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The Wild West Extravaganza

PTSD in the Old West

The Wild West Extravaganza

Wild West Josh

Education, History

4.8833 Ratings

🗓️ 23 December 2025

⏱️ 31 minutes

🧾️ Download transcript

Summary

Did PTSD exist in the Old West, and if so, did it contribute to the violence of the frontier? Join me as we explore how trauma affected soldiers and civilians alike long before the condition had a name, from Civil War veterans suffering from what was once called soldiers’ heart or Da Costa’s syndrome to rising rates of alcoholism, domestic violence, and institutionalization across the United States. Using historical research, homicide statistics from frontier towns like Dodge City and San Francisco, and modern scholarship, we’ll examine whether PTSD was a driving force behind Old West violence or one factor among many. And stick around to the end for another listener Q&A! We’ll discuss Brushy Bill Roberts, Doc Scurlock, Henry Plummer, and the Montana vigilantes, along with reflections on notable Western films and books.   National Center for PTSD - https://www.ptsd.va.gov/   Legends & Outlaws Calendar!  https://wildwestcalendar.com/   Merch! https://wildwestextramerch.com/   Buy Me A Coffee!  https://buymeacoffee.com/wildwest   Check out the website! https://www.wildwestextra.com/   Email me! https://www.wildwestextra.com/contact/   Free Newsletter! https://wildwestjosh.substack.com/   Join Patreon for ad-free bonus content! https://www.patreon.com/wildwestextra Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

Click on a timestamp to play from that location

0:00.0

Think about cheese.

0:02.0

Make your thoughts cheesier.

0:04.2

Now add 100% chicken breast fillet, Chipotle sauce and Ameta cheese melt.

0:08.3

And it's giving the new cheesy chicken stack at McDonald's.

0:12.0

Did we mention it's cheesy?

0:13.9

Cheese.

0:15.8

Availments at the 4th of Jan, 2026 from 11 a.m.

0:18.1

Plus and participation may vary.

0:19.2

Subjects availability.

0:20.2

Did PTSD exist in the

0:22.2

Old West? And if so, how much did it contribute to violence on the frontier? Well, first of all,

0:28.6

yes, PTSD absolutely existed in the Old West. And in the East, in the North, and everywhere else

0:34.9

where people have suffered trauma throughout history. Sadly,

0:38.2

however, it wasn't until very recently that doctors kind of started figuring out how to treat

0:42.6

it. Hell, back in the 19th century, there wasn't even a name for it, at least not officially. Instead

0:48.2

of PTSD, they called it everything from the nervous heart to a soldier's heart, and if they

0:53.1

really wanted to sound fancy,

0:54.6

DeCosta syndrome.

0:57.0

You see, there was this army surgeon, Jacob DeCosta, who noticed a lot of soldiers suffering

1:01.4

from the same type of symptoms, heart palpitations, anxiety, tremors, emotional collapse,

1:07.4

fatigue.

1:08.7

But even then, they just sort of assumed that it was due to overexertion

...

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