Thousands of Iraq veterans will come home to face serious psychological problems and a system that may not be ready to help them.
The first time Kristin Peterson's husband hit her, she was asleep in their bed.
She awoke that night a split second after Joshua's fist smashed into her face and ran, terrified and crying, to the bathroom to wipe the blood spurting from her nose.
When she stuck her head back into the bedroom, there he was-punching at the air, muttering how she was coming after him and how he was going to kill her. Kristin started yelling but Joshua's eyes were closed. He was still asleep.
The next morning Joshua saw the dried blood on his wife. "Oh God," she recalls him saying. "I did that."
Peterson doesn't remember the night or the nightmares. He also can't remember punching his wife again in his sleep a few weeks later, this time driving her front tooth through her lip, all the while murmuring how he'd never go back.
For six months last year, Peterson helped build an oil pipeline across Iraq as a specialist in the Army's 110th Quartermaster Company. On the same highway where Private Jessica Lynch was ambushed, he saw Iraqi soldiers, dead and rotting, dangling out of their tanks. One time Peterson's truck broke down and he was surrounded by a group of Iraqi children, some throwing rocks, others toting AK-47s. "I kept thinking, ÔGod, I can't handle this,'" the 24-year-old says with a hollow laugh.
Since Peterson came back to Richmond Hill, Georgia in August, 2003, these memories have turned him into a man Kristin often doesn't recognize-a man who lashes out in anger at her and their 21-month-old son, whose awful dreams tell him to beat his wife because, in
his sleep, she's an Iraqi.
There are thousands of Operation Iraqi Freedom soldiers across the country like Joshua Peterson. They are coming home with minds twisted by what they've seen and done in Iraq.
A December, 2003 Army study-published in The New England Journal of Medicine-found that approximately 16 percent of soldiers returning from Iraq were suffering from Post Traumatic Stress Disorder (PTSD), a psychologically debilitating condition causing intense nightmares, paranoia and anxiety. But that study is, already, out of date.
Now, after a particularly bloody summer and fall, many military and mental health experts predict the rate of PTSD will actually run nearly twice what the Army study found, approximately the same level suffered by Vietnam veterans. Others think it could spike even higher and note that rarely before has such a dramatic rate of PTSD manifested itself so early.
At the same time, there is mounting concern over the system designed to help: The Department of Veterans Affairs. Numerous reports show the VA does not have many of the essential services veterans desperately need.
"I don't know how many people are going to be seeking treatment, or whether the demand is going to be met by available resources," acknowledges Matthew Friedman, executive director of the VA's National Center for PTSD. "What I am confident is that people who come for treatment will get good treatment."
Yet the VA chronically has under-funded mental health programs and currently projects a $1.65 billion shortfall in those programs by the end of 2007.
"If we don't give the VA what it needs immediately, the consequences will be lifelong and devastating," says Steve Robinson, executive director of the National Gulf War Resource Center.
The emerging scenario is that of a generation of new veterans whose psyche is in tatters, their families scarred by the strangers their loved ones have become-and of an exhausted health care system holding its breath.
"When you kill someone in combat, two things can happen," says
Sergeant Walter Padilla, Charlie Company, 1st Battalion, 12th Infantry Division. "The crazy ones go crazier. Or nothing happens."
In October, 2003, Padilla was commanding a Bradley Fighting Vehicle near the city of Kirkuk, rounding up insurgents and fending off mortar attacks.
On a break one day, Padilla's company headed to a deserted area a few miles from base to practice their marksmanship. When gunfire rang out from a nearby village, Padilla wheeled his Bradley around to investigate. He saw two groups of armed men arguing over a pile of wood. The Bradley rumbled closer and the men began shooting.
"Everything slowed down.
I lost sense of time. I saw nothing, felt nothing," he says. "Then I opened up with the machine gun."
After Padilla gripped the trigger long enough, he moved in for a closer look.
"You're walking up on something you've done with your hands. You see the back of brains blown out. You know it's either him or you! But, I'd never seen anybody dying."
When Padilla's unit was shipped back to Fort Carson, Colorado, in late February, 2004 his life unraveled.
