Page 48 - Biobehavioral Resilence to Stress

Resilience and

Military Psychiatry 2

ELSPETH CAMERON RITCHIE

Office of the Surgeon General
United States Army

BRETT SCHNEIDER AND JOHN BRADLEY

Walter Reed Army Medical Center

ROBERT D. FORSTEN
U.S. Army Special Operations Command

Contents
Introduction .......................................................................................................... 26
A Brief History of Combat Psychiatry .............................................................. 27
Combat and Operational Stress Control .......................................................... 29
Combat and Operational Stress Reactions ....................................................... 29
Prevention and Preparation through Training ................................................ 30
COSC on the Battlefi eld .......................................................................................31
Deployment Cycle Support ................................................................................. 33
Predeployment Support .................................................................................. 33
Predeployment Mental Health Screening .................................................... 34
Deployment Support ....................................................................................... 34
Redeployment/Postdeployment Support ..................................................... 34
Managing Stress-Related Disorders in Th eater ............................................... 36
Depression ........................................................................................................ 36
Anxiety ............................................................................................................. 37
Sleep Disorders ................................................................................................ 38
Chronic Combat Stress Reactions: Treatment Issues ...................................... 39
Conclusions and Recommendations ................................................................. 40
References .............................................................................................................. 41

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