient understand
the traumatic event they experienced and identify the stress caused by it so the patient can
replace the traumatic event with a less distressing thought.
Cognitive Processing Therapy (CPT)
similar to CBT helps a patient understand the traumatic event and identify stressors but it also
incorporates a self-blame and exposure therapy component where patients are instructed to write
their traumatic event in detail and review them aloud.

Post-Traumatic Stress Disorder Diagnosis in Regards to Military Personnel
8
Eye Movement Desensitization and Reprocessing (EMDR) has also had successful


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- Spring '20
- United States Department of Veterans Affairs, Posttraumatic stress disorder