While he was gone, his wife had filed for divorce. He began having terrible dreams about Iraq. He grew paranoid anytime he left home.
One morning, on his way to work at Fort Carson, Padilla glimpsed the lights of an Air Force jet. He swerved his car off the highway and grabbed his cell phone to call his commanding officer-"I thought it was a tube flash from a mortar," he says.
At a bar one night, he argued with a stranger over a pool table-"Doesn't this guy know I've fucking killed people?" Padilla thought incredulously.
That night, Padilla lay awake, contemplating whether he should rush out into the night and search for the stranger. He shoved some sleeping pills in his mouth and fought to let it go. "If I'd have found him, I would have beat him over the head with a bar stool," he says.
While Padilla grasped at his ghosts, Washington
bureaucrats were hearing about another nightmare. On March 25, 2004, Dr. James Scully, medical director of the American Psychiatric Association, testified to the House Appropriations Subcommittee on VA, HUD and Independent Agencies.
Scully, a Navy veteran, reported a 42 percent explosion in VA patients with severe PTSD, with only a 22 percent increase in money spent on PTSD services. The discrepancy was particularly "startling," he said, because there were more vets using the VA for psychological help than ever-nearly half a million.
It was the latest blow for an institution that has struggled for decades to fulfill its mission.
A mammoth, federally funded agency, the VA's health care system began treating veterans in 1930, charging a sliding fee based on a variety of factors. But in the wake of the first Gulf War, the system swelled out of control. The soaring cost of civilian health
insurance, combined with aging World War II, Korea and Vietnam vets, pushed droves of service-people towards the VA where everything was cheaper.
In 1995, the VA began realigning its health care system and opening hundreds of outpatient clinics. Yet by 2001, only half provided mental health services, according to the National Mental Health Association.
Again, funding was a factor. By 2003, the previous decade had seen a 134 percent jump in vets seeking care, with only a 44 percent increase in the budget.
As US troops pushed towards Baghdad, Dr. Joseph T English, Chairman of psychiatry at St. Vincent's Catholic Medical Centers of New York, told the House Appropriations Subcommittee on VA, HUD and Independent Agencies that veterans were waiting an average of 47 days to get into PTSD inpatient programs and up to a year at some outpatient facilities.
VA Secretary Anthony Principi (who resigned on Dec. 8 as part of the Bush administration's cabinet shuffle and will leave office when his successor is confirmed by the US Senate) had commanded a Navy gun boat during Vietnam and understood PTSD. He also knew that with combat-dazed vets beginning to trickle home from Iraq, he needed to move. So he commissioned a task force to cobble together the VA' s mental health services on short notice.
In a revealing June 3, 2004 memo to VA Undersecretary for Health Dr. Jonathan Perlin, Principi wrote that the task force had discovered four major deficiencies: Mental
health services were scattered; substance abuse programs had been reduced; the VA's mental health leadership hadn't been diligent in overseeing the situation; and, there was no coherent mental health strategy. Principi ordered VA brass to begin plugging the holes immediately.
While the VA worked on a long-term mental health plan to implement the reforms, the agency's Special Committee on PTSD delivered an October report to Congress, warning that with more soldiers with PTSD arriving home, services needed beefing up.
During the 1980s, the VA had recommended there be teams of PTSD counselors at all VA medical centers. Two decades later, the report noted, barely half of the 163 facilities had them.
The VA plan estimated it would take $1.65 billion by 2008 to fix things.
Similarly, the PTSD Committee conceded that the VA couldn't be expected to treat psychologically troubled vets from Iraq and Afghanistan while still caring for those already in the system. "If the human cost of PTSD and its related disorders is staggering, so are the long-term medical costs to the VA associated with chronic PTSD," the report stated.
The House Veterans Affairs Committee urged Congress to pump an additional $2.5 billion into the Bush administration's VA health care budget for 2005. But by November, with the budget poised for passage,
it seemed unlikely, despite the warnings from veterans groups and VA doctors who sat on the PTSD Committee.
These same doctors knew they could treat the disorder better than anyone. They have been on the cutting edge of PTSD since its diagnosis was born from a war whose lessons now seemed distant.
