Prescribed Medication Question

parker1842

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Mar 17, 2019
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As a cadet at USAFA, I have been struggling with anxiety and recently sought medical help outside the Cadet Clinic. After being prescribed Propranolol (Beta Blockers), I am now concerned about disclosing this to the clinic. I fear that admitting to having anxiety could lead to my dismissal from the academy. How can I inform the clinic about my medication without risking my standing as a cadet?
 
As a cadet at USAFA, I have been struggling with anxiety and recently sought medical help outside the Cadet Clinic. After being prescribed Propranolol (Beta Blockers), I am now concerned about disclosing this to the clinic. I fear that admitting to having anxiety could lead to my dismissal from the academy. How can I inform the clinic about my medication without risking my standing as a cadet?
You already are by taking prescribed medication for a diagnosed condition without the knowledge of the TRICARE Prime military healthcare system. I am sorry you are having to deal with this, and feeling worried/guilty about hiding this does not help.

Your mental health is THE most important thing.

My first bit of advice is to go see a chaplain and talk this through, come up with a course of action. You can speak with them confidentially. They have a duty to disclose if you are a danger to yourself or others.

Take this one small step at a time, remembering what is most important - your health. Don’t let your mind get bogged down in the “what if” quicksand.

Let us know how it’s going, if you feel like it.
 
As a cadet at USAFA, I have been struggling with anxiety and recently sought medical help outside the Cadet Clinic. After being prescribed Propranolol (Beta Blockers), I am now concerned about disclosing this to the clinic. I fear that admitting to having anxiety could lead to my dismissal from the academy. How can I inform the clinic about my medication without risking my standing as a cadet?
I personally know cadets who are on antidepressants for depression & anxiety. They are not being disenrolled, they are getting the treatment that they need. I even know a few who had suicidal ideation that are just fine now & serving in the Air Force. One having gotten a waiver to fly.

Don't let your anxiety get so far ahead of you that you need to be hospitalized. Even then, you won't be automatically disenrolled. You may be sent home to recover, you may get more counseling, etc. Its all determined on a case-by-case basis.

PLEASE do not hide any mental health issues from the clinic.
 
I personally know cadets who are on antidepressants for depression & anxiety. They are not being disenrolled, they are getting the treatment that they need. I even know a few who had suicidal ideation that are just fine now & serving in the Air Force. One having gotten a waiver to fly.

Don't let your anxiety get so far ahead of you that you need to be hospitalized. Even then, you won't be automatically disenrolled. You may be sent home to recover, you may get more counseling, etc. Its all determined on a case-by-case basis.

PLEASE do not hide any mental health issues from the clinic.
And I know of two cadets this semester who went past the ideation part. USAFA is way too lenient on mental health. For the sake of those suffering from a mental illness, and for the sake of the wing and the Airmen the cadets may some day lead, USAFA needs to vigorously enforce the DODMERB standards and disenroll cadets who don’t meet standards. This PC crap has gone too far.
 
Hey! I hope to become a cadet one day, and I’m on prescribed meds for anxiety, too! Take care of your mental health first, and I would talk to someone on base, like someone in the mental health clinic! I understand it may be hard, but your health is the most important thing. You can do this!!

-Slippy13
 
And I know of two cadets this semester who went past the ideation part. USAFA is way too lenient on mental health. For the sake of those suffering from a mental illness, and for the sake of the wing and the Airmen the cadets may some day lead, USAFA needs to vigorously enforce the DODMERB standards and disenroll cadets who don’t meet standards. This PC crap has gone too far.
With all due respect -- you don't know why those cadets did what they did. You do not have all the information.

Having said that, mental health is something that needs to be addressed at all levels -- service academies through big Air Force. Telling cadets, enlisted, and officers that they will be kicked out for mental health issues will only exacerbate the problem because they will not seek help.

Realize that many suffer short-term anxiety and/or depression. Getting counseling is often enough to get them past that point and learning how to deal with situations in a constructive and not destructive way.

Every situation should be dealt with on a case-by-case basis.
 
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With all due respect -- you don't know why those cadets did what they did. You do not have all the information.

Having said that, mental health is something that needs to be addressed at all levels -- service academies through big Air Force. Telling cadets, enlisted, and officers that they will be kicked out for mental health issues will only exacerbate the problem because they will not seek help.

Every situation should be dealt with on a case-by-case basis.
Not sure about this.

There are plenty of cadets struggling. They need to figure out why. There are resources to solve their issues. A stricter policy may lead to cadets seeking out those resources.

What if it is overlooked, and someone is harmed by it in the Air Force?

For context, mental illness is in my family and my daughter suffers from severe anxiety/depression.
 
Not sure about this.

There are plenty of cadets struggling. They need to figure out why. There are resources to solve their issues. A stricter policy may lead to cadets seeking out those resources.

What if it is overlooked, and someone is harmed by it in the Air Force?

For context, mental illness is in my family and my daughter suffers from severe anxiety/depression.
I don't disagree that the cadets are struggling through this situation. I don't disagree that cadets should seek out help. Telling them that they will be disenrolled for anxiety or depression will only make matters worse because they will then NOT seek out help. Its counter-productive. Note that OP is struggling with admitting she has anxiety. She is the perfect example of the problem and the stigma that comes with asking for help.

