Clinician's Corner Blog

A PHCoE blog series written by leaders, clinicians and experts on current topics of interest for psychological health care providers in the Military Health System.

  • Positive Attitude, Social Support May Promote TBI Resilience Among Military Members March 27, 2020

    Untangling the relationship between traumatic brain injury (TBI and posttraumatic stress disorder (PTSD) is a complex challenge. Service members can experience both a mild TBI (also known as concussion) and psychological distress from combat situations, assaults and motor vehicle crashes. But research from the Defense and Veterans Brain Injury Center (DVBIC), a division of the Defense Health Agency Research and Development Directorate, has found that psychological experiences prior to TBI may play a role in recovery.

  • Addressing Emotional Responses to Threat of Coronavirus March 19, 2020

    While in graduate school, I was involved with some interesting research that examined students’ reactions to media coverage on the potential threat of a disease pandemic such as coronavirus. The study showed several interesting findings, including high rates of worry that family members would contract the disease or that treatment might not be available.

  • Meeting the Challenge of Co-occurring Posttraumatic Stress Disorder and Mild Traumatic Brain Injury March 9, 2020

    The evaluation and treatment of patients with co-occurring mild traumatic brain injury (TBI), also called concussion, and posttraumatic stress disorder (PTSD) can be a challenge for mental health care providers. Concussion and PTSD often occur together in military patients because combat-related operations can result in head trauma (physical or physiologic trauma) and psychological trauma–related experiences.

  • What’s the Difference between Primary Care Behavioral Health and Specialty Behavioral Health? March 2, 2020

    “My primary care patient is experiencing depression. Should I recommend the patient be seen by the behavioral health consultant (BHC) in primary care? Or should I refer the patient to the specialty behavioral health clinic? What’s really the difference?”

    The Military Health System (MHS) has various levels of care available for patients with behavioral health concerns. Clinicians in the MHS may have questions about which level and location of care is right for a particular patient: primary care behavioral health (PCBH) or specialty behavioral health services.

  • Rolling the Dice on Universal Screening for Gambling Disorder February 11, 2020

    According to the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition, gambling disorder is a condition characterized by persistent problematic gambling behavior that leads to clinically significant impairment or distress. Roughly 2 percent of the U.S. adult population has a gambling disorder, and current estimates of prevalence in the military are even lower, in the range of 0.3 – 1.2 percent.

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The views expressed in Clinician's Corner blogs are solely those of the author and do not necessarily reflect the opinion of the Psychological Health Center of Excellence or Department of Defense.