Public discussion related to post-traumatic stress disorder (PTSD) can significantly reduce stigma, making it easier for those affected to seek professional help.

Thus said Dr. Ver Reyes, a licensed psychologist and psychometrician, when Lifestyle sought her opinion on the release of “Topakk” (Triggered), an action film featuring Arjo Atayde as a retired soldier suffering from PTSD.

“In the Philippines, where mental health resources are gradually gaining attention, public awareness campaigns can play a critical role in fostering empathy and understanding for our military personnel,” Reyes said. “Addressing PTSD as a legitimate mental health concern also strengthens policies and support systems that can improve their well-being and operational effectiveness.”

In the film, Atayde plays Miguel, who witnesses the death of his men in battle, which pushes him to the edge. After he gets discharged from the army, Miguel continues to be haunted by the carnage, even in his new job as a warehouse security guard.

According to the film’s writer and director, Richard Somes, Atayde’s role is a composite of the life stories of several former military men whom he had met through the years. The film is an entry to the 50th Metro Manila Film Festival.

Realistic portrayal

Atayde said he prepared for his role by discussing PTSD with Lt. Col. Cesar de Ocampo III, who served as consultant. “I didn’t want to represent them poorly. So, I watched videos and listened to stories of a lot of military men. All we wanted was to be able to produce something that’s realistic,” the actor said.

Atayde said he was very deliberate in his portrayal of Miguel. “His facial twitches are signs that he is triggered. I hope it’s noticeable. Direk helped me with it. Obviously, especially for the people who are very aware of their condition, if they see a spark, they try to get out of it because it’s very traumatic,” he pointed out. Another indicator is Miguel’s unusually calm stance during an extremely stressful situation, like an intense gun battle, Atayde explained.

Meanwhile, Col. Francel Margareth Padilla, Armed Forces of the Philippines spokesperson, also expressed support for the film. “What we want to highlight in ‘Topakk’ is that our soldiers—despite seeing them always always courageous, calm and composed in uniform—are also humans. They bleed. They cry. Being wounded physically is one, but being wounded mentally is another thing. Tumatatak po ‘yon.”

Padilla added: “With the AFP being modernized, it now has programs designed to treat mental illnesses of its personnel—even its retirees. We need to take good care of our soldiers. It’s good to know that the Filipino people are one with our soldiers, not only in our victories, but also during times of sorrow.”

In October, the AFP relaunched its mental health wellness program, dubbed as Troop Resilience, Optimum Performance, and Awareness and Access or Tropa. Reyes said this is an excellent move because addressing PTSD through structured programs ensures that personnel receive the support they need to recover and thrive.

Standards of care

“It is crucial, however, that these programs involve ethically licensed professionals who adhere to international standards of care and employ evidence-based interventions, such as cognitive-behavioral therapy and trauma-focused treatments which can also include immediate family members,” Reyes said.

“This approach not only ensures the effectiveness of the program but also builds trust and confidence among the personnel, encouraging them to confidently seek professional support when needed,” said Reyes, who is also a former president of the Psychological Association of the Philippines.

Meanwhile, Enchong Dee, Atayde’s coactor, stressed that PTSD is not limited to soldiers. “I think with all the new studies coming out, we realize that PTSD is not only experienced by men who fought our wars. Sometimes, even going through a traumatic romantic relationship can give you PTSD,” he said.

On what a patient can expect to encounter during treatment, Reyes said: “Recovery from PTSD is possible, though the process varies from person to person. With evidence-based treatments, many individuals experience significant improvement in their symptoms. However, patients may encounter challenges such as confronting painful memories, dealing with stigma, or experiencing temporary symptom intensification during therapy.”

She added: “Again, consistent support from trained licensed professionals and strong support systems are essential to navigate these difficulties and achieve long-term healing.”

The psychologist said one significant challenge in treating PTSD is addressing the stigma surrounding mental health, which may discourage patients from fully engaging in therapy.

“Patients might also struggle to confront painful memories, leading to resistance or avoidance during treatment,” Reyes stressed.

“Additionally, limited access to mental health resources and culturally adapted interventions in the Philippines can hinder consistent care. Building trust, fostering a safe therapeutic space, and incorporating culturally sensitive approaches are crucial in overcoming these barriers.” INQ

The 2024 Metro Manila Film Festival runs from Christmas Day to Jan. 7, 2025.