men

Helping a Loved One Suffering from PTSD

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Recently, I wrote about the biological impact of PTSD. You can read the first article of the series here.

This week I want to look at what you can do if you have a friend or loved one who you think is suffering or has been diagnosed with PTSD. Specifically, in honor of Father’s Day I’m going to write about helping the brave men in our lives, who are often fathers and soldiers. Statistically, in the military women are more likely to suffer from PTSD, but women are also more likely to seek treatment than men. Culturally, men are taught to be strong and brave, characteristics that are reinforced in the military. Not only are men less likely to get treatment or talk about their symptoms with loved ones, they are more likely to suffer from angry or violent outbursts, as well as drug or alcohol abuse. Let’s look at what you can do to help a loved one who is suffering from PTSD.

Research

If a family member is diagnosed with cancer, what is the first thing you do? Research. Whether it’s asking the doctor five billion questions or reading medical journals, you want to know everything you can about the disease so you can find the best way to treat it. PTSD is no different. In order to understand the diagnosis, you have to research it. Read first hand accounts on blogs, news articles, books or research journals. Read through the information on the VA’s National Center for PTSD, click on the links of studies, journals and other resources listed on the site. In the military we are taught to know our enemy. You can help your loved one by knowing their enemy.

Write

In grad school, I taught a creative writing class at the Balboa Naval Hospital in San Diego. It was one of the most rewarding and challenging experiences in my life, because I know that it helped some of the vets start writing through their demons. Writing can be a very healing process. Buy your loved one a blank journal and a writing book for healing, like Writing out the Storm or Writing as a Way of Healing (I used both of these for my class). He/she might decide to share their writing with you or others, but be respectful as it is a very personal project and they might not wish to share what they write. While teaching this class, one young Marine told me that he would sit and write for hours and at the end of it just deleted the file. This was his healing process. It will be different for everyone individually. If you are having difficulty dealing with a loved one who is withdrawn or depressed as a result of PTSD, it can be beneficial for you to keep a journal as well. You may choose to share your writings with your partner/loved one or keep it personal.

Encourage

Remember, men are less likely to talk and address their feelings. Whether it’s biological or cultural doesn’t matter right now, getting them help does. As a veteran, I can tell you it’s very difficult to talk about things that happened in the military to people who were not in the military. Trying to get an appointment at the VA can be equally as frustrating. Outside of the VA there are also Vet Centers that provide a broad range of counseling, outreach, and referral services to eligible veterans in order to help them make a “satisfying post-war readjustment to civilian life.” Technically they are part of the VA, but fall under a different chain of command. I can personally speak for their services. The counselors and employees are all veterans and provide a very warm and safe environment for vets struggling to readjust. This isn’t just for OIF/OEF vets, any veteran from WWII and Korea to today can seek service there. Also, since 2003, Vet Centers furnish bereavement counseling services to surviving parents, spouses, children and siblings of service members who die of any cause while on active duty, to include federally activated Reserve and National Guard personnel. For counseling and other services, this can be a good alternative to trying to fight for an appointment at the VA.

Protect Yourself and Your Family

Members of the military are trained to kill. Violence becomes second nature even though it goes against human nature. We are desensitized to violence by chanting, “Kill, kill, kill,” during every drill, meal and exercise. If someone you know is having flashbacks, nightmares or is extremely jumpy and owns a weapon, which most veterans probably do as a self-defense measure, make sure they keep the weapon unloaded. After being trained and experiencing combat, individuals are conditioned to immediately reach for their weapon and kill. This reaction can lead to an accident in the home if someone is simply up in the middle of the night looking for a snack or using the bathroom. If a weapon is unloaded, the time it takes to load the weapon is time for the veteran to gain situation awareness. Encourage your loved one that he/she can still protect the house, but this three-second delay can be enough to stop a gut reaction from accidentally firing the weapon.

