Psychiatric Quarterly, Vol. 76, No. 4, Winter 2005 (
PSYCHIATRIC INTERVENTIONS WITH
RETURNING SOLDIERS AT WALTER REED
Harold Wain, Ph.D., LTC John Bradley, M.D.,
COL Theodore Nam, M.D., COL Douglas Waldrep, M.D.,
and COL Stephen Cozza, M.D.
Warisamaleﬁc force and results in many psychiatric and medical casual-
ties. Psychiatry’s involvement with soldiers experiencing psychological stress
resulting from combat experience has been reported for many years (Zajtchuk,
1995). It has been demonstrated that a myriad of diagnosis to include depres-
sion, anxiety, somatoform, adjustment disorders and psychotic behaviors also
emerge (Wain et al., 1996, 2005a). Nearly all survivors exposed to traumatic
events brieﬂy exhibit one or more stress related symptoms (Morgan et al., 2003).
In many instances these symptoms dissipate within a reasonable amount of
time. However, symptoms persisting for a prolonged period following a trau-
matic event increase the probability of developing stress-related psychiatric
KEY WORDS: psychiatric intervention; trauma; casualties.
Harold Wain, Ph.D., LTC John Bradley, M.D., COL Theodore Nam, M.D., COL Douglas
Waldrep, M.D., and COL Stephen Cozza, M.D., are afﬁliated with Department of Psychi-
atry, Walter Reed Army Medical Center, Washington, DC.
Address correspondence to Dr. Harold Wain, Ph.D., Department of Psychiatry, Walter
Reed Army Medical Center, 6900 Georgia Avenue, NW, Washington, DC 20307-5001;
2005 Springer Science+Business Media, Inc.