As we recognize our American heroes this Veterans Day, it's important to not only acknowledge the men and women who served, but better understand the challenges many of them face on a day-to-day basis.

One challenge facing one in five veterans is Post-Traumatic Stress Disorder (PTSD).

Understanding this mental health condition and its impact on veterans has become increasingly difficult. Some media reports link PTSD to recent shootings and other violence with little to support the claims.

While journalists have a responsibility to report the news and spur high ratings, as professionals we have a duty to defuse the hype and get the particulars about PTSD right for the public.

The public needs to understand that individuals who separate or retire from the military and return to civilian life exchange one social structure for another -- a structured culture for an unstructured one, a military culture for a civilian culture.

Veterans are faced with learning to adapt to a change in culture and the passage of starting a new beginning in life and work.

The struggle a veteran faces is especially marked in those suffering PTSD and/or Traumatic Brain Injury (TBI). However, the truth archetype of PTSD is far less volatile than the public is led to believe.

There are four clusters of symptoms of PTSD:


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1. Reexperiencing: Nightmares, flashbacks, or having triggers that brings back thoughts of the combat zone. For example: loud noises, smells and sights. Understanding triggers can be valuable.

2. Avoidance: Don't want to think about their time in the combat theater or be exposed to people, places or things that remind them of their traumatic experience. They avoid talking about it, and attempt (usually unsuccessfully) to even think about it.

3. Negative thoughts and emotions: People with severe PTSD may have socialization issues. One of the symptoms of avoidance is what's called a constriction of mood, or no full range of moods, just parts (usually the negative ones) of moods. Another symptom is detachment, or the feeling that they're not all there; their minds are elsewhere. Lack of trust abounds, and guilt may be present.

4. Arousal: Not sleeping well at night, being easily started, jumpy, hypervigilant or suspicious, anger, irritability, and agitation. The top four prevailing myths about PTSD:

1. PTSD is like pregnancy: it's all or it's none. Most people don't know that PTSD symptoms range from very mild and almost nonobservable to very severe. Many veterans with PTSD do not have very severe symptoms.

2. PTSD provokes people to cause trouble in the workplace, especially with violence. Those with PTSD are not prone to erratic and violent behavior, any more than others without the condition.

3. Everybody who's been in combat has PTSD. Studies have found that 20 percent of veterans returning from the combat zone have PTSD. This means four in five don't have it.

4. There is nothing that can be done to treat the condition. Once you get it, you got it and there's just very little that can be done for you. Not true at all!

Part of the perceived challenge on the road to reintegration, particularly into civilian culture and corporate America is misunderstanding, misperceptions and miscommunication about those who served in the military and how they can fit in.

Gaining an understanding and discovering the truth will lead to a greater appreciation for those who served in the military.

Veterans are naturally loyal, reliable, disciplined, good communicators, exceedingly productive, leaders and team builders, and highly regarded for their soft skills.

They have the capacity and should be able to retrain themselves to function in an environment other than that which they were accustomed to being successful.

Now armed with the truth this Veterans Day, if you are one to hold fast to headlines and sound bites, consider a new way of consuming reports on PTSD and ask yourself: PTSD did what to whom? Is it media hype of truth archetype?

Harry Croft, MD is a psychiatrist who has seen 7,000-plus veterans diagnosed with PTSD. Sydney Savion, EdD is a retired military officer and applied behavioral scientist.