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CombatCounselor
Saturday, June 9, 2012
Social Dystrophy™: Are Technology or Values to Blame?
Sunday, June 3, 2012
Letter to The Greatest All-Time Golfer and Man - Jack Nicklaus - Honor, Integrity, Sportsmanship, Legend
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Sunday, May 20, 2012
Checklist for Hiring a True Cognitive Behavioral Therapist (CBT)
Wednesday, May 9, 2012
Timely Reply from Managing Editor, Air Force Times
Sent: Tuesday, May 08, 2012 9:26 AM
To: combatcounselorchris@gmail.com
Subject: Letter to Air Force Times
Tuesday, May 8, 2012
Letter to the Editor - Air Force Times
I'm not sure why I bother sending these emails because I have never even been acknowledged, but I feel compelled to speak out anyway. Maybe it is time to retire dinosaurs such as Bret Moore and Robert Dorr, hiring writers who are more in-tune with the realities of current military issues.
Regarding the subject article from your May 7th issue, Ms. Jowers omitted a critical cause of accidents for Redeploying troops, "thrill seeking behavior". After 8-15 months in a combat zone going 100 mph, figuratively, not literally, coming back home is a huge adjustment. It is widely known among anybody familiar with human behavior and the military that thrill seeking, such as speeding or driving while impaired, increases dramatically upon return to home post/base. If you've been in combat, and I have, you are on an adrenaline rush for months on end and crave that rush upon returning home. It should come as no surprise and, if records were kept during previous periods of combat operations (WWII, Korea, Vietnam), you would see exactly the same trends. How could your writer miss such an obvious variable?
As far as your editorial and reporting on the "lack of qualified mental health providers" in the DoD and VA, excuses both have been making for years, your writers have omitted another critical fact. The federal government has refused to acknowledge and hire master's-level licensed counselors for years! How can you, and they, whine about shortages of qualified clinicians when there are literally tens of thousands of licensed clinicians around the country, many looking for work, including me. I, for example, am a retired Air Force lieutenant colonel, combat veteran, disabled veteran, and licensed professional counselor (LPC) specializing in cognitive behavioral therapy (CBT) for post-traumatic stress disorder (PTSD). I have 30 years of education and experience working with anxiety and mood disorders, 21 of those licensed and nationally certified, yet the government readily hires social workers or psychologists fresh out of school over an "unqualified" clinician such as myself. Get a clue! Granted, not all LPCs have the experience I have, but if just 10% had the qualifications, the VA could easily fill those 1,900 vacant positions. Stop the whining and reporting half truths.
As far as Mr. Dorr is concerned, I'm sure I'm not the first person to mention this, I am sick and tired of his slanted, archaic, self-promoting chatter. Who the hell is he to tell the Air Force Chief of Staff which planes to keep and which ones to get rid of? I think it's time for some fresh blood and a current perspective in such a powerful role as is his. By the way, I'm not a volunteer for the position should you decide to join the 21st Century.
One more thing. In regard to the article on "Suicides" in the same issue, please read my blog http://www.combatcounselor.blogspot.com and the post on The Stigma Killing Young American Heroes.
Capt Julie Hanover is quite right when see says "they believe it will hurt their careers", but quite wrong when McCarthy says "we need to educate airmen" about the 97% "adverseless" action rate. Do you really think Airmen will seek treatment when they have a 3% chance of ending their career? Are you serious? Airmen, soldiers, sailors, and Marines WILL NOT SEEK MENTAL HEALTH TREATMENT until there is 100% protection and limited confidentiality as is the right if every non-military citizen! Do you and DoD leadership really think that it is better or safer to have people avoid treatment and keep their clearance? If you do, I have some oceanfront property here in Missouri you might be interested in!
This information will be posted on my blog, http://www.combatcounselor.blogspot.com, so it won't go to waste when you ignore me once again. I have plenty of followers eager to hear what I have to say.
Thank you.
Chris Sorrentino, LtCol, USAF (Ret)
CombatCounselor
Follow me on Twitter @CombatCounselor
and on YouTube http://www.YouTube.com/combatcounselor
Monday, April 23, 2012
THE STIGMA KILLING YOUNG AMERICAN HEROES

I recently returned from Fort Riley, Kansas, home of the 1st Infantry Division, better known as "The Big Red One", where I provided counseling to soldiers returning from Afghanistan and Iraq. Two of the battalions I worked with suffered high numbers of casualties, the 2nd Battalion, 34th Armor Regiment (2-34) and the 4th Squadron, 4th U.S. Cavalry Regiment (4-4 CAV), with several killed in action (KIA) and many more wounded in action (WIA). Dozens of brave young men and women received purple hearts, having lost limbs and suffering other wounds, many invisible to the naked eye.
