Maritime Workers and PTSD — Symptoms, Diagnosis, and What You Can Recover

March 2, 2023

Categories:
Key takeaways
  • PTSD is a recognized and compensable maritime injury. Maritime workers who develop PTSD after a traumatic accident have legal rights under the Jones Act — regardless of whether they suffered physical injuries.
  • Your employer is required to cover PTSD treatment under maintenance and cure — including therapy, psychiatric care, and medication — until you reach maximum medical improvement. This obligation exists regardless of fault.
  • More than a quarter of seafarers exhibit signs of depression, and maritime workers experience PTSD at significantly higher rates than the general population due to isolation, dangerous working conditions, and exposure to traumatic events.
  • PTSD symptoms can appear months or years after a traumatic event. The three-year Jones Act statute of limitations may begin from when you discovered your PTSD was work-related — not from the date of the original accident.
  • Do not minimize your psychological injuries to your employer, their doctors, or their investigators. Employers frequently attempt to deny or minimize PTSD claims. Getting independent medical and legal advice early is critical.

A vessel capsizing. A co-worker killed in front of you. An explosion that left you the only survivor. These events happen on Gulf Coast vessels and offshore platforms every year and the psychological damage they cause can be just as disabling as any physical injury.

PTSD is not a condition that only happens to combat veterans. Maritime workers experience traumatic events at rates significantly higher than workers in most other industries. And under the Jones Act and general maritime law, PTSD caused by a traumatic workplace accident is a real injury in the eyes of the law. Your employer may be required to pay for your treatment and compensate you for what it has cost you at work and in your daily life

Lambert Zainey has represented maritime workers with PTSD claims across the Gulf Coast for nearly 50 years. Here is what you need to know.

Maritime Workers and PTSD

Symptoms of PTSD

Symptoms of PTSD usually manifest themselves soon after the traumatic event, but in some cases they may not appear for months or years later, and may come and go over time.  The victim may behave normally until the symptoms are triggered by a period of stress or news of a similar accident.

Depending on its severity, PTSD may prevent a maritime worker from returning to work, enjoying normal activities, and impose other difficulties that were non-existent before the traumatic event.

There are four types of PTSD symptoms according to the U.S. Department of Veterans Affairs:

  • Reliving the event (or re-experiencing symptoms) – including flashbacks, bad memories or nightmares
  • Avoiding situations that could trigger memories of the traumatic event
  • Having more negative beliefs and feelings
  • Feeling keyed up (also called hyperarousal)

Other problems maritime workers with PTSD may experience include:

  • Feelings of hopelessness, shame, or despair
  • Depression or anxiety
  • Drinking or drug problems
  • Physical symptoms or chronic pain
  • Employment problems
  • Relationship problems, including divorce

Why Delayed Onset Matters For Your Legal Claim

PTSD does not always show up right away. Some workers feel fine for weeks or months after the accident. Then something triggers it: a stressful day, news of a similar accident, or going back out on the water.

This matters for two reasons:

Your medical records. If symptoms appear late, there may be a gap between the accident and your diagnosis. An attorney can help you document the connection.

Your deadline to file. The three-year Jones Act clock may start from when you first recognized your symptoms, not from the date of the accident. Do not assume you have missed your chance to file.

Causes of Maritime Worker PTSD

Maritime work is one of the most psychologically demanding jobs in the world. Workers spend weeks or months away from home, often in tight quarters with no way to decompress. They see accidents and deaths on the job far more often than workers in almost any other industry. And they live with the constant awareness that a sinking, an explosion, or a man overboard can happen at any moment. There are many situations a maritime worker may encounter that can cause them to develop PTSD, such as:

  • Being aboard a sinking vessel
  • Falling overboard
  • A collision at sea or in port
  • Hypothermia
  • Explosion
  • Fire
  • Lost limbs or amputated fingers
  • Broken bones
  • Crush injuries
  • Injuries due to falling objects
  • Slips, trips and falls
  • Assault or battery (including sexual assault)
  • Mechanical accidents (crane accidents, snapbacks, etc.)

Any of these events can trigger PTSD. When the event resulted from employer negligence, an unseaworthy vessel, or inadequate safety protocols, the injured worker has a legal claim for the psychological consequences just as they would for a broken bone or a burn.

How PTSD is Diagnosed

PTSD must be diagnosed by a mental health professional — a psychiatrist or psychologist with experience treating trauma. To receive a diagnosis, symptoms must last for more than a month and be severe enough to interfere with your work or relationships.

According to the National Institute of Mental Health, a formal PTSD diagnosis requires all of the following for at least one month:

  • At least one re-experiencing symptom
  • At least one avoidance symptom
  • At least two arousal and reactivity symptoms
  • At least two cognition and mood symptoms

Recovery time varies. Some people improve within six months. For others, symptoms last longer or become chronic. The two main treatments are psychotherapy and medication and your employer may be required to cover both under maintenance and cure.

How to Document Your Maritime PTSD Claim

PTSD claims require different documentation than physical injury claims. An attorney who has handled maritime PTSD cases will know what evidence is needed. Here is what you need to do immediately after recognizing your symptoms.

Get a professional diagnosis.

PTSD must be diagnosed by a mental health professional — a psychiatrist or psychologist — who can connect your symptoms to the traumatic event. Do not rely solely on a general practitioner for this diagnosis. A formal psychiatric evaluation that explicitly links your PTSD to the maritime accident is the foundation of your claim.

Keep a symptom journal.

Document your symptoms in writing as they occur. Write down when flashbacks happen, what triggers them, how they affect your sleep, your relationships, your ability to work. Dated, specific documentation of how PTSD is affecting your daily life significantly strengthens a claim.

Tell the connection story.

Every treating mental health professional should know the full story of what happened, not just that you “experienced a traumatic event.” The specific circumstances of the accident, the role of employer negligence or unsafe conditions, and the timeline of your symptoms all need to be in your medical record.

Do not downplay your symptoms.

Maritime employers and their insurance companies frequently use company-appointed psychiatrists to minimize PTSD diagnoses and prematurely declare maximum medical improvement. You have the right to your own independent mental health provider under maritime law.

Suffering from PTSD After a Maritime Accident? Here Is What to Do Next.

Maritime PTSD claims require attorneys who understand both the psychological injury and the legal framework — and who will fight to make sure your employer covers every element of your treatment and compensates you for the full impact on your life and career.

  • Nearly 50 years representing maritime workers with PTSD and emotional distress claims across the Gulf Coast
  • Experience with Jones Act, maintenance and cure, and zone of danger claims for psychological injuries
  • Over $1 billion recovered for injured maritime workers and their families
  • No fees unless we recover for you

Contact Lambert Zainey today for a free, confidential consultation — no fees unless we recover for you. Call us at 800-521-1750.

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