With many soldiers returning from Iraq and Afghanistan, the Department of Veterans Affairs has seen treatment requests and disability claims soar.
"My thing was turning off that movie in my head," says Mr. Leal, a former marine and now a student at a college in south Texas. Ultimately, he sought mental-health assistance at a Veterans Affairs clinic in the Rio Grande Valley. But he found navigating the bureaucratic tangle a strain: He waited a month or more for appointments with the sole psychologist there.
With hundreds of thousands of veterans like Leal trying to get help, the VA is experiencing an unprecedented demand for its services.
Among the roughly 2 million people who have deployed, there are some 300,000 cases of post-traumatic stress disorder (PTSD) and thousands more of traumatic brain injury, according to a RAND report last year. And in the past decade, the number of disability claims that the VA processes has skyrocketed.
Even with a heavy infusion of funding – a 50 percent increase since 2006 – the VA has been hard-pressed to meet veterans' needs. President Obama has outlined yet more funding, but the question remains: Will a new generation of vets get the resources and help it is likely to need from the VA for years to come?
The VA has tried to keep up with the demand, dramatically increasing the number of mental-health professionals and counselors over the past four years. More than 17,500 mental-health personnel are across the VA system.