What I disagree with is the assumption for the reason that the 2 cadets harmed themselves. No one here knows those reasons.
 
I don't disagree that the cadets are struggling through this situation. I don't disagree that cadets should seek out help. Telling them that they will be disenrolled for anxiety or depression will only make matters worse because they will then NOT seek out help. Its counter-productive.

What I disagree with is the assumption for the reason that the 2 cadets harmed themselves. No one here knows those reasons.
I wasn’t addressing the two cadets and never would.

My daughter spent much of her junior year in a mental hospital.

A clear message to incoming cadets should be the available resources and the importance of using them because disenrollment is a potential or probable outcome.

Classmates care. And are supportive.
 
I wasn’t addressing the two cadets and never would.

My daughter spent much of her junior year in a mental hospital.

A clear message to incoming cadets should be the available resources and the importance of using them because disenrollment is a potential or probable outcome.

Classmates care. And are supportive.
I agree. There are so many resources available for cadets to get help.
Its the stigma that is preventing cadets from seeking help. That needs to be addressed ASAP.

 
With all due respect -- you don't know why those cadets did what they did. You do not have all the information.

Having said that, mental health is something that needs to be addressed at all levels -- service academies through big Air Force. Telling cadets, enlisted, and officers that they will be kicked out for mental health issues will only exacerbate the problem because they will not seek help.

Realize that many suffer short-term anxiety and/or depression. Getting counseling is often enough to get them past that point and learning how to deal with situations in a constructive and not destructive way.

Every situation should be dealt with on a case-by-case basis.
Suicidal ideation is a mental illness under the DSM. Completing the act is undeniably mental illness. It doesn’t matter why. However it manifests itself, mental illness places others at risk, whether they are fellow cadetts, supeiriors, or subordinates.

Mental illness does indeed need to be addressed, but not within the military. There is plenty of help on the outside. The purpose of the academies is to train warfighters and the reason for the existence of the military is to win wars and protect this nation. No one person’s circumstances are more important than the overarching job they are charged with performing.
 
Suicidal ideation is a mental illness under the DSM. Completing the act is undeniably mental illness. It doesn’t matter why. However it manifests itself, mental illness places others at risk, whether they are fellow cadetts, supeiriors, or subordinates.

Mental illness does indeed need to be addressed, but not within the military. There is plenty of help on the outside. The purpose of the academies is to train warfighters and the reason for the existence of the military is to win wars and protect this nation. No one person’s circumstances are more important than the overarching job they are charged with performing.
So women or men who are raped should be kicked out because they may have suicidal ideation after the fact? (Note: not saying that happened -- its just an example)

Every situation needs to be addressed on a case by case basis, which it what USAFA does. I do, in fact, know of cadets who have been disenrolled due to mental illness. I also know cadets who have gotten treatment and are perfectly healthy, have graduated, and are serving/have served honorably.

A blanket statement that all cadets/warfighters need to be kicked out if they seek mental health help will only exacerbate the problems because they will not seek out help. It is, in fact, a situation that the military is currently having. Suicide rates are way too high.
 
Suicidal ideation is a mental illness under the DSM. Completing the act is undeniably mental illness. It doesn’t matter why. However it manifests itself, mental illness places others at risk, whether they are fellow cadetts, supeiriors, or subordinates.

Mental illness does indeed need to be addressed, but not within the military. There is plenty of help on the outside. The purpose of the academies is to train warfighters and the reason for the existence of the military is to win wars and protect this nation. No one person’s circumstances are more important than the overarching job they are charged with performing.
And this attitude is a strong driver of the issues we have in the AF. If the attitude is suck it up or get out, getting help is "weak" then what you get is people hiding their issues until the explode, and often put people in danger. That and the high suicide rates in many career fields (it goes FAR beyond the Academy). The Academy is the place to figure yourself out in a pressure cooker, because the pressure only increases after graduation. Strength is knowing when you need help, getting it, and getting back in the fight. Hiding and "muscling through" or my personal least favorite phrase "manning up" are NOT the way to go, and in the long run tend to end very badly - for both the individual and the unit.

I have many peers who have experienced trauma (in my friend group, it's unfortunately mostly sexual assault) and gotten help for it with no adverse career or clearance effects whatsoever. I also have many peers that have gotten medication and counseling for anxiety and ADHD. In most cases, all they needed was a little help figuring out the right way to handle stress for them, and once they got help, they continued to crush it as officers.

In my case, I was in a severe car crash while at the Academy. It left me with some PTSD as well as debilitating, constant chronic pain. I went to the peak performance center far later than I should have. I was a wreck when I walked in, but the help they gave me was AMAZING. I had no idea that counseling could be that helpful, at the time I just knew I had to do something, because I couldn't keep going like I was. It didn't have any negative impact for me. I learned pain management techniques and ways to handle PTSD episodes. I highly doubt I would have made it to graduation without that help. It was still a long painful road, but I made it.

To the OP - take Capt MJ's advice and talk it through with a chaplain, they are a great resource even if you aren't religious. Once you do that and have a plan, you NEED to tell the clinic. This is NOT something you should hide, or should feel the need to hide. Yes you'll likely be put on some sort of temporary duty restriction (usually no flying for a period of time), but you'll get the help you need the right way. I'm guessing the additional stress of hiding it from the clinic is not helping things.
 
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