Anger is also a natural reaction to readjusting and carrying the memories and feelings of PTSD. If your loved one acts violently towards you or your children, leave immediately. It does no good for anyone to stay in that situation. Anger doesn’t always lead to violence, but can make it difficult to communicate. The National Center for PTSD suggests setting up a time-out system using the following tools:

  • Agree that either of you can call a time-out at any time.
  • Agree that when someone calls a time-out, the discussion must stop right then.
  • Decide on a signal you will use to call a time-out. The signal can be a word that you say or a hand signal.
  • Agree to tell each other where you will be and what you will be doing during the time-out. Tell each other what time you will come back.
  • While you are taking a time-out, don’t focus on how angry you feel. Instead, think calmly about how you will talk things over and solve the problem.

You can seek counseling together or separate to learn how to deal with anger management.

Conclusion

Remember, PTSD doesn’t just affect veterans of the Iraq war and other current conflicts/wars. My sister recently started raising chickens for eggs and meat and when our grandfather stopped by he said he couldn’t help butcher the animals. “I made a promise that I would never harm a living being after the war,” he told her. Grandpa was a tank driver in WWII and was in the Battle of the Bulge. Growing up he never mentioned the war, but after I joined the Marines he told me a handful of stories. Each time his face changed and I could tell he has carried something with him since that time. Let’s encourage our veterans to seek the help they might need so they don’t have to carry their burdens any longer. By creating or helping them find a safe environment to talk, we can help them find the road to freedom from the anxiety, anger, obtrusive thoughts, and other burdens that come with experience war or trauma.

In the coming weeks I’ll be looking into PTSD in female veterans, how our hormones might affect PTSD and if there are any differences between PTSD in male and female veterans.

More on PTSD:
The Gift of Fear
VA Benefits for Female Vets
Memorial Day Reflection

 

Should your Guy be Taking Testosterone

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Testosterone prescriptions for men have increased almost 4-fold over the last decade. It’s marketed to treat everything from low libido, depression and middle-aged weight gain to improved cardiovascular health. Is it safe? Does it work? Should your guy be taking testosterone?  Here is the research.

Testosterone Treatment

Trials in older men with low testosterone levels have shown beneficial effects, such as increased strength, muscle mass, bone mineral density, insulin sensitivity, and libido. However, in elderly men, the treatment effects were short-lived (<6 months).

An observational study of over a 1000 male veterans aged >40 years compared mortality rates between those treated with testosterone and a group of controls with low testosterone. The treatment group showed almost half the rate of mortality, all causes, and lived longer compared to the control group.  Other research shows that testosterone replacement lowers HDL levels but only in younger men taking supra-physiological doses (anabolic steroids).

In contrast, a recent research trial with frail, elderly men (>65 years of age) was stopped early due to a greater occurrence of cardiovascular-related events in testosterone treated men.

Conclusion: The Jury is Still Out

Although some testosterone treatment trials report positive results, there is ongoing concern about the risk of incident prostate cancer or prostate cancer mortality because studies have not been large enough or long enough to address this. The report of adverse cardiovascular events associated with treatment highlights the need for further data on the risks and benefits of testosterone treatment in older men, particularly given the large numbers of older men who are prescribed testosterone. And data supporting the libido boost is still out with only some studies reporting benefits.  Should your guy be taking testosterone- the jury is still out.

 

Why Men Should Care About Women’s Health

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To All the Men –

Over the past twenty to thirty years our medical and technological understanding has grown by leaps and bounds. From barely grasping the full effect of various hormones and chemicals in the brain to mapping the hormonal origin of the ability to nurture. We’ve made amazing strides and among these strides has been women’s health and medicine.

Just a few decades ago many men concluded their interest into women’s health with the attitude that we’ll just never understand a woman.

For centuries we have held her body as a mystery. For romanticism that serves a beautiful purpose, but in reality it creates far more problems for the women to which we adorn with such awe. Many times I have heard of gruesome historical stories relating to what some called modern medicine and others called butchery. Back then, by their standards, that was on some low level acceptable. Today it is not. The good news is that modern medicine and technology has brought us a long way to care for our women far better than our forefathers ever could. As a man I try to think forward to the possibility of having a daughter of my own. Part of my role in providing security for her is growing in my understanding of her health.