"Not all wounds are visible", with traumatic brain injury (TBI) and Post-Traumatic Stress Disorder (PTSD) making up the majority of injuries of those returning home, many times caused or hastened by experiencing the effects of an improvised explosive devices (IEDs), the current weapon of choice of Taliban and Al Qaeda terrorists. When a young man loses his leg, he is considered a hero, and rightly so. But when a person "loses their mind", either through physical damage to the brain as is the case in TBI, or emotional damage as we see in those who have experienced severe trauma in combat, those coming home with PTSD, they are portrayed as weak or as malingerers by their comrades, or worse, the officers responsible for their health, safety, and well being.
Looking down on or thinking les of those who seek help for mental health issues has been a problem in the military for centuries, but is also a problem in our modern, technologically advanced, contemporary culture here in the US (and elsewhere). Post-Traumatic Stress Disorder (PTSD) has been around since the beginning of the human race and has been called many things over the centuries including exhaustion, railway spine, stress syndrome, shell shock, battle fatigue, combat fatigue, and traumatic war neurosis. According to Wikipedia, "reports of battle-associated stress reactions appear as early as the 6th century BC. One of the first descriptions of PTSD was made by the Greek historian Herodotus. In 490 BC he described, during the Battle of Marathon, an Athenian soldier who "suffered no injury from war but became permanently blind after witnessing the death of a fellow soldier." Although this reaction would more accurately be diagnosed as conversion disorder rather than PTSD, it is an indication of the dramatic impact a traumatic event can have on a human being. Many people think of combat when they think of PTSD, but there are many causes, traumatic experiences, that can lead to symptoms, including accidents, physical and sexual assault/abuse, terrorism, as well as many others.
Ignorance in regard to psychotherapy and counseling is nothing new, and few people are enlightened enough to understand that it is a sign of strength, not weakness, to seek help or treatment from a qualified, licensed cliniician, be it a psychologist, psychiatrist, licensed professional counselor, or licensed social worker. There are many unqualified and unscrupulous individuals taking advantage of people weakened by emotional stress and the turmoil of modern life, and they have given psychotherapy a bad name. You can read more about these individuals elsewhere in this blog, so I will not elaborate here. However, it is no wonder that the many highly qualified, licensed, certified clinicians out there helping and saving lives every day are misunderstood, even feared by the uneducated and ignorant public so desperately in need of professional treatment.
Our young men and women in the military are returning from deployments having experienced horrifying events, either directly or as an observer. Estimates range from 20 to 50 percent of those returning from combat suffer from a mental health issue of one kind or another. The incidence of PTSD has been reported as high as 20 to 30 percent of military returning from recent combat. Yet many, if not most, do not seek treatment because they are afraid they will damage their career.
I have seen it firsthand in my own career, in my private practice and non-profit, and with soldiers recently returning from Afghanistan. Either their leaders, who can be squad and platoon leaders (enlisted) or company, battalion, brigade, and division commanders (officers), do not understand the devastation TBI and PTSD can cause in a person's life. Or they simply refuse to acknowledge the pain and suffering, maintaining the ridiculous macho bravado and reputation of a "real soldier" or "real man" who does not ask for help. These young men and women may even have a caring and compassionate chain-of-command now, but do not know whether the beliefs and attitudes of their "next" unit's leadership will be as flexible and understanding. Because mental (behavioral) health treatment in the military IS NOT CONFIDENTIAL and becomes a permanent part of an individual's medical record, ANY TREATMENT becomes a matter of record for future leaders to hold against an individual or a reason to deny a coveted security clearance. It is no wonder young soldiers, airmen, sailors, and Marines are afraid to step forward for treatment, and no wonder that suicide rates among military members has skyrocketed.
Until military and civilian leaders understand the connection and impact the negative military mental health stigma has on our force's mental health and morale, these needless deaths will continue. When you are anxious, depressed, sleep-deprived, and suicidal with nowhere to turn, the options are limited, particularly when you are a skilled marksman with easy access to lethal weapons.
There is no reason military members cannot have the same rights and protections as the average citizen when it comes to confidentiality in psychotherapy. What does the military have to gain except complete, 100 percent control over their people, by allowing confidential communications between therapist and client in the military? The same restrictions that apply to confidentiality in the private sector would also apply in the military: danger to self or others; child, spouse, elder abuse; and criminal behavior would still need to be reported. But military members would know that anything else they say would remain confidential, allowing them to open-up, develop a trusting relationship with their therapist, and get the help the so richly and desperately deserve.
