In the Washington Post today, Donna St. George shares the story of Trinette Johnson, a 32-year-old mother of four who has struggled with Post Traumatic Stress Disorder since returning from duty in Iraq in 2003. What this experience has been like for Ms. Johnson and what it means for other of the estimated 137,000 female troops who have served in Iraq and Afghanistan is explored in the article, of which a brief excerpt follows:

The Pain That Follows Troops Home

There are times when Trinette Johnson’s life seems to stall, when she finds herself staring at the ceiling fan in her bedroom, watching the blades spin, her mind hung on nothing — not her receptionist job, not her fiance, not her ailing father or her four children.

Not even the war.

The war, of course, is always there somewhere, she said, an unseen force in her life, sometimes producing moments of blank detachment, sometimes stirring up anger like nothing she has ever known.

More than two years after returning from duty in Iraq, she has found herself yelling and cursing at other drivers on the road. Panicked in crowds. Seized with fear at the sight of highway overpasses and tunnels that might suddenly explode.

Doctors gave the 32-year-old Johnson, who served in the D.C. National Guard, a diagnosis of post-traumatic stress disorder, which has plagued thousands of U.S. troops after combat in Iraq — bringing on flashbacks, numbness, rage and anxiety and leaving many at odds with their old lives, families and jobs.

How women are affected after combat is only starting to be probed. This is the first war in which so many women have been so exposed to hostile fire, working a wider-than-ever array of jobs, for long deployments.

“This is a really unique experience, and we just don’t know,” said Ronald C. Kessler, a Harvard University professor and author of a landmark study of post-traumatic stress disorder.

For women who are mothers, combat-related PTSD may have added significance. Often, after war, “it’s not the same mommy who left,” said Yale University associate professor Laurie Harkness, who runs a Veterans Affairs mental health clinic in Connecticut. Although the same can be said for fathers, she said, “mothers in general are the emotional hub of a family.” [full text]