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Seeking Help at the VA for PTSD

PTSD Rally

War veterans are the ones who usually develop PTSD. This can occur while they are still working with the military or after. Thankfully, the Department of Veterans Affairs has several programs that can help retired soldiers cope up with PTSD. From diagnosing the common symptoms to intensive treatment, the VA has you covered. Moreover, they also employ numerous mental health professionals who relentlessly research on new and effective ways to help PTSD patients and their families.

In this post, you will learn more about the Department of Veterans Affairs’ PTSD treatment programs and how you can apply for help.

Eligibility for VA PTSD Services

Every war veteran has a chance to be eligible for the VA’s PTSD services. Here are the factors that can affect your eligibility:

  • You managed to perform active military services when you were in the Navy, Air Force, Marines, Coast Guard, or Army.
  • You were discharged by the military under honorable conditions.
  • You are part of the National Guard or Reservist corps and you completed a federal deployment in a combat area.

However, you should also take note of the following:

  • Health care services are also available for veterans who did not serve in combat.
  • You can still use the veteran’s health care services, even on non-medical injuries or health concerns that are connected to military service.
  • The benefits that you get from another health care system are different from the benefits at the Department of Veterans Affairs.
  • The health care facilities at VA hospitals are available for both men and women. 

Available PTSD Treatments

Thanks to the advancements in medicine and technology, veterans suffering from PTSD can choose from a variety of treatments. Below is a list of mental health treatments offered by the VA:

Cognitive Behavioral Therapy (CBT)

This one is a type of counseling method and is considered as one of the most effective methods for treating PTSD. The VA offers two types of therapies under CBT. One is the Cognitive Processing Therapy (CPT) and the other one is Prolonged Exposure treatment.

CPT will teach you effective ways for handling any distressing thoughts that come in your head. Therapists can walk you through your previous experience (in a safe manner) and help you understand the situation better. If you know how the traumatic experience changed your outlook and behavior, it will be easier for you to cope with it.

CPT has four main processes:

  • Diagnose any PTSD symptoms and learn how the therapy can help
  • Gaining more awareness about your inner feelings
  • Cognitive restructuring – the processes of challenging your thoughts and feelings
  • Understanding the sudden changes in your beliefs after facing a traumatic experience

Aside from frequent meetings with a mental health professional, you will also be given practice exercises that will develop your emotional and cognitive well-being, even when you’re outside the therapist’s office.

The second option for the CBT is the Exposure Therapy. As the name implies, this treatment requires the patients to be repeatedly exposed to any feelings or situations that they have been avoiding. This will teach war veterans that not everything that reminds them of a traumatic event should be avoided.

After identifying all of the situations that you commonly avoid, your therapist will require you to confront all of them until your stress levels or fears decrease.

Similar with the CPT, the Exposure Therapy also has four parts:

  • Educating yourself about the symptoms of PTSD and how Exposure Therapy can help you out
  • Training how to breathe. This may sound like a silly task, but it is actually an effective relaxation technique that will help you overcome stress.
  • Facing the normal and safe situations that you commonly avoid. The more you become exposed to these situations, the easier it will be to get over your PTSD.
  • Discussing the traumatic experience and learning how to control your thoughts and feelings.

Exposure Therapy requires around 15 sessions with your therapist and practice assignments that you need to do on your own. As time goes by, you will be able to control your reactions when faced with stressful situations.

Eye Movement Desensitization and Reprocessing (EMDR)

In this type of therapy, you will be required to focus your attention on hand gestures while you are discussing the traumatic events that triggered PTSD symptoms.

When our eyes are following fast movements, it becomes easier for our brains to process traumatic events. If you have other things to focus on while discussing these memories, your behavior will change as time goes by. It will also help that you relax and efficiently handle any emotional distress in the future.

