Nobody is saying that someone would feel all of those symptoms. If they did then they would be ready for the rubber room. But some of them to some degree. The article is more of a piece of information on what to watch for.
In my case I shot a guy when I was in the Navy. He actually shot at me first. I had caught him breaking into a building. What really made me subject to the trauma at a high level was that I had seen my best friend engulfed in flames two weeks prior. I put him out, he died shortly after. And that was an arson fire. Another story for another time.
Lets just say my personality radically changed. I lost a rank for fighting a superior petty officer. At my next captains mast, again for fighting, I was ordered to see psych. I went four times and denied anything was wrong, trying not to show weakness, trying to be Mr. Tough guy. Each time the Doctor ordered me to return.
Then I got in another bar fight, one that I started I might add. I ended up in the EM room at the naval hospital after being taken there by JAFP ( which I also worked at as one of my two jobs). As it turned out, that Doctor was duty officer that night. He ordered me escorted to his office.
When I tried to deny anything wrong he ordered me to attention, then proceeded to dress me down, and I mean nose to nose screaming at me like a Marine D.I. That kind of broke down some barriers.
I saw him regularly for a time, not always in his office. That officer took me fishing several times. He also hooked me up with a CPO who picked me up on Sunday mornings and took me to church off base. I was always a christian but I had lost touch with that.
As it turned out, this Doctor had done two back to back tours as an enlisted combat Marine in Vietnam. He knew first hand what he was talking about. He was also one of the founders of using cognitive therapy, including getting out of the clinical setting, for combat related PTSD.
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