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There may not be definitive quantitative data to support the efficacy of yoga for military members, especially those with PTSD, but there is a lot of research and experiential evidence that shows that yoga can make a significant difference in the healing process. Yoga helps to calm the central nervous system, so after even practicing a short time, people with PTSD may start to sleep better, feel less trauma-related physical pain, and experience a greater sense of quietude.
Though everybody is dealing with their own mind and body during a yoga class, there is something powerful about practicing in a group. When teaching veterans with PTSD in the Emory Healthcare Veterans Program, Mr. Yura brings a holistic approach to his teaching. Focusing less on traditional poses and more on somatics — a way of re-educating the way our brain senses and moves the muscles — he helps the group develop a series of movements from which they can readily feel the benefits and use post-program to contribute to their own well-being.
Since it's inception, yoga has been an integral part of the Emory Healthcare Veterans Program. During the intensive two-week program, veterans take one hour of yoga three times a week where they learn to release physical and emotional pain. Mr. Yura says that although some students are more engaged than others, it is rewarding for him to see the extent of people's responses to the practice, including embracing what they have learned to use post-program like specific movements for lower back release, breathing techniques, and strategies for calming the nervous system during a reactive situation.
For your body and your mind, start yoga and see what works for you. A yoga practice — no matter what style — may become like brushing your teeth ... a daily necessity that also brings you vigor and peace.
Somatics is a movement therapy that refers to the internal sensations of the body, how you're moving your body, what you feel inside your body. When teaching yoga to veterans through the Emory Healthcare Veterans Program, Marty Yura focuses on interoceptive awareness — the ability to identify, access, understand, and respond appropriately to the patterns of internal signals, which can provide a distinct advantage to engage in life challenges and on-going adjustments. He explains: "When you are focusing on somatics, you are not working against gravity which offers you more space, more room, and more awareness to home in on what you are feeling."
Yoga is a physical practice, but equally a mental practice. The possibilities that can arise from any yoga practice are infinite. Yoga can help you learn ways to calm yourself down. It can release discomforts that you may have been resigned yourself to always having to endure. It can instigate a willingness and openness to try new things, or to access parts of yourself you thought were forever locked.
How can we get people to talk more openly about PTSD and related symptoms of TBI? Why is there still a stigma? What can we do? Dr. Klassen answers your questions about mental health treatment.
Creating individualized treatment plans for veterans is crucial as they may be experiencing symptoms from PTSD, TBI or other concussive injuries as well as moral injury. Often, soldiers enter a war in their late teens or early 20s when their brain has not yet reached full maturation. Providers must consider all of a veteran’s physical and psychological factors when tailoring treatment strategies.
For many veterans and service members returning from deployment, not having their "team," their battle buddies around is very difficult. Everything seems to be about the individual. Capitalizing on this team unity mentality, providers at the Road Home Program understand that more healing will happen when people are working on individualized therapies as well as group therapies and activities. Once again, they have each other's backs.
A two-week program for veterans and services members who have PTSD and other mental health issues, Rush Medical Center's Road Home is intense, fast, and efficient. Through evidence-based studies and experience, providers have found that this two-week intensive is far more effective than traditional therapy to help with symptom remission and increases in resilience.
Treating service members and veterans with TBI and PTSD often includes complex and unique interventions and treatments. Based on their evidence-based guidelines and experiences working with thousands of people in their two-week immersive program, Home Base also focuses intentionally and systematically on assessing what the population needs once they leave the program and return to their communities. The more Home Base can help connect their participants with clusters of experts in their areas, the more long-term healing will occur.
The biggest and most nefarious misconception about TBI is that it doesn’t get better. That is simply not true. The vast majority of people with TBI do well over time and can be effectively treated to live functional and fulfilling lives. However, that does not counter the risk of behavioral, medical, and cognitive problems in the long term. With more research and experience, experts in the field are focusing on learning more to mitigate risk and improve the outcome of those with TBI in both the short and long term.