Sergeant Dave Durman did a tour in the Mekong Delta back in
1969. He was 18, and had joined the Navy the minute he got his draft notice, even though some of his buddies had already gone and died there. "I think it was because I just really loved the water," Durman says.
Durman also loved working on the supply ship where he was stationed and the pulsing adrenaline whenever his unit supported the Marines on missions around the South Vietnamese coast. He loved it all so much that he stayed in the Navy for nine years and, in 1995, joined the Virginia National Guard's 1032nd Transportation Company, 10 miles from his home in Kingsport, Tennessee.
In February, 2003, Durman's unit was sent to Kuwait. He was 52 years old.
Two months later, the 1032nd crossed into Iraq, charged with shipping supplies from the southern city of Talil, 300 miles north to Balad. Other convoys had been attacked on the
same route, so Durman and the 19-year-old soldier who rode with
him slung their flak jackets protectively over the outside of both truck doors because, Durman says, "you could stab a hole through those doors with a knife."
During one August haul, Durman came upon a group of Iraqi police who had just shot two children for stripping a car on the side of the road. He drove right by their bodies. "We're told not to interfere with domestic affairs," Durman says quietly.
"I didn't want to get personally close to the Iraqis, because I knew we might have to shoot them," he continues. "I'd look into their eyes and they all looked like Gooks."
In September, Durman's unit shipped back to Virginia. It was then the nightmares started, about Iraq, but also things he'd buried-his abusive childhood, Vietnam.
His girlfriend, Teresa A McKay, noticed that Durman, once confident and kind, now broke into random sweats and angered easily. He drank too much whiskey and bought a .357 pistol. Their sex life, McKay said, went "190 degrees different."
To McKay, a former nurse who'd worked with homeless Vietnam veterans, Durman's behavior looked disquietingly familiar.
Indeed, Vietnam provides the clinical and historical framework for PTSD and Iraq. Before Vietnam, treatment of a soldier for the psychological effects of battle was not really treatment at all, even though PTSD had long been acknowledged under a variety of names.
In 1871, a former Union Army medic JM Da Costa wrote about a stress disorder caused by heavy fighting. He called it "Irritable Heart," a name changed shortly thereafter to "Soldier's Heart."
During World War I, according to VA psychiatrist Jonathan Shay, veterans returning home with Soldier's Heart were told by military doctors they had "shell shock," or "combat neurosis."
After World War II, says Shay, when tens of thousands of soldiers were hospitalized with psychiatric problems, doctors diagnosed the majority with paranoid schizophrenia.
"The diagnostic spirit which prevailed was based on Plato's idea that if you had good parentage, good genes, a good education, then no bad things could shake you from the path of virtue," says Shay.
During Vietnam, that Platonic ideal began to shift. In 1970, 20 young vets from the group Vietnam Veterans Against The War (VVAW) called psychiatrist Robert Jay Lifton to speak with them about the war. The vets didn't trust the VA or the military, but knew they needed to calm the devils they'd brought home.
Lifton, who had studied Hiroshima survivors and been an Army psychiatrist, began meeting in New York with the group in what became known as "rap sessions."
He was shocked by the extent of the veterans' traumas.
"These men talked about a particular combat situation that had a level of extremity which was new, even to me," Lifton says.
Prompted by the rap sessions, VVAW opened up dozens of "storefront" counseling centers-places where Vietnam veterans could speak with other vets about their experiences, a crucial part of treating PTSD.
Still, despite the growing number of vets clearly suffering, the VA wouldn't accept PTSD as a diagnostic entity.
"This was because many of them were talking about atrocities, and that process was associated with a political view of the war," says Lifton.
Finally, in 1979, the VA opened up its own network of storefront "vet centers." A year later, the American Psychiatric Association recognized PTSD as a legitimate medical diagnosis.
When the National Vietnam Veterans Readjustment Study concluded in 1988 that 30 percent of Vietnam vets suffered from PTSD, not many were surprised.
