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Anger/Rage
Alienation/Emotional Numbing (Avoiding Feelings)
Isolating Yourself from Others
Guilt / Survival Guilt
Anxiety
Intrusive Thoughts
Flashbacks
Hypervigilance/Hyperalertness
Exaggerated Startle Reaction (Jumpiness)
Difficulty Concentrating
Memory Impairment
Low Self-Esteem
Problems with Authority
Employment Difficulties
Relationship Difficulties
Self - Medication with Drugs and Alcohol
VA Readjustment Counseling
Until October 1994, Persian Gulf veterans were eligible for readjustment counseling through the Persian Gulf Family Support Program. The program's funding was cut by Congress in 1994, but some hospitals (notably the Atlanta VAMC) have continued the program, though with reduced funding. Check with your local VAMC to see if they offer counseling programs.
How to Live With Chronic Illnesses
Chronic illnesses are long-term, uncertain, and tend to be multiple diseases. They require proportionally large efforts at palliation, are disproportionately intrusive upon the lives of the ill and their families and require a wide variety of ancillary services. There is often conflict between providers, patients, funding agents, and family members on issues surrounding the illness. They can be expensive to treat and manage.
When you are chronically ill any stressor, whether physical or emotional, can have negative health effects.
Often it is hard to combat a disease that is so intangible. You may feel like giving up. Or becoming even sicker so that people will see that you are suffering. Often we want "them" (the doctors) to get off their duffs, figure out what's wrong with us and fix it. Sometimes this may not happen, either because they honestly can't fix it or because they haven't yet found the appropriate "fix" for us. Fear of what the future holds is common. It becomes difficult to make plans and hope becomes a dream. Depression can set in and make you feel even worse.
There are some things you can do to help yourself though. It may seem like some of these suggestions are "fluffy" New-Age type palliatives. But the key idea to keep in mind is that when you are chronically ill any stressor, whether physical or emotional, can have negative health effects. To take action and help yourself as much as possible, instead of being the "victim"
(Continued on page 19)
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