{"id":1375,"date":"2017-11-11T11:00:13","date_gmt":"2017-11-11T11:00:13","guid":{"rendered":"http:\/\/blogs.cardiff.ac.uk\/mental-health\/?p=1375"},"modified":"2017-11-10T16:10:42","modified_gmt":"2017-11-10T16:10:42","slug":"interview-with-a-veteran-part-2","status":"publish","type":"post","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/interview-with-a-veteran-part-2\/","title":{"rendered":"Interview with a Veteran Part 2"},"content":{"rendered":"<p>Military veteran John Skipper has become a passionate public spokesperson and champion of PTSD research after completing the 3MDR trial with my team at Cardiff University.<\/p>\n<p>In part one of this series John shared his experiences of his time in the army. In part two he discusses his diagnosis of PTSD and his experiences with conventional therapies and support.<\/p>\n<p><strong>How did your time in the military affect your life afterwards? <\/strong><\/p>\n<p>Bosnia didn\u2019t hit me again until one night in 2005 \u2013 <em>ten<\/em> years later.<\/p>\n<p>I was a senior officer and that year I had already organised the funeral of one of my officers killed in Iraq, and was with his parents when his personal possessions returned to the UK. I was also going through a divorce \u2013 military life is inevitably the third person in an army marriage!<\/p>\n<p>One night I had a dream of Bosnia that captured the essence of the horror of 1995. It was so real I could smell it and hear it. This same dream was to recur time and time again, without warning, during sleepless, fearful nights over the next few years.<\/p>\n<p>I was there, looking on, with the intelligence that could stop genocide happening, but my feet were in glue, no words came from my mouth \u2013 no one listened.<\/p>\n<p>At my final discharge medical in 2006 mental health didn\u2019t get a single mention \u2013 PTSD was not an abbreviation I had ever heard of at the time. Nor had my medical officer, apparently. After all, there was enormous stigma associated with mental health in the military at the time.<\/p>\n<p>I feel personally ashamed that at that time, I only quantified the health of my soldiers in physical terms rather than mental.\u00a0 Things are changing now.<\/p>\n<p>I\u2019m pretty convinced that I never really accepted or recognised my symptoms. My partner, to whom I owe so much for putting up with me, wondered why I was so easy to anger, didn\u2019t sleep very much and sometimes shouted in my sleep.<\/p>\n<p>I often awoke covered in sweat, having dreamed the same dream again. I tried to keep it under wraps. After all, my default was to a stigma never to admit mental health frailties.<\/p>\n<p>I do recall that in December 2010 I was hardly sleeping \u2013 I dreaded going to bed and I was permanently tired and easy to anger. My partner was at her wit\u2019s end but I didn\u2019t recognise it. It was all I could do to focus on me \u2013 I suppose I was becoming selfish.<\/p>\n<p>I visited my GP and he diagnosed work-related stress, I was given two weeks off and a goodly supply of Diazepam. A repeat of my medical officer five years earlier!\u00a0 There\u2019s a lesson here, of course. Isn\u2019t there?<\/p>\n<p>The drugs gave me two-three hours of chemical sleep \u2013 no more. \u00a0I still find it shocking that contemplating ending one\u2019s own life is such an easy step. It is a lonely, lonely place.<\/p>\n<p>Many veterans like me had received little support from GPs with little knowledge of trauma-related illness &#8211; even mental health illness in general. Very few had been signposted to safe therapy. Many who had been diagnosed had virtually given up on treatment because of long waiting lists.<\/p>\n<p>I was working for a NHS Inspectorate and had been given the privilege of writing a report on \u2018Healthcare of the Armed Forces Community in Wales\u2019. I spent hours on the phone collecting veterans\u2019 stories \u2013 the vast majority concerning mental health illnesses.<\/p>\n<p>During this time I was diagnosed with cancer. I remember now that that diagnosis was completely secondary and a sideshow to what was going on in my mind &#8211; something I simply could not understand.\u00a0 I love that word co-morbidity.\u00a0 The drugs for cancer got tangled up big style. My confidence disappeared \u2013 my healthcare report was a cliff I couldn\u2019t climb.<\/p>\n<p><strong>\u00a0<\/strong><strong>When were you diagnosed with PTSD? And what sort of treatment and therapy were you provided? <\/strong><\/p>\n<p>I worked closely on my Armed Forces report with a colleague who, to my good fortune, was a clinical psychologist. He asked me if the Review work was getting me down \u2013 and said I could stop doing it if it was. I couldn\u2019t of course \u2013 that would have been a failure.<\/p>\n<p>I had already had the good fortune to meet Professor Jon Bisson as part of the Armed Forces Review process, who referred me to a psychologist in my local health board for diagnosis.<\/p>\n<p>I will never forget the diagnosis in March 2012 that described, inter alia, \u2018significant symptoms of PTSD, low grade depressive symptoms, self doubt\u2019 and so on.<\/p>\n<p><strong>\u00a0<\/strong><strong>What worked and what didn\u2019t and why? <\/strong><\/p>\n<p>I was referred to a therapist within a couple of weeks \u2013 I know now how lucky I was. My therapist saved my life \u2013 as simple as that. I did not know in April 2012 that I would have 38 sessions over a period of almost two years \u2013 punctuated by surgery for the cancer as a comparative sideshow.<\/p>\n<p>I have always believed that if you are to repair a broken leg then you need far more than a sticking plaster and Ibuprofen. There\u2019ll be pain, you may have to dig deep, but the leg will set and you\u2019ll walk again.<\/p>\n<p>In April 2012 I really knew what is was to be mentally ill \u2013 day-to-day functionality was impaired to the point where confidence had gone and, for my partner, I must have been a selfish pain.<\/p>\n<p>You could count on the fingers of one hand the people who knew about my PTSD. After all, I still had stigma and weakness in my mind and it was hard to explain \u2013 I was lucky that I was able to conceal my CBT (Cognitive behavioural therapy) amongst my cancer treatments.