By then, Lifton (who never worked for the VA) and individual VA psychiatrists like Matthew Friedman had become leading experts on PTSD, and pushed the condition into psychiatric and public consciousness.
Through group and individual therapy, and sometimes medication, the VA was helping veterans heal, though the process could take years.
But by the time US soldiers touched Iraqi soil, because of the enormous growth in the number of vets seeking mental health services and the VA's failure to adequately respond, the advancements in PTSD treatment were being compromised.
A new conflict, which bore an uneasy resemblance to Vietnam for the doctors who knew that war's demons, would test those advancements even further.
As Crystal Luker tells it, May 5, 2004 was the day her husband's
platoon ran into trouble.
As usual, on that afternoon, Specialist Ron Luker was patrolling a section of Baghdad with his 1st Cavalry Division platoon.
"There was a lieutenant in the first Humvee, Ron was in the second and his platoon sergeant was in the third with a group of privates," Crystal says.
A 19-year-old specialist from Tulsa named James Marshall, who Ron had been looking after, also rode in the third Humvee. As the convoy snaked through a teeming Baghdad street market, there was an explosion.
"The lieutenant was yelling over the radio for all of them to haul ass back to the base because they were coming under fire," Crystal says.
When Luker looked behind him, he was horrified. The third Humvee was gone. He flipped his
vehicle around and hurtled back down the street.
Crystal says Luker told her when they found the Humvee, the force of the blast had blown the flesh from two of the privates all over the seats. When Luker looked in the back, he saw Marshall, wrapped around the vehicle's 50 caliber gun.
"When Ron tried pulling James' body out, his hands just went right inside of him. He pulled James' flak jacket back and his chest was gone."
Before that day, Luker called and wrote home religiously, unburdening himself to the woman he'd fallen in love with at a Mariposa, California restaurant four years earlier. But when he came home to Fort Hood, Texas, for a week in August, things changed dramatically.
That first night, at a welcome-home barbeque, Luker cornered his wife in the kitchen.
"He asked why I'd been avoiding him and said that I didn't want to be around him," Crystal says. When Luker started cursing, some Army friends pulled him away. "You didn't come all the way home to fight with your wife," they told him.
As the week went on, there was more arguing. Crystal says her husband accused her of cheating while he was gone. He rifled through her purse, the bedroom drawers, and repeatedly listened to old phone messages, searching for proof.
"I told him 'you're scaring me! You're not acting right, Ron!'" Crystal says.
Luker also seemed bothered around his three daughters. In an emotional revelation, he told his wife why.
"He said he'd turned into a monster in Iraq. How he couldn't bounce his kids on his knee when he'd shoved guns in women's faces and busted into houses and pushed kids on the floor. He kept saying 'I'm just trying to remember who I was before.'"
Ron Luker's problems fit into those of the growing numbers of PTSD soldiers. They also signal another trend-soldiers experiencing PTSD early.
VA psychologist Scott Murray says many vets won't feel symptoms of PTSD until 15 months from now.
"This early on, PTSD is much higher than anything we've seen in previous conflicts," Murray says. "We anticipate the numbers are only going to keep getting higher."
Psychologist Kaye Baron currently treats some 70 active soldiers and their families in a private practice in Colorado Springs, near Fort Carson. From clinical discussions she's had with soldiers, Baron thinks the PTSD rate could spike as high as 75 percent.
Such a rate, Robert Jay Lifton says, is inexorably tied to the war itself.
"This is a counterinsurgency being fought against an enemy which is hard to identify, and that leads to extraordinary stress," he says.
According to Jonathan Shay, the issue with the most potential for psychological torment is whether soldiers feel they've been led into battle for a noble cause.
Shay, who compared the Vietnam veteran's battle experience to that of Achilles in his book,
Achilles in Vietnam: Combat Trauma and The Undoing of Character
, wrote how the Greek hero felt betrayed by his arrogant general, Agamemnon, whose disrespect of a priest of Apollo brought down a plague on the Greeks.
"If a soldier has experienced a betrayal of what's right by those in charge, their capacity for social trust can be impaired for the rest of their lives," Shay says.