As men, it should be one of our chief concerns to obtain a significant and ever expanding knowledge base of women and their health as they are our sisters, mothers, wives, and most importantly, our daughters. Today there has been more progress in breast cancer and various areas of illnesses afflicting women than in any time in the history of our species. It is worth mentioning because it has resulted from a multitude of men and women and their tireless effort.

Oxytocin

With advances in medicine and our understanding of women’s health, we now understand a large part of what naturally makes a woman Mother Nature’s chosen nurturer. We understand the “bonding hormone” called oxytocin. Oxytocin is a hormone that both men and women produce but is produced much more in women during their younger years than in men. This is the hormone responsible for giving a woman the want and need to build incredibly strong and long lasting intimate bonds with their babies and spouses.

A wonderful example of the oxytocin difference in men and women is demonstrated in sex; immediately after sex a woman’s level of oxytocin increases far higher than her partner. There is a longing to be close afterwards and this closeness makes her feel a stronger and more intimate bond beyond just the act of sex. This hormone is also increased after childbirth causing women to have an incredibly strong bond with their newborn. With men it’s almost the complete opposite. We create the same hormone but in much smaller quantities in our younger years. As we age our levels of oxytocin increase making us want closer relationships and bonds with our children, grandchildren, and spouses.

Oxytocin is only a small aspect of women’s health but the reason I point it out is, thirty years ago it was virtually unknown. Other illnesses like breast cancer take center stage and we have thrived to provide an incredible amount of research and options so that breast cancer is an illness that claims fewer lives year after year. Today it is a fight that our women (and a small amount of men) can win.

This is Just the Beginning

There is still much research needed. With research into oxytocin maybe we can understand abnormalities that may result from a low level of this hormone. When a woman suffers emotional trauma, does this hormone become deficient? If so, it would explain why some women who survive emotionally and physically traumatic events struggle to create that bond with their husbands and sometimes their children. Do rape victims produce less oxytocin? If so, how do we help them? What is a normal level and how do we fix this problem. These are just a few of the questions we need to find answers to. New doors that once opened will lead to better lives, relationships, treatments, and medical procedures for women.

As a man, I can’t speak as a woman would about women’s health; however I can speak as a man should. It is our duty as men to help care for and help provide security for our women. To help strengthen them so that they can live out their lives in the most meaningful way they choose. To support them and help them find answers to the problems that plagues them. In doing so we enrich our future and we do our part to better understand what we cherish the most – our women.

 

About the Author:
John-Brandon Pierre is a United States Marine who has served for eleven years and counting. After motivating individuals in one of the most stressful organizations in the world, both in and out of combat, he became a motivational speaker and life coach. His philosophy is that life has a clear way of testing our fortitude and resolve, and it is through adaptation and perseverance that our species has survived over time. He helps individuals adapt to life through perspective to overcome the obstacles life. Originally from Texas, John-Brandon lives in San Diego, California and keeps a blog at Real World Motivation.

Flaming Thunderbolts and Other Dangly Bits

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“If we shadows have offended, think but this; and all is mended that you have but slumbered here while these visions did appear and this weak and idle theme no more yielding but a dream.”

In the beginning, there was chaos. Chaos was darkness, the waters of the abyss. The first god, Amun, arose from the waters using nothing but his own strength to give form to his body. Amun existed alone. All was his. Yesterday and tomorrow were his. Alone, he took his penis in his hand. He made love to his fist. He made his exquisite joy with his fingers. And from the flame of the fiery blast which he kindled with his hand, the universe was formed.

I set out to write an essay on women’s roles in ancient fertility rites. After all, the male of our species and his dangly bits have been lauded and attended throughout history: from the Egyptian first god, Amun, the above-mentioned fist-lover; to Priapus, the eternally erect son of Aphrodite (shown left weighing his penis against grain); to the Hindu god Shiva, whose penis, or lingam, was so hot it caught fire, fire only contained when a vagina, or loni, appeared.

As far as excuses go, this one takes the cake. Yes, we know hormones can make our wild testosterone-crazed men do stupid things but, “I had to put it in because my dong was on fire” doesn’t cut it. A Shiva worshipper, I shall never be.

