Understanding PTSD Testing Policies in the Military: A Soldier's Experience

Mental health testing and post-deployment screenings are integral parts of ensuring the well-being of service members. Post-Traumatic Stress Disorder (PTSD) is a common condition that affects many veterans, and early detection and intervention can significantly improve outcomes. This article draws from a soldier's personal experience to shed light on the policies and procedures surrounding these screenings.

The Role of Post-Deployment Screenings

Typically, the military conducts post-deployment screenings to assess the mental health status of returning service members. These screenings aim to identify any mental health conditions that may have developed or worsened during deployment. They are part of the broader effort to support the psychological well-being of soldiers and veterans.

Service members are encouraged to participate in these screenings with the hope that a diagnosis of PTSD can aid in receiving needed support and compensation for the condition. However, it's important to note that these screenings are not justa formality; they are serious procedures that are governed by strict policies to maintain integrity and fairness.

A Personal Experience with PTSD Screening

During my last eight weeks of deployment in 2006, I was ordered by my command to undergo a psychiatric evaluation. At that time, the total number of troops in the military was approximately 2.5 to 3 million, and PTSD diagnoses were quite rare, often around 0.5%. Many were diagnosed only in extreme cases where a service member was deemed unfit to continue serving.

My triggering event began when I started noticing significant changes in myself towards the end of my deployment. I was exhausted, had dark circles under my eyes, spaced out at work, and became dismissive of those around me. These symptoms persisted for several weeks, making it difficult to maintain my usual demeanor.

Eventually, I was directed by my Non-Commissioned Officer in Charge (NCOIC) to the Troop Medical Clinic (TMC). From there, I was referred to the flight surgeon, which led me to the camp psychiatrist. This referral was based on a "sudden" change in behavior that was noticeable to people around me.

The Psychiatrist's Evaluation

The psychiatrist's role during these evaluations is to assess the mental state of the individual, particularly regarding their fitness to perform their duties. During my evaluation, I was taken through a rigorous process of self-reporting, which was akin to an interrogation but conducted in a more professional manner. I was given the option to lie, confess, or remain silent, but the psychiatrist, who had extensive experience, was not easily deceived.

After six weeks of bi-weekly visits, I was diagnosed with PTSD. This diagnosis had significant implications, as it made me unfit for further service. I was discharged shortly after completing my deployment, leaving the military without the typical benefits, including glory for the medals I had earned.

The Impact and Broader Context

Only months after my discharge, the law changed, and I was able to access 18 months of post-9/11 benefits and a permanent rating of 100%. This change, however, did not mitigate the unfairness felt by many veterans who have been diagnosed with PTSD during their service and are now denied additional benefits.

It's crucial to understand that exploiting PTSD diagnoses to claim benefits is not only unethical but also undermines the trusts and support given to service members. The Veterans Affairs (VA) system faces significant challenges due to the barrage of claims for conditions that are seen as logically disqualifying for service, like PTSD.

For those truly concerned about their mental health, it is essential to accept the medical conclusions and not enter these screenings with an ulterior motive of compensation. Misleading or fraudulent claims are not only harmful but can have severe legal consequences.

My experience underscores the importance of mental health screening and the need for a balanced approach that encourages genuine support while preventing abuse of the system.