Indeed, Dave Durman says he first began feeling uncomfortable in Iraq when it became clear there were no WMDs. He says his unit was furious when General Tommy Franks retired mid-war, while the rest of National Guard and Reservists were subject to the Army's "stop-loss" policy, which extends soldiers' deployments.
Walter Padilla and Ron Luker were outraged when they saw Iraqi children playing in human sewage gurgling through the streets while the Army did nothing. "I thought we were here to help these people," Padilla says.
That sense of betrayal translates into what Shay calls "complex PTSD": nightmares, paranoia, violence, self hate and a crippling distrust.
Shay, who also analogized the Vietnam veteran's homecoming to Odysseus' tortured return to Ithaca in a second book,
Odysseus in America: Combat Trauma And The Trials of Homecoming
, says that after Vietnam: "Vets were coming home and burning through their social capital. Everything in their life was being destroyed or used up."
Peterson's dream-induced violence, Padilla's bar fights, Durman's drinking, Luker's accusations about his wife are powerful examples of a similar dynamic.
According to the VA, veterans with PTSD are more apt to be jobless, impoverished, homeless, addicted, imprisoned, without a stable family and three times more likely to die before the rest of us.
Many of the soldiers Kaye Baron treats tell her they only want to get far away from their lives at home.
"They just want to go off in the mountains," she says. "And be by themselves."
Since reporting on this story began in October, Joshua Peterson
and Dave Durman have started therapy at the VA. They're likely getting some of the most advanced care in the world. They're also lucky. Peterson's mother-in-law knows a VA psychiatrist, and Durman was already enrolled, thanks to his time in the Navy.
Meanwhile, Walter Padilla is trying to leave the military and says he'll get help once out. Ron Luker is still in Iraq and Crystal Luker says she'll drag her husband to the VA if she has to.
These soldiers won't be alone. So far,
more than 10,000 veterans from Iraq and Afghanistan have sought psychological help from the VA, and there's every indication the numbers will jump significantly.
Despite the challenges these numbers predict, Harold Kudler, co-chair of the VA's PTSD Committee, says: "We've never been so prepared," and points to unprecedented cooperation with the Department of Defense, intensified PTSD outreach and the 206 vet centers.
But some say that preparation is not enough. "You can only provide the services for which you have the resources," says VA psychologist Scott Murray. "There has to be significant improvement in an allocation of funds to make that occur."
On Nov. 20, Congress added $1 billion to the Bush administration's $27.1 billion VA health care budget for 2005. The amount fell $1.5 billion short of what was recommended by the House Veterans Affairs Committee. And while Congress earmarked
an additional $15 million for PTSD, few think that money will make much difference.
"The heads of the VA health care networks are all trying to figure out how the hell they're going to manage," says Rick Weidman, director of government relations for Vietnam Veterans of America.
As for the VA's mental health plan, which estimated an extra $1.65 billion was needed to fix things fully, VA spokesperson Laurie Tranter says: "We cannot comment on this now. The plan is still being finalized."
Still, all the money and services in the world will not necessarily solve the pain of PTSD.
In 1968, a young soldier named Lewis Puller came back from Vietnam without his legs and parts of his hands, blown off by a Viet Cong land mine. Puller, the son of the most decorated Marine in American history, soon became a veterans' rights advocate and later a Pentagon lawyer. He married a politician, had two children and, in 1991, wrote a Pulitzer Prize-winning book called
Fortunate Son: The Healing of a Vietnam Vet
. Popular on Capitol Hill and among veterans, Puller had
seemingly risen from the physical wounds and the depression and alcoholism which haunted him for years to live a remarkable life.
On May 11, 1994, 26 years after returning home, Puller shot himself. In the end, the Soldier's Heart hurt too much.
Amidst an outpouring of grief, one Vietnam vet wrote an email to Jonathan Shay, which Shay published in
Odysseus In America
.
"I get real tired of hidin' and runnin' from the demons," the vet wrote. "Am I the only one? Has it crossed anyone
else's mind? You think maybe Lew was right? Is it the only real escape? I got questions. I'm out of answers."
Thirty years from now, one wonders how many veterans from this war will echo those words.
