pn.psychiatryonline.org/cgi/content/full/44/12/18 -
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Published on: 6/19/2009
Last Visited: 6/26/2009
Imagine if the governor of your state focused every day on mental illness, Robert Ursano, M.D., suggested to his audience at APA's 2009 annual meeting last month in San Francisco.
The thought alone is so unlikely that it sounds shocking, but that is what the top ranks of U.S. armed services are doing now.
"Never before in our history has there been such leadership concern as now in the Department of Defense and the Department of Veterans Affairs," said Ursano, a professor of psychiatry and neuroscience and chair of the Department of Psychiatry at the Uniformed Services University of the Health Sciences in Bethesda, Md., and director of its Center for the Study of Traumatic Stress.
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Stigma may be the biggest problem in the realm of military mental health, said Ursano, in summing up the session.
"In mental health we don't have a common cold," he said.
"Everythingis perceived as a major illness, but not all of our illnesses are cancer.
We need care across the whole spectrum of our diseases."
Finally, diagnostic standards for the psychiatric disorder most commonly associated with war, PTSD, will have to be rethought in the light of actual military experience, said Ursano.
"The A2 criterion for PTSD will have to be addressed," he said, echoingother speakers at the session.