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U.S. ignores trauma of returning soldiers at its peril, warns PTSD specialist

The U.S. is facing a national crisis it doesn't want to talk about, says trauma specialist Bessel van der Kolk. The country's veterans are returning home physically and mentally damaged, with higher rates of post-traumatic stress disorder and suicide and grim employment prospects. In a three-part series, CBC's Ideas program examines the consequences of leaving trauma untreated.

Veterans have higher rates of suicide and PTSD and few employment prospects, says Bessel van der Kolk

U.S. soldiers serving in Afghanistan and other conflict zones return home with significant mental and physical trauma, which often goes untreated. Psychiatrist says the U.S. has not faced up to the damaging toll this trauma takes on the nation. (Shamil Zhumatov/Reuters)

Dr. Bessel van der Kolk shakes his head when he hears U.S. presidential candidates trying to out-pledge each other in hunting down ISIS militants. His response is as simple as it is heartfelt: "Oh, no. There's going to be more war and more trauma."  

Van der Kolk is a psychiatrist and the medical director of the Trauma Center in Boston, and the bestselling author of The Body Keeps the Score. He believes there's a growing crisis in the United States that warrants a broad public debate, but he knows it won't happen.  

"It's very painful to hear what's not being talked about," he said. "You need truth in packaging before you send people off to war."  

Van der Kolk says the prospects for Americans coming home after serving in Afghanistan, Iraq or other conflict zones are grim.

A large proportion of them are unable to work, and rates of post-traumatic stress disorder and suicide among veterans are worrying. Many returning service members end up drawing their families into their own trauma, but the military has little in the way of support for those relatives, so the cycle of trauma continues.

Van der Kolk calls it a national crisis that the U.S. is not willing to face.

"It has certain implications of taking care of hurt and wounded people that would involve some societal transformations which America is not ready for — yet," he said in a three-part series on CBC's Ideas.

Listen to the program here:

Mary O'Connell explores the "Adverse Childhood Experiences" or ACE study and how its findings are being integrated into medical practice today.
Childhood trauma is increasingly being seen as a major factor in academic under-achievement. Mary O'Connell explores what happened at one high school when suspensions and punishments were replaced with new "trauma-informed" approaches.
Trauma is not a story about the past -- it lives in the present: in both the mind and body. Left untreated, it has no expiration date, whether it's trauma arising from childhood abuse or PTSD suffered as an adult.