The initial weeks of Operation Uphold Democracy were marked by a high
rate of major axis I disorders among soldiers presenting for treatment
at the 528th Combat Stress Center. The mission to Haiti was also mark
ed by three suicides during the first 30 days, The author explores psy
chodynamic sources of stress that may have contributed to the high lev
el of psychiatric acuity observed during that first month. Then, disti
nctions are made between psychiatric conditions that present in combat
and those that occur on peacekeeping missions.