EMDR is composed of four parts:

  • Identifying the traumatic memory or belief that triggered any negative reactions
  • Learning how to desensitize yourself when recalling traumatic memories. In this stage, you will create mental images while performing eye movements that your therapist will teach you
  • Reinforcing positive thoughts
  • Undergoing a body scan. The therapist will focus on tension in your body in order to determine the additional issues that you need to face in the future.

After the EMDR sessions, you will have a more positive outlook when recalling traumatic events in your life. It usually takes around four sessions with a therapist to see the improvements.

PTSD Services offered by the VA

  • Thorough mental health testing
  • Providing medications
  • One-on-one psychotherapy sessions
  • Therapy sessions for the family
  • Conducting of group therapy sessions. The topics covered in these sessions include stress management, searching for combat support, and strengthening relationships with the family. There are also support groups for war veterans with a specific type of trauma.

The treatments offered by the VA are thoroughly researched to make sure that they are effective on war veterans. However, please be reminded that the programs offered may vary per VA hospital. In some cases, the treatments may also need a referral. Your personal physician can guide you in selecting the program that suits you best.

Civilianized: A Young Veteran’s Memoir

In this dark humored War Memoir, Iraq veteran Michael Anthony discusses his return from war and how he defeated his PTSD. Civilianized is a must read for any veteran, or anyone who knows a veteran, who has returned from war and suffered through Post-Traumatic Stress Disorder (PTSD).

dark humored military memoir“An intense memoir.” -Kirkus

“I wont soon forget this book.” -Mary Roach

“A must read.” -Colby Buzzell

“[S]mart and mordantly funny.” –Milwaukee Journal Sentinel

“Anthony delivers a dose of reality that can awaken the mind…” Bookreporter

Order your copy of Civilianized: A Young Veteran’s Memoir .

Picture: Flickr/Army Medicine

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PTSD: What to Do When Your Spouse has PTSD (Updated Version)- Best Ways to Treat PTSD

Lately, I’ve been getting a lot of comments, and emails, about my blog post: PTSD What to do When Your Spouse has PTSD. There are a lot of resources out there to help our loved ones with PTSD, but some things have changed since I originally wrote the article, and the article wasn’t as in-depth and helpful as it should’ve been, so an updated version is in order.  (Also, since all of the comments and emails I’ve received have been related to PTSD for military personnel, this article will be in reference only to treatment of PTSD for active duty or prior service military personnel—although, I’m sure, it can apply to the populace in the civilian world also suffering with PTSD.)

  • First, and foremost, the primary point of contact for any vet suffering from PTSD should by their local VA.  The staff at the VA are trained to handle veterans with PTSD, and what’s great about seeking therapy or counseling from the VA, rather than a private organization, is that the VA employs a lot of prior service military personnel as their counselors and therapists.  And 100% of the time I hear from other vets, and in my own experience, that it’s always easier to talk to another vet whose “been there” and “done that,” rather than some random therapist or counselor who has no idea.
    • Also, the VA has special services for the spouses and family members of military personnel, so a wife, or husband, or children, can seek their own counseling as well.

With that said, I’ve also heard from a lot of vets that the services offered at the VA are severely lacking and not helpful.  So it may work for some, but not for others.

Sometimes for vets, who are used to a certain tempo of physicality, and who aren’t used to sharing their feelings, it can be too odd and unwelcoming to have to sit down and suddenly talk about their feelings.  The good news is that there are a lot of other options, and a lot of them are shown to work better than typical therapy.

