Sir, obviously, your question is a good one, and somewhat rhetorical. I believe we would all want to do what's best for our veterans, and give them the benefit of the doubt.
One thing we haven't touched on here is the possible harmful side effects of the wrong treatment. We try to distinguish mefloquine toxicity, or quinism. What is PTSD? What's TBI? If we misdiagnose it as PTSD, for example, we treat it with selective serotonin reuptake inhibitors. Those are anti-depressants. They can be useful, but they have sexual side effects. I've seen suicides related to the sexual side effects. We might treat it with anti-psychotic agents, because we think it's a psychosis, and don't recognize that. The anti-psychotic agents also have their own side effects. It's really important to make sure that we are diagnosing as best we can.
Coming back to our theme of screening and diagnosis, you need to inform your providers to be looking for this, as well as the veterans themselves, to be able to come up and say, “Hey, doc, you said I have PTSD, but did you consider this?” That can take the conversation to a whole new level.