<\/p>\n<p>For cancer I got a lot of sympathy. For a mental health illness I guess I would have received a measure of silence and suspicion.<\/p>\n<p>For me, the \u2018reliving element\u2019 within the CBT process was the <em>cure<\/em> \u2013 if you can call it that. I had opened the taboo files, had shone a torch in some very dark corners and largely expelled the demons.<\/p>\n<p>It left me totally drained \u2013 and I slept \u2013 really slept. CBT was about getting me carefully to that point, and leading me back to a normal life after it.\u00a0 But whatever had torn inside me in 1995, leaving a complex dark legacy with lots of other bad memories attached, had not disappeared. But you live with it and can understand it.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong><br \/>\n<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"Military veteran John Skipper has become a passionate public spokesperson and champion of PTSD research after completing the 3MDR trial with my team at Cardiff University. In part one of [&hellip;]","protected":false},"author":1462,"featured_media":1392,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[10,15,136],"tags":[],"class_list":["post-1375","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adult-mental-health","category-mental-health-and-society","category-post-traumatic-stress-disorder"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7swiU-mb","jetpack-related-posts":[{"id":1368,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/interview-with-a-veteran\/","url_meta":{"origin":1375,"position":0},"title":"Interview with a Veteran","author":"Kali Barawi","date":"10 November 2017","format":false,"excerpt":"Around 4% of British military veterans are living with post-traumatic stress disorder (PTSD). Psychological therapy with a focus on the traumatic event is the treatment of choice for PTSD and can be very helpful but, unfortunately, resistance to treatment is high. There is an urgent need to identify effective treatments\u2026","rel":"","context":"In &quot;Adult mental health&quot;","block_context":{"text":"Adult mental health","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/category\/adult-mental-health\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8888-copy.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8888-copy.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8888-copy.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8888-copy.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8888-copy.jpg?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8888-copy.jpg?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":1379,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/interview-with-a-veteran-part-3\/","url_meta":{"origin":1375,"position":1},"title":"Interview with a Veteran Part 3","author":"Kali Barawi","date":"12 November 2017","format":false,"excerpt":"For the final instalment of this series John Skipper, a military veteran who served in the Falklands, Northern Ireland and Bosnia, discusses the time he spent as part of the PTSD research currently taking place at Cardiff University. My team worked with John as part of the 3MDR trial (Modular\u2026","rel":"","context":"In &quot;Adult mental health&quot;","block_context":{"text":"Adult mental health","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/category\/adult-mental-health\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8893-copy.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8893-copy.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8893-copy.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8893-copy.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8893-copy.jpg?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/11\/IMG_8893-copy.jpg?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":1478,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/guided-self-help-a-new-treatment-in-ptsd\/","url_meta":{"origin":1375,"position":2},"title":"Guided self-help: a new treatment in PTSD?","author":"Natalie Simon","date":"26 February 2018","format":false,"excerpt":"I\u2019m a research assistant and PhD student based at the National Centre for Mental Health at Cardiff University. 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That\u2019s a challenging question, and one that underpinned a recent review of the work of graduate and registered mental health nurses, Playing Our Part. This made the case for the person-centred work of nurses, involving the skilled provision of face-to-face care. More\u2026","rel":"","context":"In &quot;Mental health nursing&quot;","block_context":{"text":"Mental health nursing","link":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/category\/mental-health-nursing\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/mental-1831391_1280.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/mental-1831391_1280.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/mental-1831391_1280.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/mental-1831391_1280.png?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/blogs.cardiff.ac.uk\/mental-health\/wp-content\/uploads\/sites\/502\/2017\/10\/mental-1831391_1280.png?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":768,"url":"https:\/\/blogs.cardiff.ac.uk\/mental-health\/post-traumatic-stress-disorder-work-burnout-and-the-spiritual-crises-in-health-and-social-care\/","url_meta":{"origin":1375,"position":4},"title":"Post traumatic stress disorder, work, burnout and the spiritual crises in health and social care","author":"Dr Teena Clouston","date":"13 October 2016","format":false,"excerpt":"Post traumatic stress disorder (PTSD) is now a well known condition recognised by several key factors including: the presence of one or more extreme stressors or traumatic incidents; flashbacks to the event; intrusive thoughts, often accompanied by imagery or sounds; intense distress and anxiety; disassociation or other avoidance behaviours. 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Working in the mental health field came first for me, with research following. 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