  • Neurofeedback.  A lot of people aren’t familiar with neurofeedback but the military has been pouring millions of dollars into neurofeedback programs that can help veterans with PTSD—and there are places all across the U.S. that offer it free to veterans.
    • What is Neurofeedback?
      • Basically, a bunch of doctor’s hook up sensors to a person’s scalp and the sensors read the person’s brain activity.  They then hook the sensors up to a computer program and somehow, through the sensors and the computer program, a person’s brain can actually be rewired.
  • I’ve actually done neurofeedback before and it can actually be a fun type of therapy.  Basically it’s like playing a video game, but instead of having a controller in your hands, your brain controls the movements on screen, and the program trains your brain to act in a certain way and thus rewires the parts of the brain affected by PTSD.  EVERY veteran I know who’s used the program has been pleased with the results.  And best of all, it’s not like therapy AT ALL, you literally play videogames with your mind—yes, I’m serious!—and sometimes they let you watch movies instead and your brain controls when the movies stop and play and pause, etc.
  • Link to an organization that details all the different places where a veteran can get free neurofeedback: http://www.homecoming4veterans.org/

 veteran with ptsd

  • Meditation.  Recently there was an article in the Washington Post about Transcendental Meditation and its usefulness to veterans.  (Link here.)  Basically, the military has been conducting a lot of research into what they call a “mental toughness” program and a main tenement of that program is meditation.  Meditation allows a person to sit alone in a quiet space and just BE with themselves, and the military’s research has shown that soldiers who meditate are less likely to get PTSD, and in the instances that a person has PTSD, it can be an effective coping mechanism, either by itself or combined with another program.
    • Meditation is probably the hardest thing listed in this program.  Seeking therapy or counseling can be easy because all a person has to do is talk.  Neurofeedback can be easy, because like I said, it’s just like playing a videogame.  But meditation can be the hardest, because a person has to force themselves to sit still, and quiet, for an hour a day—without falling asleep.  It sounds easy.  But it can really be difficult, especially if a veteran has PTSD because of the images and memories of war they see when they sit still and close their eyes.  But luckily for this, too, there are programs all across the U.S. which are designed to teach someone how to meditate within a few short weeks.  (A book on meditation recommended by the military’s mental toughness program is: Mindfulness in Plain English, by Bhante Henepola Gunaratana.)
  •  Another main tenement of the military’s mental toughness program and that has been shown to help with PTSD, is physical exercise.  Everyone knows the benefits of physical exercise on the body, but a lot of people aren’t aware of the benefits of physical exercise on the brain.  The military’s mental toughness program has shown that people, who exercise at least three times a week, are more adept at handling stress and dealing with emotional issues; and in separate studies, exercise has been shown to cure depression.  A fit body means a fit brain.  A lot of veterans who get out of the military often lose that physical part of their lifestyle, they may go from working out three times a week to only once, or none.  Lack of physical exercise takes as much a toll on a person’s body as it does their emotional state.
    • yoga for veterans with ptsdA good physical exercise that’s recommended for veterans suffering with PTSD is yoga.  Yoga can be very strenuous and physically demanding, and is often done in heated rooms over 100 degrees, and at the end of every yoga session there is a fifteen minute period of meditation.  With yoga a person will be able to combine two methodologies from the military’s mental toughness program.  They will have the purely physical component of the exercise and the mental component of the meditation.  It’s a win win.
  • There are many places and organizations that offer yoga free for veterans, and it’s usually done in a group format so it can be done with a spouse, but another great thing about yoga and meditation is that it can also be done in the comfort of one’s own house, which is always an added benefit.

The main thing to keep in mind when dealing with PTSD is that there ARE options.  It’s not like after the Vietnam War when the military and spouses and soldiers didn’t know what was going on; we know what’s going on now and there ARE cures.

Civilianized: A Young Veteran’s Memoir

In this dark humored War Memoir, Iraq veteran Michael Anthony discusses his return from war and how he defeated his PTSD. Civilianized is a must read for any veteran, or anyone who knows a veteran, who has returned from war and suffered through Post-Traumatic Stress Disorder (PTSD).

dark humored military memoir“An intense memoir.” -Kirkus

“I wont soon forget this book.” -Mary Roach

“A must read.” -Colby Buzzell

“[S]mart and mordantly funny.” –Milwaukee Journal Sentinel

“Anthony delivers a dose of reality that can awaken the mind…” Bookreporter

Order your copy of Civilianized: A Young Veteran’s Memoir .