with depressive disorder and PTSD . The Veteran informed the examiner he dreamed often , but only occasionally about Vietnam . Following his discharge , he often awoke from sleep screaming and in a panicked state , and he still experienced daily , recurrent thoughts of Vietnam . Moreover , he was forced to actively avoid veteran associations or discussions of combat . He tended to avoid crowds or groups of people because of feelings of potential danger or threat and heightened anxiety . He avoided others out of a fear of losing control and angry impulses . Lastly , he experienced trouble controlling his temper and struggled to interact with others at work and with his family . Socially , the Veteran maintained one or two friendships