After lots of reading, I discovered one unifying attribute: Men, whether they are gods or mere mortals, think their penises are all that. Some, but not all, women agree. I decided to, er, explore the issue (my husband is out of town).

Back to Shiva. He was the god of destruction and change. Because of control issues (his goddess wife was destroying more than he was), he turned himself into a corpse to fool and stop her. Thinking him dead, however, his wife, the goddess Kali, squatted over his body, ripped out and ate his organs, and then mounted his still erect lingam to complete the cycle of creation.

Which kind of  supports man’s my-penis-is-awesome theory. The rest of him? Not so much. As evidence, this statue representing the old dick (along with handy fire extinguisher).

 

Today, Egypt is primarily an Islam nation (and I am NOT going there, thank you very much). Yet around 2000 BC, the Egyptian god of fertility, Min (apparently he didn’t need to over-compensate name-wise) was the principal deity of the Egyptian empire. Artwork and statuary feature Min holding his penis in one hand and a threshing flail in the other. (He was apparently into dominant/submissive relationships; see “50 Shades of Grey”, “The Story of O”.)

During the coronation ceremony of every new pharaoh, Min supervised from on-high as the ascending pharaoh proved that he could ejaculate … in front of people. Centuries before Playboy, Min was there to make sure everything worked as designed (and possibly to ensure no new universes were created from the fiery blast of hand to fist love). I’m not sure what happened to Min; however, his temple is somewhere beneath the modern city of Akhmim. It contains his statue, all reported 55 feet of it.

Just think about that schwanzstucker, Ladies.

If we journey farther east, we come to Japan. We enter Japan. We’re in Japan. (I’ve been reading and writing about this too long; every phrase has sexual connotations). Which leads to the first of two tales of Japanese phallic worship:

450 years ago, two rival politicians’ race turned ugly (this seems redundant). Their feud escalated to death threats against one another as well as against their sons, forcing them to hide their offspring. One of the men, Mr. Oji, decided further camouflage was necessary and disguised his son as a girl. By the time the other man, Mr. Sue, found the girl-who-was-really-a-boy, he had worked himself into such a frenzy that he killed the poor child by cutting off his head and then, for good measure, his penis. When the news got out, the local villagers decided to craft wood and stone phalli as replacements.

But not crania. Which leads me to assume Japanese men, at the least, let their little heads do the thinking for their big ones.

Those locals had so much fun making penises that, to this day, they still are doing it. They make a big shrine to the Almighty Cock, fill it with penises, and then, entrepreneurial as can be, make and sell replicas so that people from around the world will visit Japanese Cock Country Jamboree.

But wait, there’s more…

In yet another area of Japan, they have Penis Parades! And they don’t even remember why! The Hounen Fertility Festival gets arousing at 10 am when the sake comes out, and then again at 2 pm when Shinto priests bless the crowd before shouldering a 9 foot, 620 pound schlong. Then, they pray for a fertile year (and a merciful hangover).

It’s like Carnival … with penises. Tastes great, less filling!

Finally, we come to Bhutan. The land of Buddhist monks where at least one of whom was very, very horny and quite the ladies’ man. Yes, Drukpa Kunley promised women that the way to Nirvana was through relationships with his penis, which he nicknamed “The Flaming Thunderbolt.”

Really? Most guys use a simple monosyllabic name like Fred or Chuck. This guy must have had one serious, um, ego. AND he had women pay him for his services in beer! Richard Gere has nothing on Drukpa Kunley.

Somehow, I suspect through sheer balls, Drukpa became part of Buddhist mythology, supposedly defeating evil demonesses by beating them in the face and gagging them, both with his Flaming Thunderbolt. His image, yes THAT image, can be found painted upon homes and buildings for good luck and to ward off evil.

See? 

So what have I learned? That, on the surface, men do believe their penises are all that. They start worlds with them, fight enemies with them, and, occasionally, satisfy women with them (if they have skills or possess Flaming Thunderbolts). The Japanese fill woods with carvings of them and the Bhutanese paint them on their houses. Anthony Weiner and Brett Favre tweet pictures of them. And for whom? Sorry, gentlemen, but most woman need the woo with the woohoo. Your penis does not define you.