Barbara Solow with the Durham, NC Independent Weekly contributed reporting to this story.
Despite many resources in New Mexico, some soldiers still wait for care.
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New Mexico soldiers who need mental health services will receive them, says Farrell Udell, team leader of the Vet Center in Santa Fe.
The center is part of a nationwide network of community mental-health clinics for soldiers. Udell has been seeing about four Iraq and Afghanistan returnees weekly. About half of
them have anxiety problems of some sort. "We're seeing acute anxiety, which is normal for returning combat troops. We imagine that with some
counseling the anxiety may subside over time."
The Center is one of several local resources for returning vets. There also is the VA Regional Office, the New Mexico State Department of Veterans Services and the VA Hospital in Albuquerque.
"Each of these facilities has specific contact persons and liaisons for these returning veterans," Udell says. "Instead of them going through the historical red tape, they can go directly to a source and get their needs met. The VA has a two-year priority program for these returning Iraq soldiers, which at least puts them at the front of the line."
Nonetheless, the waiting list at the VA Hospital in Albuquerque is long-3,000 patients long. The facility serves New Mexico soldiers from all over the state. And, like VA hospitals across the US, it's undergone an overhaul, in which it has shifted more towards outpatient than inpatient services, according to Joe Dean, executive assistant to the director of New Mexico's VA Healthcare Services.
"There's been a shift similar to the private sector in preventative medicine and keeping people out of the hospital as much as possible," Dean says.
Such changes are aimed at providing better care, according to Dean. But those within the VA system often don't have immediate access to services unless they experience a medical emergency.
"There's no question we have a long waiting list for routine care," Dean says. Thus far, Dean says returning soldiers from Iraq and Afghanistan have not played a significant role in causing the long waits. "The number of returning soldiers at this facility are relatively small, probably in the area of 50, and we have a total of 55,000 patients."
While 3,000 veterans wait for routine care, approximately 200 more wait for resolutions of pending disability claims. According to a VA report initiated by US Rep. Tom Udall, D-NM, as of October, 17 percent of veterans with disability claims at the regional VA center in Albuquerque had waited six months or longer for resolution of their claims.
Though the VA has a goal of slicing average waiting times for resolution of VA disability cases to 105 days, in New Mexico, the mean waiting time is 151 days. Moreover, the number of New Mexico veterans waiting for resolution of disability claims and the number waiting six months or more are rising. During the past year, the number of veterans on the waiting list rose by 629 and the number of veterans waiting six months or longer rose by 237.
Nationwide, more than 300,000 veterans wait for disability assessments. As they wait, the VA continues making the shift from inpatient care to outpatient care, with hospitals across the country facing closures of wings or of entire facilities.
But due to the number of veterans relocating to the Southwest, closures aren't likely for New Mexico VA facilities. In fact, VA Hospitals in West Texas, New Mexico and Arizona will probably expand and have already done so in certain areas.
"There's going to be new facilities and remodeling of existing facilities," Dean says. "In Albuquerque, we're looking to increase the number of mental beds. We're looking actually to expand." This year, the hospital added two more mental health beds for a total of 28.
With regards to PTSD, Dean says the hospital has teams providing services on both an inpatient and outpatient basis. Those with PTSD may stay overnight at the Psychiatric Rehab Program in Albuquerque and Gallup.
Udell says a major issue he's been seeing with local soldiers are family reintegration problems. "After long periods of separation men and women have to learn to reintegrate and resume their relationship, given that they both changed during the time the soldier was in the combat theater."
And while there have been comparisons drawn between the war in Iraq and Vietnam, for returning soldiers there are differences. Says Udell: "This time it's different from Vietnam because now we have women who are going, and their husbands are staying home. So we have role reversals and interesting situations."
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Veterans groups and mental health experts are particularly concerned about National Guard and Reservists, who make up 40 percent of the fighting force in Iraq and will be thrust back into the civilian lives upon their return. PTSD treatment emphasizes the importance of remaining around people who've been in combat and can relate to a patient's suffering.
