From the trenches of World War I to deployments in Iraq and Afghanistan, Veterans have always carried invisible wounds from their service. Post-traumatic stress disorder (PTSD) has long been a reality for many Veterans, though it has not always been recognized as a serious, service-connected injury. Understanding the history of PTSD in Veterans can help people understand why some remain reluctant to acknowledge—much less get help for—their symptoms.
The first widespread recognition of trauma-related mental health symptoms in service members came during World War I. At the time, the term “shell shock” was coined to describe the psychological effects soldiers experienced after exposure to constant bombardment and combat.
Symptoms ranged from tremors and confusion to emotional numbness and extreme anxiety. While some doctors understood it as a mental condition, others incorrectly believed it was due to physical damage to the brain from exploding shells. While the history of PTSD is intertwined with the history of traumatic brain injuries, medical understanding of both conditions and their connection to service continues to evolve.
During World War II, the term “battle fatigue” or “combat fatigue” became more popular. Though still not fully understood, medical professionals began to recognize that ongoing exposure to intense combat created a breakdown of mental stamina. Unfortunately, many affected Veterans were treated with shame, isolation, or even punishment instead of proper care.
It was not until the Vietnam War that public attention on Veterans’ mental health began to shift significantly. Many returning service members struggled with depression, nightmares, anger, and social withdrawal but were met with limited resources and public misunderstanding.
The term PTSD was officially introduced in 1980 when it was added to the Diagnostic and Statistical Manual of Mental Disorders (DSM-III). This significant turning point in the history of Veteran PTSD acknowledged that exposure to traumatic events, such as combat, could result in long-term psychological consequences.
Recognizing PTSD as a diagnosable condition laid the groundwork for service-connected disability claims. However, the process of proving that a current condition is connected to military service, what the VA calls a “nexus,” has remained challenging for many Veterans.
Today, PTSD is one of the most common mental health conditions affecting Veterans. It can result from a single traumatic event or prolonged exposure to combat and high-stress environments, and symptoms vary but may include:
These PTSD symptoms are the same as those historically associated with troops returning from war.
Veterans may not recognize their symptoms as PTSD or may feel unsure about seeking help. Some conditions, such as traumatic brain injury (TBI) or chronic pain, can occur alongside PTSD and make diagnosis even more difficult. Others may not realize that a condition aggravated by their service qualifies as service-connected.
Establishing a successful VA claim for PTSD typically requires a medical diagnosis, documentation of an in-service event or stressor, and a nexus connecting the current diagnosis to that event. Lay Statements (formerly called Buddy Statements) from fellow service members, family, or friends can help support one’s case.
PTSD has always been part of the Veteran experience, even when it was misunderstood or misnamed. Help is available if you or someone you love is struggling with the long-term effects of service-connected trauma. As the nation’s largest Veterans’ law firm, Fight4Vets can provide you with guidance, resources, and support. We focus solely on helping Veterans and understand the impacts of PTSD and other severe mental health conditions.
Free consultations are available, and there is no obligation. Reach out today to learn more about the history of PTSD in Veterans and how a VA-accredited attorney can help you navigate the path toward the benefits you should receive.