I challenge the Joint Chiefs of Staff (JCS), Service Secretaries, Secretary of Defense, and President of the United States to "do the right thing" and end the negative stigma associated with military mental health care by allowing the limited confidentiality described above to be instituted across the military. It will literally take years for our military to trust the system and routinely seek treatment for the problems caused by the rigors and stress of military service, but WE MUST START SOMEWHERE, WE MUST START TODAY! They deserve no less.
Wednesday, April 11, 2012
Lack of Integrity and Cutting Benefits Promised During Recruitment Hurts the All Volunteer Force
Friday, March 16, 2012
CombatCounselor Describes War-Induced Stress On Kansas City TV Station KMBC
Tuesday, January 24, 2012
Submission to President Obama: State of the Union Q&A (January 24th, 2012)
Until the Commander-in-Chief, JCS, Service Secretaries, and chain of command (in all services) STOP THE RETALIATION and END THE NEGATIVE STIGMA associated with mental health treatment in the military, our young men and women ARE GOING TO CONTINUE TO AVOID TREATMENT, SUFFER, AND COMMIT SUICIDE!
TAKE OFF YOUR BLINDERS and give our airmen, soldiers, seamen, and Marines 100% confidentiality in mental health treatment and EDUCATE THE BROWNSHOES who keep this ridiculous schema alive. Follow CombatCounselor and @CombatCounselor on Twitter for more information and updates.
Mr. President, Will you work to put an end the negative stigma attached to military mental health care and the associated unprecedented SUICIDE rate among military members/veterans because they are afraid to ask for the help the so richly deserve?
combatcounselor - , Kansas City, MO.
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Saturday, January 21, 2012
You Think, You Are: Anxious...A Journey from Avoidance to Acceptance
You only THINK you are anxious. If the thought did not enter your mind, you could not feel anxiety. What I am saying is that YOU can control anxiety (or depression, etc.) by altering the way you react to and experience anxious thoughts, sensations, or even other emotions you may be interpreting to be anxiety (e.g. anger).
That is why I say "You Think, You Are" anxious. If you Think anxious thoughts, you will experience anxiety unless...
you decide to experience anxious thoughts, feelings, and memories simply for what they are: thoughts, feelings, and memories!
Anxiety is the fear of fear. When we were roaming the plains, prairies, and mountains as hunter-gatherers, it was adaptive to be anxious about things that could kill us (bears, lions, falls, lightening, etc.), otherwise our species would have died off long ago. Anxiety is still adaptive when it involves fear of things that can honestly harm us. The problem is that many of us are anxious about many arbitrary things in life that are not necessarily dangerous, we only PERCEIVE them to be dangerous.
For example, public speaking is the #1 fear around the world, yet nobody has ever died from public speaking (excluding Julius Ceasar and a few others who happened to be speaking when killed). Other common fears include fear of heights (acrophobia) and of spiders (arachnophobia) as well as some less common such as germs (OCD) and open spaces (agoraphobia). Some people even fear intense anxiety or panic (panic disorder).
So, when we fear things that are not necessarily inherently dangerous, we are limiting our ability to experience and enjoy the present moment because we are so enveloped in thoughts and sensations caused by the fear inducing event or thing.
In Body-Mimd-Behavior Therapy (BMBT), I teach my clients first to learn mindful meditation or the ability to focus on the present moment (StayPresent ©). Next, I teach them to expect and accept the unexpected nonjudgmentally and with curiosity (BeResilient ©). Finally, we explore and identify the clients's core values (e.g. integrity, honor) and help them develop goals and commit to actions that are in accordance with those values, even though those actions may make them uncomfortable or even anxious (StayTheCourse ©). Because they are acting based on things that are important to them, they are more likely to act in the face of fear or other painful emotions.
Avoidance is the cause of anxiety, depression and many other inorganic disorders because it is very rewarding in the short-term. When you avoid something that frightens you, anxiety goes away for a while and that is very rewarding. The problem being that if you are avoiding life, it is rarely joyful and leads to more and more problems. The key is to accept and experience intense, uncomfortable emotions like anxiety, learning by approaching rather than avoiding, that anxiety goes away on its own given that you can withstand the situation long enough to prove it. That is the biggest problem, that most people avoid or escape the anxious situation BEFORE they get a chance to learn that 1) anxiety will not kill you; and 2) anxiety will NATURALLY diminish (disappear) on its own (that's called habituation). It is impossible to stay in a highly aroused state of fear or anxiety for long.
So, the next time you experience fear in a situation the is not inherently dangerous, take a deep breath, experience and accept the thoughts and sensations for what they are, and face whatever your particular demon happens to be, knowing that you are acting based on what is important to you...YOUR VALUES!
