Case Report, J Trauma Stress Disor Treat Vol: 3 Issue: 4
Late Onset Stress Symptomatology, Subclinical PTSD or Mixed Etiologies in Previously Symptom Free Aging Combat Veterans
| Rajdip Barman1 and Mark B. Detweiler2,3,4,* | |
| 1Carilion Clinic-University of Virginia Roanoke-Salem Psychiatric Medicine Residency, Salem, Virginia, USA | |
| 2Geriatric Research Group, Salem Veterans Affairs Medical Center, Salem, Virginia, USA | |
| 3Staff Psychiatrist, Salem Veterans Affairs Medical Center, Salem, Virginia, USA | |
| 4Virginia Tech-Carilion School of Medicine Department of Psychiatry and Behavioral Medicine, Roanoke, Virginia, USA | |
| Corresponding author : Mark B. Detweiler Mental Health Service Line (116A7), Salem Veterans Affairs Medical Center, 1970 Roanoke Boulevard, Salem, Virginia, 24153, USA Tel: 540-982-2463 ext.1652; Fax: 540-983-1080 E-mail: mark.detweiler1@va.gov |
|
| Received: December 24, 2013 Accepted: July 21, 2014 Published: July 28, 2014 | |
| Citation: Barman R, Detweiler MB (2014) Late Onset Stress Symptomatology, Subclinical PTSD or Mixed Etiologies in Previously Symptom Free Aging Combat Veterans. J Trauma Stress Disor Treat 3:4. doi:10.4172/2324-8947.1000132 |
Abstract
Late Onset Stress Symptomatology, Subclinical PTSD or Mixed Etiologies in Previously Symptom Free Aging Combat Veterans
The reaction to combat stress is variable and complicated. When elderly combat veterans with no prior history of PTSD present to the Emergency Department (ED) with PTSD-like symptoms, the differential diagnosis can be perplexing. The case may be cofounded by multiple medical problems and early neurocognitive degeneration problems. A new diagnostic phenomena is lateonset stress symptomatology (LOSS) needs to be considered in late onset first time presentation of PTSD-like symptoms. It is a clinical phenomenon reported in aging combat veterans who have experienced stressful combat events in their early adult years followed by a successful post-military life.