Does success translate into riding a horse again, returning to your pre-military job as an accountant, or coaching your kid’s Little League team? Staff at the Home Base Program understand that what success looks like for one military member with TBI and/or PTSD may look 180-degrees different from that of another. Using evidence-based guidelines to drive their therapeutic regimens as well as applying lessons learned from helping thousands of people in the program, Home Base providers are not only fine-tuning what they do each day but also learning and creating the next generation of effective therapies.
Staff at Home Base are awed—daily, hourly—by the resilience, determination, and dedication of the veterans and service members with whom they work during the two-week immersion program. Dr. Zafonte recalls one Special Forces member who was injured multiple times but whose focus, invariably and unblinkingly, was to restore himself so as to return to theater to continue to serve. Military members like this man exemplify a dedication to protect our country; something all of us should take time to better understand and appreciate.
Home Base’s two weeks of assessments and individualized therapies focused on treating veterans and services members with TBI and PTSD seems to be the “sweet spot” of time for this kind of immersive program. Staff in the program have seen lives changed, lives saved. They understand that the veteran experience is a unique one, hard for civilians to fully comprehend. Providing these men and women with the tailored interventions and therapies they need to enhance function in their day-to-day life is often as important as the bonding aspect of being with others who have had and continue to have similar experiences, challenges, and forward steps.
One of the most powerful aspects of the Home Base Program is the way it helps veterans and service members come together again with those who may have had similar experiences in combat and now back at home with issues around TBI and PTSD. Along with the comprehensive individualized treatment plans for each person, the program includes group therapies and events, which play a large role in the healing process.
The Home Base program, which includes comprehensive assessments and a two-week immersion into therapies and treatments for TBI, PTSD, and other conditions, is created anew for each veteran or service member who joins. Whether engaging in physical or cognitive therapeutic interventions, learning how better to communicate with family and friends, or delving into art therapies, each individual becomes part of a strong and supportive community of people who understand their experiences, though everyone’s experiences and issues are unique and treated as such.
Home Base, a free Red Sox Foundation and Mass General Hospital program, started small, but then and now—as it has grown to help 1,000s of veterans and service members nationwide—it remains a passion for many. The program focuses on treating the invisible wounds of war like TBI and PTSD. With evidence-based treatments in all domains like behavioral therapy, physical therapy, health and wellness, and medications, providers help these warriors with issues that run the gamut from sleep apnea and cognitive function to depression and physical pain.
The jury is still out on the exact ways that repeated blast injuries affect the brain. Some believe that the blast waves travel through the organs, producing a change in the gray-white matter of the brain. Others believe that blast-related injuries produce a unique pathology while others still think that the pathological signals from these injuries result in behavioral disturbance. But all researchers seem to agree that repeated blast-related injuries affect a person’s brain in the short-term as well as in the long-term with the risk of neurodegenerative disease.
For many service members and veterans, traumatic brain injury and PTSD often go hand in hand, with some of the symptoms of these conditions being co-morbid. By using evidence-based treatments, providers work with their patients with the goal of getting them as symptomless as possible.
A family member or support person at home plays a key role as part of the treatment plan for a service member or veteran. An adjunct in their loved one’s care, the family member collaborates with the team of providers to help their loved one follow through with appointments, medications, and health regimens. They often serve as the more impartial eyes and ears to their loved one’s challenges and improvements.
Changes don’t happen 0-60 mph, rather they occur incrementally. Providers know that barriers can impede improvement to healing, but by setting a series of step-by-step goals—whether treatments for better sleep, pain relief, or relationship strategies— service members and veterans can see improvements to their physical, behavioral, and emotional issues and build on them from there.
Like so many other brain injury survivors, I appear to be okay. And while many know of my past history, many others think I am well beyond my brain injury challenges and struggles. Why wouldn’t they?
There is great hope and are effective cures to treat people who experience symptoms from trauma or PTSD. Often people have the misperception that PTSD is a chronic, life-time condition. Not so; with treatment, most people can be cured or helped to manage their symptoms so as to return to a productive life.
Telling your loved one with PTSD that you cherish them, you care about them, and that you will help them if they will let you is a powerful first step toward getting that person needed treatment. You can’t take on someone else’s suffering—unproductive, anyway—but you can steer them toward the resources and providers who can help them.