ABSTRACT
Across from me in my office is a strapping 23-year-old combat veteran. We’re deep in the belly of a prison, where he is serving ten years for vehicular homicide, a result of severe over drinking and then driving as if he were escaping an ambush. He is somber—far beyond reflective. The import of his actions weighs heavily on him. He has a primary diagnosis of PTSD (APA, 2000) and Polysubstance Dependence. Alcohol was his drug of choice, but anything would do.