Though it was just over three years ago, Santa Fe Reservist Makayla Watts can't pinpoint why she enlisted in the Reserves. "I go back to that day and wonder what I was thinking," the 22-year-old Santa Fe native says. "I have no idea what I was thinking. I wanted to go to college, and I'm not from a wealthy family. I thought it would be one weekend a month. Plus, on top of that, the college money would get me through school."
Enlisting four months before 9.11, Watts never believed she would be deployed. "I know that sounds ignorant or oblivious, but my dad was in the Naval Reserves for over 20 years, and he never once got activated-through Desert Storm, through everything."
But as Watts would find out rather abruptly, she would, in fact, be deployed. "It just so happened that right after I got out of training we went overseas." When Watts' unit left for Iraq in February 2003, she felt dangerously unprepared. "It's all about the numbers," she says. "It doesn't matter how well-prepared you are, how well trained you are. It's all about intimidation. The more troops we have over there, the more powerful we look."
Once in the desert, coming back alive and in one piece was Watts' primary concern. "I didn't think I would make it out alive. I thought I would come back with one leg or an arm missing. I had no idea what I was in for. I was pretty much self-absorbed. I fell into a depression that was overwhelming. I was trying to look out for myself and make sure I made it out."
Watts was particularly dismayed when she learned weapons of mass destruction in Iraq were never found. She thought, "I'm over here fighting a war basically for oil. I'm here fighting a war for money. It was really disappointing. It would be one thing if we were fighting for people's freedom, but it's their culture…How would it make us feel if someone came over here and told us we shouldn't be living this way?"
Though Watts respects the Iraqi culture, interacting with Iraqis put her on edge, primarily because it was nearly impossible to distinguish the civilians from the combatants. "They wouldn't be dressed like soldiers, they would be dressed in civilian Iraqi clothes. If they were dressed in uniform, you would obviously know they were an enemy." Watts didn't trust any Iraqi, including the children. "Over there, they don't respect the younger children. They would have kids run in the street and hold us up because they knew we weren't going to run over a small child. I was scared of the children because you didn't know what they would do."
While travelling to the water point, Watts also encountered Iraqis. She felt vulnerable and exposed during every journey she made for water. "We took the same route through every time, which was really high risk. If somebody was out to ambush our convoy, they would catch on. Every day we were taking the same position. It was amazing that nobody was smarter."
Though Watts doubted that she'd make it home alive, in February of 2004, her unit was demobilized and she returned to the states. "I went through demobilization. They screen you for psychological problems, dental, hearing. Everything." But perhaps the military isn't thorough enough during the demobilization process, Watts says. "I put down I thought I needed to seek help on my paper work when I was getting released and nothing happened."
The fact that she needed help became evident while at work as a bank teller. "It got to the point where my boss at work said that my attitude needed to change. I went off on a male customer who was being pushy and bossy. I told him he needed to stop bossing me around, that I was trying to figure out what he wanted."
Watts has a particularly difficult time being around males as result of her time in Iraq, because she felt sexually harassed by some of her colleagues there. Now, stationed at Fort Carson in Colorado, says, "I only have two males that I work with, and I'm hardly ever around them. I don't respond well to males telling me what to do."
Problems also surfaced at her first drill. "I've never been an anxious type of person," she says. "I've never had problems with anxiety and depression. When I had to do my first drill, I freaked out. I had my uniform pressed and ready to put on, and I started shaking. I was throwing up. I couldn't breathe. That's when I knew something was wrong. My body had never reacted to any kind of circumstance that way."
Through a military help hot line called Army Source One, Watts was referred to a psychiatrist in private practice and diagnosed with post-traumatic disorder after four sessions. Even after diagnosis, she suffers, as people with PTSD do for the entirety of their lives.
"I can't even be around people in large crowds," she says. "I'm constantly looking over my shoulder. I think, 'I'm going to die. Someone is going to be shooting at me.' I'm in my car, and I'll see something on the road and think it might be an explosive and try to dodge it. I could cause a wreck. I could harm innocent people."
