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Journal of Traumatic Stress Disorders & Treatment ISSN: 2324-8947

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Case Report, J Trauma Stress Disor Treat Vol: 3 Issue: 4

Late Onset Stress Symptomatology, Subclinical PTSD or Mixed Etiologies in Previously Symptom Free Aging Combat Veterans

Rajdip Barman1 and Mark B. Detweiler2,3,4,*
1Carilion Clinic-University of Virginia Roanoke-Salem Psychiatric Medicine Residency, Salem, Virginia, USA
2Geriatric Research Group, Salem Veterans Affairs Medical Center, Salem, Virginia, USA
3Staff Psychiatrist, Salem Veterans Affairs Medical Center, Salem, Virginia, USA
4Virginia Tech-Carilion School of Medicine Department of Psychiatry and Behavioral Medicine, Roanoke, Virginia, USA
Corresponding author : Mark B. Detweiler
Mental Health Service Line (116A7), Salem Veterans Affairs Medical Center, 1970 Roanoke Boulevard, Salem, Virginia, 24153, USA
Tel:
540-982-2463 ext.1652; Fax: 540-983-1080
E-mail: [email protected]
Received: December 24, 2013 Accepted: July 21, 2014 Published: July 28, 2014
Citation: Barman R, Detweiler MB (2014) Late Onset Stress Symptomatology, Subclinical PTSD or Mixed Etiologies in Previously Symptom Free Aging Combat Veterans. J Trauma Stress Disor Treat 3:4. doi:10.4172/2324-8947.1000132

Abstract

Late Onset Stress Symptomatology, Subclinical PTSD or Mixed Etiologies in Previously Symptom Free Aging Combat Veterans

The reaction to combat stress is variable and complicated. When elderly combat veterans with no prior history of PTSD present to the Emergency Department (ED) with PTSD-like symptoms, the differential diagnosis can be perplexing. The case may be cofounded by multiple medical problems and early neurocognitive degeneration problems. A new diagnostic phenomena is lateonset stress symptomatology (LOSS) needs to be considered in late onset first time presentation of PTSD-like symptoms. It is a clinical phenomenon reported in aging combat veterans who have experienced stressful combat events in their early adult years followed by a successful post-military life.

Keywords: Late-onset stress symptomatology; PTSD; Stress; Dementia; Mild cognitive impairment; Aging

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