When U.S. troops serving develop PTSD, it’s a painful tragedy. When Veterans Affairs officials discourage PTSD diagnoses because it might cost too much money, it’s a genuine scandal.
VoteVets.org and CREW have done some great work on this, and news outlets are picking up on the story.
A psychologist who helps lead the post-traumatic stress disorder program at a medical facility for veterans in Texas told staff members to refrain from diagnosing PTSD because so many veterans were seeking government disability payments for the condition.
“Given that we are having more and more compensation seeking veterans, I’d like to suggest that you refrain from giving a diagnosis of PTSD straight out,” Norma Perez wrote in a March 20 e-mail to mental-health specialists and social workers at the Department of Veterans Affairs’ Olin E. Teague Veterans’ Center in Temple, Tex. Instead, she recommended that they “consider a diagnosis of Adjustment Disorder.”VA staff members “really don’t . . . have time to do the extensive testing that should be done to determine PTSD,” Perez wrote.
Adjustment disorder is a less severe reaction to stress than PTSD and has a shorter duration, usually no longer than six months, said Anthony T. Ng, a psychiatrist and member of Mental Health America, a nonprofit professional association.
Those diagnosed with PTSD can get about $2,500 a month in disability compensation, depending on the severity of the condition. Veterans diagnosed with adjustment disorder generally don’t get any disability payments.
VoteVets chairman Jon Soltz noted, “Many veterans believe that the government just doesn’t want to pay out the disability that comes along with a PTSD diagnosis, and this revelation will not allay their concerns.”
Melanie Sloan, executive director of CREW, added, “It is outrageous that the VA is calling on its employees to deliberately misdiagnose returning veterans in an effort to cut costs. Those who have risked their lives serving our country deserve far better.”
They sure do.
Hilzoy added:
The idea that any vet returning with PTSD is getting inadequate treatment, and is being deprived of benefits to which s/he is entitled, for budgetary reasons is completely disgraceful. The right response to not having enough money to meet those needs is to ask for more, not to renege on our obligations.
I hate this sort of thing. I hate that these stories come out so often: Fort Bragg a few weeks ago, this today: one story after another about our shortchanging soldiers. Iraq and Afghanistan are no fun at all. The least we can do when people come home is not to make their lives harder for no good reason, especially not when they have been wounded, physically or psychologically. It’s just so wrong.
For what it’s worth, Veterans Affairs Secretary James Peake said in a statement that Perez’s email was “inappropriate,” and added that Perez is “extremely apologetic.”
No one, however, has been fired. If the last seven-and-a-half years are any indication, Perez will probably soon get promoted. (Iraq war vet Brandon Friedman adds, “You’ll have to forgive me for not giving Secretary Peake the benefit of the doubt on this one.”)