Monday, January 9, 2012
You're Out OF YOUR MIND
If you haven't tried mindfulness meditation, you ARE literally OUT OF YOUR MIND! I don't mean you ARE crazy or somehow will never get it back. What I mean is that when you practice mindfulness, your mind and the present moment ARE 100% CONNECTED, so it is impossible to be anywhere else.
When you are in what Echart Tolle calls "being" mode or "consciousness", you, your mind, and experience in the present moment are one in the same. You ARE not rumimating about the past or worrying about the future, what Tolle calls "doing" mode or "unconsciousness". And when you are BEING, you ARE able to experience things as they are without judgment, in a totally willing and accepting way. Nothing is good or bad, it just "IS" and you move onto the next moment prepared to accept whatever may come your way.
That is what mindful meditation is about. So when I say "YOU ARE OUT OF YOUR MIND", I mean that to experience truth is to experience the present moment just as it is...then do it again...and again.
Obviously, nobody can or should spend 100% of their time being mindful in the present moment. But if you can practice and learn the skill, you will be able to call on the ability when you need it, making life much more interesting and joyful.
Monday, December 19, 2011
Grief: Feel the Pain to Heal
Grief, be it the loss of a friend, family member, OR pet, is difficult. Don't avoid those feelings, embrace & accept them.
The pain can seem unbearable, but it is not. Many times we avoid the emotions associated with loss and tell ourselves "I'm strong", "I can take it", or "I'll deal with this later". Not a good idea. Although difficult and painful, if you do not let yourself experience the emotions (anger, depression, guilt, etc.) now, they will catch up with you later, when you least expect it. That is called avoidance. I am not saying that you should wallow in your grief or pity, and there definitely are limits on how long you should grieve, but experience the emotions naturally in order to heal.
The opposite of avoiding grief is lingering in it. You should experience the emotions as long as they last. Do not avoid them, but do not hold on to them any longer than necessary. You will never totally get over the loss of someone you love, and you should not, but the pain will ease with time IF you allow yourself to experience the pain naturally and in the present.
StayPresent, BeResilient
Sunday, December 18, 2011
Thought of the Day
We cannot change evolution's work, but we can alter what we pay attention to (mindful experience ) and how we REACT to "perceived" threat (acceptance).
Evolution has predisposed humans to be on the lookout for danger, even when there may be none (e.g. worry about flying). If we can be mindful and fully experience the present moment, understanding that the anxious thoughts we are having are merely thoughts, then we are able to experience what is happening in a nonjudgmental way.
Practice being mindful throughout the day in different contexts, enjoying each moment rather than ruminating about the past or worrying about the future because THIS MOMENT WILL QUICKLY VANISH AND BECOME A MEMORY. Do you want that memory to be of the past, future, or of what is happening RIGHT NOW?
StayPresent
BeResilient
StayTheCourse
CombatCounselor
Monday, December 5, 2011
Trouble Sleeping? ... Join the Club!
2. Avoid caffeine and nicotine (stimulants) at night.
3. Develop a regular sleep routine, waking & going to bed at the same time EVERY DAY OF THE WEEK.
4. Use your bed for sleeping (sex is OK...whew!) ONLY.
5. Exercise regularly - more than 2-3 hours prior to bedtime
6. If you are having trouble sleeping, get out of bed until you are tired enough to sleep.
- Which theorists do you base your work on?
- B.F. Skinner, Aaron/Judith Beck, Albert Ellis, Donald Meichenbaum, Marsha Linehan, Steven Hayes are all acceptable
- Which cognitive behavioral techniques do you use (have them explain their answers)?
- Cognitive restructuring, exposure, response prevention, prolonged exposure, interoceptive exposure, mastery and pleasure activity scheduling, mindfulness, dialectics, cognitive defusion, values-clarification are valid answers
- How long should therapy take?
- CBT is time-limited by nature and should take no more than 3-4 months MAXIMUM to complete
- Most treatments take from 4-14 sessions (50-90 minutes each), but some of the more complex cases, like DBT for Borderline Personality Disorder, take as much or more than one year
CLICK HERE - LINK TO FREE APP
3. Buy orange safety goggles or glasses, also available online, and wear them at night before bed.Sleep tight!
Sunday, December 4, 2011
Do you want pity, unoriginal content, obscure quotes, or updates on my life?
I offer 100% FREE INFORMATION based on 30 years of education and clinical experience. Listen to what I have to say or don't. It doesn't really matter to me, I'm going to keep it up whether you listen or not. Why? Because I'm passionate about what I do and want to help people who have the spine to ask for help and put in the hard work it takes to change.
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Have a great life...StayPresent, BeResilient, StayTheCourse!
CombatCounselor