A (88:58)
Right. So had the opportunity to kind of really speak quickly through this at Austin for America. What I. And the way that I do that is I just go through the symptoms. So with post traumatic stress disorder, I know that as you were talking to Dr. Free right now at the VA, we don't really even bother asking about the trauma. I mean, we try to get the index trauma, but the post traumatic stress disorder checklist doesn't bother. It only asks about the other four symptoms. So those major symptoms. So those are re experiencing. So nightmares, flashbacks, that kind of thing. The second one is avoidance. So I don't go to do the things that cause me to remember the traumatic experience. Experience. The third thing is negative thoughts about self. Negative emotions. So, you know, I can't be happy. Right. I didn't do the best that I could or I could have done better. And then the last one is hypervigilance or hyperarousal. So is there a trauma? And then those. Those four symptoms with the PCL only measuring those. Those four. So when I looked at that for myself, it's like, okay, well, yep. I mean, I was around death and dying. Check. I have a whole bunch of veterans that weren't. And yet we have the same symptoms. So re experiencing. Do I have nightmares? Lash backs? No, I don't have those. Not at all. So it's like, okay, well, maybe mine's just a little bit different. The avoidance piece, I didn't avoid at all. I had the affinity for. Like I said before, I will seek out veterans. I feel more like myself when I talk to veterans. Most of my friends are veterans. So I'm not avoiding those things that might remind me of the trauma. I go to Camp Pendleton. I live close enough where I can hear the artillery fire. So it's like, okay, if I don't avoid, then I don't meet that criteria either. And so then the negative. Negative cognitions, negative emotions, and then the hyper arousal, it's like, well, that was my training. So we don't call it hyper arousal. We call it good situational awareness. And if you have good situational awareness and you spot the IED and you save people's lives, we give you a medal for that. And so what we don't realize then afterwards is if you don't train that away, the way that your brain works is it can modify that. So now I'm on the highway and I'm driving, and so I'm hyper alert at all the other drivers. And then when I get home and I haven't had a car accident, that's sufficient for my brain to reinforce. Well, that's because you were, you were hyper alert. So continue to be hyper alert. Or, you know, the classic one of I have to have my back to the wall when I go to the restaurant, you know, because somebody may come in and shoot up the place. Well, that almost never happens. And yet you're going to go home and say, well, but if it did right, I was ready. So I'm, I'm. My brain is internally rewarding itself for maintaining that high level of, of hyper arousal. And, and that's why, you know, sometimes you have to get a reset on that, which is like the SGB or some other forms of therapy. So when you put all that together, it's like, okay, then if it's not ptsd, maybe it's just the adjustment, which is kind of a more nebulous diagnosis, which is you have physical symptoms, emotional symptoms, you know, maybe some somatic symptoms. The problem with adjustment disorders, it's usually tied to, all right, well, six months after the, whatever, the adjustment is gone. It's no longer adjustment disorder. Now it's like it's something else. So if you lost your leg in combat, okay, well, for six months you have adjustment disorder. And then if you're still sad about it, it's like, okay, well, it's not adjustment disorder anymore because the leg's gone. That's done. Now it is. You're just depressed. And so that didn't make sense to me either because I was still having Those same challenges 10 years after I retired. I'm at like 11 years after retirement now, and I'm still pulled to do and still contract for, you know, my old unit. So it's not ptsd, it's not adjustment disorder. The only thing that made sense to me was, and I talked about this in the introduction too. I had a chat with a Green Beret buddy in our, in our team house or our team room about why do I have to deploy like that Afghanistan tour? Why did it have to be me? Obviously I didn't go and they sent somebody else. I'm sure they did as good a job as I could have, but it had to be me. And he felt the same way. And so I said, I feel like I'm an addict to patriotism or something like that. Like I'm just blindly doing this or something. I don't know why. Jump forward, whatever it is. Eight years, and now I'm going through the substance abuse disorder symptoms, and I'm like, all of these fit me if I just, instead of saying substance use, say, being a warrior. So there. There's 11 symptoms for substance abuse disorder. And when I teach a class about warrior withdrawal, I would go through all 11. And I don't try to define it for anybody. You say, all right, whatever causes you to feel like a warrior or you label it for yourself, is it positive reinforcement that I'm tough? Is that what I was looking for? And that's why I kept climbing the spear, to be in the toughest, most selective unit. I don't know. Maybe that's what it was for me. But if you take that and then you go through the symptoms, is it okay? Was I deploying more often than was healthy for me? Did I continue to deploy even though it was causing me physical harm? You know, was I deploying instead of spending time with family? Was I spending more time trying to go on deployments than is is necessary? Was I trying to quit deploying? And I was not able to? It's like all of these are subs. That's substance abuse symptoms, and then the final two being tolerance and withdrawal. So for me, tolerance was one deployment, not enough. Two deployments, not enough. So I did of 1, 2, 3, 4, 5, 6, 7 into 8, still not enough. Had to go to special operations. Still not enough. And then the last symptom is withdrawal, which is when you take that substance away. So when you're out of the military and you're no longer active duty, you're no longer. You don't. No longer feel like a warrior. You have all of these withdrawal problems, which. That's what I cataloged as. That's the anger management, communications issues, maladaptive coping skills, loss of sense of self, loss of identity, loss of purpose. And then as soon as we put you back into a warrior event, either like a, you know, a martial hobby, like when we put you back into an MMA gym, or we, you know, you become a law enforcement officer, and so you have a tribe again, and you wear a uniform again, and you have a sense of purpose again, and you feel more like Yourself, almost all of those things go away. So it's like, that's how it works with substances as well. If you are an alcoholic and we take you off of alcohol, you have withdrawal symptoms, and the smallest bit of alcohol that we give you back, those clear away. Which is why we use this hair of the dog business when you're. You had a wild night partying, and it's like, just take a shot and you'll be regular. So when I go through all of the 11 symptoms with the veterans that I work with, I ask them, hey, just keep score. And then at the end, I ask them, you know, just keep in mind what your score is. If you have three of those symptoms. Symptoms, you have a substance abuse disorder. If it's between three, it's more than between three and six. It's in the mild, moderate range. It's more than six, you get into the severe range. And then for me, I'm like, I'm at 11 of 11. And so right now I'm like a sober warrior. And when I would talk to the nexus guys or the skills bridge guys, the DODS still thinks that the solution is you just need a job when you get out. Like, that's not quite it. That's a little bit antiquated. Unless you just go ahead and identify with whatever the job is that you get next. If you stick with my substance abuse model, which is the only one that seems to fit, the solution has to be detox.