MARRIAGE AND FAMILY ISSUES FOR THOSE RETUNING FROM DEPLOYMENT. Presented by Erica Seyfert, MS, LPC, LBP

Transcription

1 MARRIAGE AND FAMILY ISSUES FOR THOSE RETUNING FROM DEPLOYMENT Presented by Erica Seyfert, MS, LPC, LBP

2 Review Problems unique to military couples Statistics Treatments Modalities and Options

3 Problems Unique to Military Families Returning Vets returning - some deal with Hyper Vigilance Withdrawing Socially Emotional Disconnect Re-adjusting to roles at home and work Sleep problems Communication Finance Family Problems

4 Problems Unique to Military Families Continued Children Re/learning Love/Bond Trust Authority Communication

5 More Severe Issues Anger Outburst Road Rage Financial Problems Unemployment Substance Abuse Medical Problems Depression/Survivor Guilt Fear of Re-Deployment

6 More Severe Continued Severe Sleep Problems Mental Health Discharge Affairs or Divorce Child Custody Issues Pregnancy by affair

7 Statistics

8

9

10

11

12

13 Statistics

14

15 Divorce in America Marriage 101.org/Divorce Rates in America 41% of 1 st Marriages end in Divorce 60 % of 2 nd Marriages end in Divorce 73 % of 3 rd Marriages end in Divorce

16 Statistics taken from John Gottman s Book The Seven Principles For Making Marriage Work The average couple has had at least 6 years of problems before seeking help 80% of couples who s marriage broke said it was due to feeling they drifted apart and only 20-27% say it was because of an extra marital affair 70% of women and men say friendship is the most important quality 81% chance of marital destruction if the man holds all of the power and it s not shared

17 Statistics taken from John Gottman s Book The Seven Principles For Making Marriage Work (Continued) 35 % of men are emotionally intelligent 80% of the time it s the woman who brings up the problems in a relationship 69% of the problems in a marriage are perpetual 30-50% of couples will relapse with their problems within a year after therapy

18 Treatment Modalities for Marriage and Family IBCT - Integrative Behavioral Couples Therapy Cognitive Behavioral Therapy EFT (Emotional Freedom Technique) PREP (Prevention and Relationship Enhancement Program) Strong Bonds

19 Vignettes Symptoms/Problems Diagnosis What other questions might you ask? Treatments

20 Veteran A Veteran has been back from deployment in Iraq for 8 months. Veteran and his wife are not communicating except when fighting. They fight about everything. Veteran almost ran someone off the road but his wife screamed and he snapped out of it. Veteran has complained of headaches everyday and is very forgetful. Veteran s wife threatens to leave if veteran doesn t get help. Veteran s wife reports not trusting spouse and afraid to leave the kids with him. Financially they are struggling and having to borrow money from family and friends. Veteran does not get out of the house much and has had difficulties looking for a job. Veteran drinks to take the edge off and help him sleep at night. Veteran experienced traumatic events in country including several IEDs in close range one knocking him against a vehicle. Veteran was an Admin Sergeant in the ARNG but in Iraq drove a truck for convoys for another unit that he deployed with. At one point in the mission veteran had to help pick up dead bodies. Veteran tries not to think about the events that occurred there.

21 Veteran B Veteran returned from deployment a year ago. Veteran has had anger outbursts and was referred for counseling after loosing his driver s licenses from a DUI. Veteran is married and has had marital conflict even prior to his deployment. Veteran came home to find all of the money he sent home had been spent and his wife wanted out of the marriage. Veteran did not experience any traumatic events on deployment, however, he heard from other vets about traumatic events. Veteran has a history of drinking and using marijuana even before entering the military. Veteran reports drinking about 10 beers day but does not feel that is abusive because he can handle it. This is veterans second DUI and he has also been arrested for Public Intoxication prior to deployment. Veteran reports childhood abuse, being beat as a child but reports it doesn t affect him. Veteran does not feel he has any problems accept his wife and would not be in counseling had his unit not referred him. Veteran has a goal of going to school and becoming an MP and redeploying. Veteran reports feeling cheated that he did not experience combat while in Iraq.

22 Outcome Based Therapy Progress Check Sheet NAME: Date: (Please answer questions 1-4 before session begins) 1. Right now I feel (because)? 2. On a scale of 0-10 how do I feel? Life is really Bad (No Hope) Life is really Great (Very Hopeful) What have I done since the last session to help facilitate my growth? 4. On a scale of 0-10 how much effort did you put in making changes throughout your week? None Gave my best effort (Please answer questions below this line after session.) 5. What specifically did I learn from today s session? 6. How do I feel at the end of session? 7. On a scale of 0-10 how do I feel now after session? Life is really Bad (No Hope) Life is really Great (Very Hopeful) One goal I would like to accomplish or work on by the next session? On a scale of 0-10 how committed am I to making changes in my life? Not at all Very Do I feel like hurting my self or someone else? Yes No (If YES see counselor) (Developed by Erica Seyfert feel free to change and/or use)

23 Resources Resources Vet Center, Readjustment Counseling Services, 1024 NW 47th Street, Oklahoma City, OK Also locations in Lawton and Tulsa OKC Office (405) VA Medical Center, 921 NE 13th, Oklahoma City, OK (405) OIF/OEF is Located at the VA Medical Center 3rd Floor Waco Blakley (405) Edwina Luker (405) Apply for Medical VA Medical Center Enrollment on line Vocational Rehabilitation Services, Federal Building Downtown Oklahoma City, 6th and Hudson Department of Veterans Affairs Suicide Prevention press 1 for veterans CDP Center for Deployment Psychology Documentary produced by three soldiers who deployed to Iraq/Afghanistan and the impact of war on their lives (VERY Graphic) Movie - The Hurtlocker Further information on different Treatments for Couple Therapy: PREP - Strong Bonds 5 Love Languages Meyers Brigg Inventory - EFT Resources for Active Military Members and their families including counseling The Seven Principles for Making Marriage Work by John M. Gottman, Ph.D.