Watts' mother decided to journey from Santa Fe to be with her as she readjusts. "She's the only person I can turn to," Watt says. "I've gotten really defensive around everybody else, but she'll always be my mother." Nonetheless, being with her mother has sometimes been challenging. "It was really weird at first. I knew she wouldn't harm me or try to put me in a situation that I wasn't comfortable in. It was the aspect of talking to people. I would space out. I would go for minutes without saying anything. She took me out to dinner, and she'd been talking for three minutes, and I didn't hear a word she said. I was kind of floating in space."
While Watts makes slight attempts to improve her interpersonal skills after Iraq, she has avoided anything involving the military. "I haven't been to drills for over five months," she says. "I got a letter about disciplinary action for so many unexcused absences. If I wind up getting kicked out, I could lose all my college benefits. There's a drill next weekend. I'm going to try to go to that. If I can't, I'm going to go the hospital and tell them I need help."
Though the military referred her to a psychiatrist in private practice, Watts has been unable to find help for PTSD within the Armed Forces. Since she requested services on her demobilization paperwork, Watts says that every time she has reached out for help, the reaction from military officials has been silence. Two months ago, Watts says, "I told them I was suicidal and depressed and couldn't get out of bed, and they asked me if I was going to make it to drill that weekend. What kind of question is that?"
When Santa Fe Reservist Jessica Rich returned from Iraq in January, she couldn't sleep for three weeks, and, when she did, she had nightmares. "I had a lot of dreams people were attacking me, that I was getting bombed," the Los Alamos native recalls. In her waking hours, things weren't much better. "I was really jumpy. I wouldn't be alone. I was very paranoid," she says. "I would hear something and think someone was shooting at me, that we were getting attacked. I would turn around and think I was seeing something that later I wouldn't see."
Suffering weeks of skittishness, Rich sought counseling. "I went to find out what the hell was wrong with me," she says. After a mental health evaluation, she was promptly diagnosed with post-traumatic stress disorder. Shortly before the diagnosis, however, Rich was found to have a chronic physical condition called fibromyalgia, which has been linked to PTSD. In fact, between 1998 and 2001, the Department of Veterans Affairs commissioned a study of 1,000 deployed Gulf War veterans and 1,000 non-deployed Gulf War veterans to see if deployed veterans had higher incidences of conditions such as PTSD, chronic fatigue syndrome and fibromyalgia. "It's a condition that affects your muscles and your nerves," Rich explains of the disorder. According to the VA study, "Attention/working memory deficits and fibromyalgia may also be related to deployment to the Gulf War." Resulting in pain, tingling and dryness throughout the body, there are multiple, but, as of yet, no definite causes for fibromyalgia. However, stress and sleep disturbances, both of which Rich suffered as a result of combat, have been linked to the condition.
According to the Mayo Clinic, alteration of a brain chemical known as substance P, linked to stress, anxiety and depression, can trigger fibromyalgia. Moreover, once thought to be a symptom, researchers now posit that disturbed sleep patterns may actually cause fibromyalgia. Those with the condition often have unusually low levels of a hormone called somatomedin C. Considered vital for the body to rebuild itself, somatomedin C is only secreted during stage four sleep. However, because stress from Iraq resulted in sleeplessness for Rich, it is possible that she failed to secrete this crucial hormone. What's more is that Rich may have been experiencing PTSD months before diagnosis, when in June 2003, she began exhibiting signs of fibromyalgia. Then, "I started having lot of back pain," Rich says. "I started getting sicker more often, getting fatigued, having a lot of weird symptoms, muscle spasms."
Similar to PTSD, fibromyalgia may make having healthy interpersonal relationships and working a job extremely trying. Now stationed at Fort Carson in Colorado, Rich has weekly counseling sessions to treat her PTSD but says she has been fighting for the military to recognize her related fibromyalgia and grant her release from duty. "It's been horrible," she says. "The medical services have been horrible. Every kind of medical care I've received I've had to fight for." She says the military wants to diagnose her with back pain, a condition for which she'd only receive 30 percent disability. "Back pain is more convenient for them than fibromyalgia," Rich says.
During the writing of this story, Rich suffered a flare-up of fibromyalgia, which resulted in her being hospitalized.
Santa Fe Reporter