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PTSD belongs in the workplace

PTSD belongs in the workplace
Lisa Stern educates VA for Vets attendees on "Demystifying Traumatic Brain Injury and Post-traumatic Stress Disorder in the Workplace." Photo by Craig Roberts

Lisa Stern said her biggest regret in life is not having served in the military. However, as a self-employed workforce development specialist in Washington, D.C., she is giving back to those who have served by supporting the employment of veterans.

Stern has nearly 30 years of experience in disability employment and in 2000, while working for the MontgomeryWorks One-Stop Job Center in Maryland, she received a Veterans Workforce Investment Program grant that changed her job path.

The grant "was absolutely life changing," Stern said. "I worked with veterans with very significant barriers to employment and found ways, working with one veteran at a time, to eliminate the barriers. But, I quit (MontgomeryWorks) about three years ago because I decided that I, without a doubt, had found my passion. Now, I live and breathe, eat and sleep veterans’ issues."

Stern conducts educational sessions called "Demystifying Traumatic Brain Injury (TBI) and Post-traumatic Stress Disorder (PTSD) in the Workplace." She gave a presentation on the topic Wednesday — PTSD Awareness Day — at the VA for Vets event in Detroit.

She began her hour-long session by pointing out that psychological trauma and physical injury to the brain – both treatable and curable – are not uncommon. Between 50 and 60 percent of the general American population has been subjected to at least one psychological trauma in his or her lifetime, Stern said. Anyone who has had a simple concussion such as a sports injury has, by definition, experienced traumatic brain injury, she said.

"PTSD and TBI are hardly exclusive to the military and veteran population," Stern said, "nor are the reactions to them." Stern reminded her audience that we all have headaches, startle responses, mood swings, periods of depression, anger outbursts, episodes of fatigue and lapses of memory – the common symptoms of PTSD and TBI. The difference is, she explains, those who live with, "not suffer," the conditions experience their symptoms more frequently and, perhaps, more profoundly than others. Even so, Stern said the symptoms of PTSD and TBI have been highly exaggerated or even sensationally fictionalized by popular media, thus precipitating a wholly unearned stigma. For instance, she said the common employer fear that a veteran with PTSD or TBI is more likely to commit an act of violence is largely unfounded. In fact, according to Stern, such a veteran is more likely to be the victim of violence than a non-veteran co-worker.

Stern said that workplace accommodation for veterans — and others — with PTSD/TBI are basically intuitive. According to Stern, employers can:

  • Permit flex time to allow health-care appointments and other personal needs to be met.
  • Schedule frequent work breaks.
  • Provide additional time and training when introducing new tasks and routines.
  • Provide job-sharing opportunities.
  • Encourage list-making.
  • Assign mentors to help employees determine goals and provide daily guidance.
  • Provide written and verbal instructions.

"The rewards for employers, who wisely and rightly chose to accommodate veterans who live with PTSD and TBI, are great," Stern said. "Time and again, veterans have proven to outstrip their colleagues who have not served in dependability, dedication to duty, team building, reliability and all the other highly desirable attributes employers seek."

Additionally, Stern is a proponent of the "D" in PTSD. According to her, classing the condition as a disorder is necessary to recognizing it for what it is and directing appropriate treatment toward it. "The D is there for a reason," Stern said. "Because if evaluated correctly, that’s what separates maybe mild trauma or mild depression from something that is interfering with daily life. That’s why it’s in the DSM (Diagnostic and Statistical Manual of Mental Disorders), that is why there’s a category for it."

Meanwhile, at the end of her presentation during the VA for Vets event, Stern quoted Dr. Robert E. Drake:

"Given the choice between work and idleness, people will almost always choose work. Regardless of our station in life, the conditions of our bodies and minds or the amount of money in our bank accounts, the need to work remains one of our strongest drives. Work is central to our lives and, as such, gives a large measure of structure to our days. Common sense tells us that we feel better about ourselves when we are working regularly."

In other words, PTSD and those who live with it belong in the workplace.

Read more about VA for Vets hiring fair here.

More in Veterans Career Center

 

amyjdickinson

July 12, 2012 - 4:53am

I have both VA rated disabilities: PTSD & TBI. But my injuries happened when the military and the VA both had no idea what they were or how to properly address or treat them, so I suffered for years, being fired from job to job until just recently. In 2009, I finally lost it on my boss at work. I took him into his office and chewed his hind-quarters out up one-side and down the other, and if the job hadn't been union, I'd have been fired on the spot that day. I knew then that something was definitely wrong at that point, and I sought treatment at my local VA. I agree with the recommendations that were made to employers about how to do work-arounds for the issues, but it would seem MORE prudent for the VA to ACTUALLY PROPERLY RECOGNIZE the conditions in the veterans BEFORE it becomes too much for the veteran and his or her employer to have to handle by themselves. Even when I went to my VA to seek help, it was SKETCHY treatment AT BEST. The psychologist wanted to diagnose me with bi-polar disorder (like that is normally an ADULT ONSET condition); and the Physiatrist the VA sent me to for my TBI screening (not a neurologist) asked 5 cognitive questions and told me, "I don't know what you have, but it's not TBI." Needless to say since those initial "interviews", I have BOTH PROPER diagnosis & disability rating for PTSD AND TBI as I don't tolerate boloney from public employees. But in the meantime, my workplace, my job, my co-workers and I suffered because of my conditions having been left undiagnosed and untreated for SO LONG, and the subsequent need for EXTENSIVE medical appointments to follow once the diagnosis and treatment schedules were made. I'm still in them. In short, the REAL problem is not the fear in the workplace of the PTSD stigma, but the VA and military NOT properly diagnosing the veterans and active duty for fear of the veteran putting in a disability claim. If we, the veterans, are properly diagnosed and treated for our conditions, we are better equipped emotionally to handle ourselves at work.

jmhcycle

June 29, 2012 - 8:30am

The American Legion should be a little more picky when they present someones opinionated expertise, especially when it come to PTSD (We get pissed easy). Lisa Stern does not understand the permanence of isolation, anger, anti-social behavior and the terror we live with daily. Erasing the past from my brain is the only way to set me right, but being a man with no memory sounds a little cruel. Thumbs down for this self built expert, she does not have a clue.

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