Skip Bradeen spent 27 months in Iraq dodging roadside bombs, rocket-propelled

grenades, mortars and snipers, and seeing his friends die. One memory especially stands
out for Skip. It was when he saw one of his best friends die. After his first tour in Iraq,
Skip’s wife noticed how much he had changed. According to his wife, Pat, “When he
came back, Skip would never talk about what he had done in Iraq. He was always an easy
going kind of guy but now he seemed so negative. He would say things like ‘The world is
so dangerous. You can’t trust anybody. That was so unlike him. Worse yet, my living
room became a battlefield. If one of our kids would misbehave, Skip would go through
the ceiling. I remember one night he grabbed our 8 year-old by the throat and threw him
against the wall. It was like Skip was angry all the time.” Pat added, “Our bedroom was
a battleground, too. At first, Skip would wake up every single night screaming at the top
of his lungs. Then came the nightmares. Another thing I noticed was that he spent a great
deal of time shaking and crying when he thought nobody was looking. I don’t know how
many times I would come home after work and find Skip huddled in the corner of our
bed, sheets over his head.” The Army doctors noted Skip’s severe migraines, frequent
nightmares, sleep disturbance, memory lapses, hyper-vigilance, and anxiety and
recommended him for a medical discharge. What is Skip’s most likely diagnosis?



a) Posttraumatic Stress disorder
b) Acute stress disorder
c) Reactive attachment disorder
d) Adjustment disorder


a)

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