Guys, we love you all despite and sometimes because of your flaws and insecurities. Your penises are indeed important for that whole continuance of the human race thing; our vaginas are as well. Yet, you don’t see yonic images everywhere (unless you’re at a Georgia O’Keefe exhibit). We love your big heads and your big hearts – why not show them off now and then? Mine does and I love him all the more for it.

 

 

The ridiculous bit of satire below does not reflect the opinions of Lucine Biotechnology nor its associates. It is meant to amuse and, hopefully, entertain. Lauren is our Puck and we only let her out on certain days.

Every Man Knows a Woman with Hormones

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And we all have hormones. Those wonderfully mysterious chemicals circulating and cycling with the regularity and rapidity that makes one’s head spin, female hormones are at once the bane and the joy of man’s existence. Our hormones are what make us find you attractive, laugh at your jokes, date you, sleep with you and bear your children. Our hormones can also turn us into stark, raving lunatics at seemingly benign comments. Most men know and understand this, at least intuitively. You are prepared for the ‘wrath of raging hormones’ if not from direct experience with your mothers, sisters or girlfriends, then from the many locker room and sitcom epithets ever present in modern culture.

What most men (and many women) are not prepared for, and I’d venture don’t understand, is the very real chemistry changes behind the wrath. Much of this goes far beyond just mood changes, often eliciting a bevy of symptoms and disease processes that we’re only now beginning to understand.

In many ways, hormones are just like every other chemical circulating in our bodies, regulating this system or that, entirely responsible for certain functions, secondary and tertiary players in others. Men have the same hormones as women, just in different concentrations. And hormones cycle in men, but not so radically and regularly. What is different between ‘men’s hormones’ and ‘women’s hormones’ is not the hormones themselves, but the systems and structures on which they operate and the reproductive functions that ensue.

To state the obvious, women have ovaries and a uterus. Those structures, along with the brain form the foundation of a beautifully orchestrated and incredibly complex chemical feedback system that not only controls reproduction, but influences just about every aspect of our lives. Estradiol and progesterone concentrations increase several fold across an average cycle, preparing the uterus for a possible pregnancy. In the absence of pregnancy, hormone levels plummet and the lining of uterus, the endometrium sheds. The all-too-familiar mood changes and pain commence.

As a man viewing this process from the outside, it is difficult to appreciate the magnitude of hormone changes affecting the women in your life. When hormones act on the brain or in the body, they do so in much the same manner as many common drugs. In terms of chemistry, menstrual cycle hormone changes are very similar to a drug addiction/withdrawal pattern with increasing dosages of stimulants (like amphetamines) during the first two weeks, a combo pack of sedatives (like Valium or alcohol) plus a few stimulants during the second two weeks, followed by cold turkey withdrawal. Rinse and repeat, over and over again, approximately 450 times during the course of her lifetime. Pregnancy and postpartum follow the same pattern only the dosage of hormones, the duration of exposure and the magnitude of the withdrawal are increased exponentially. The veritable cocktail of hormones that make these functions possible is breathtaking.

What happens when one or more of these chemical messengers gets a little out of sync and the system become dysregulated, as is inevitable in any system that cycles so frequently? Or what happens when an illness or disease, maybe not caused by hormones, develops in the context of this ever fluctuating female chemistry? You get a bit of chaos (think butterflies, not randomness).

As a man, who has women in his life, you have two choices, ignore and avoid the chaos and hope there are no storms on the horizon, or embrace the chaos and find ways to anticipate and alleviate the pain. Many choose the former, including much of medical science. This is the avoidable ignorance, I wrote about last week. I’d like to think the men who love us, choose the latter. Certainly, the men who shared their wives’ and daughters’ stories recognize the need to investigate and develop better treatments for women. They may not understand fully the complexity of women’s hormones, but they understand the suffering, sense that symptoms are being ignored and want nothing more than to make it all better.