Caring for Veterans with Deployment-related Stress Disorders


Book Description

"The chapters in this book summarize current scientific and clinical knowledge about psychological trauma, PTSD, and related posttraumatic stress reactions among military veterans and civilians deployed to Operation Enduring Freedom (OEF) in Afghanistan and Operation Iraqi Freedom (OIF). Although the content is focused on individuals serving in Iraq and Afghanistan, the book also offers a framework to help those not only in the United States but elsewhere around the world who will be directly affected by future wars. This book is designed to support clinical practice by providing clinicians with solid, evidence-based information. To that end, the chapters include clinical case illustrations intended to help practitioners integrate the material with real-world scenarios. The book should also stimulate research by providing a comprehensive summary of the existing literature. We anticipate that it may function as a practical tool for clinicians interested in trauma work and as a textbook for use in instructional settings. A comprehensive approach to the management of posttraumatic stress reactions must encompass both prevention and treatment. It must also incorporate both clinical and public health perspectives. Problems experienced by individuals affect the larger community, so care at the individual level should be offered within the context of a larger system of services. Thus, this book comprises five major parts: epidemiology and course of problems; assessment of trauma, PTSD, related mental health outcomes (including the context of co-occurring traumatic brain injury), and suicidal states; specific noncombat stressors and problems and their ramifications; prevention and treatment of PTSD; and public health challenges related to barriers to care and integration of service delivery systems"--Introduction. (PsycINFO Database Record (c) 2010 APA, all rights reserved).




Returning Home from Iraq and Afghanistan


Book Description

Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.




A Vietnam Trilogy, Vol. 3: War Trauma


Book Description

A nationally renowned PTSD authority reveals the psychiatric impact of war on soldiers and veterans, dented or minimized by government and the military. Through efforts to treat veterans of past conflicts he illustrates the inevitability of lifelong psychiatric scars from today's conflicts as well.




Evaluation of the Department of Veterans Affairs Mental Health Services


Book Description

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.




Once a Warrior--Always a Warrior


Book Description

The essential handbook for anyone who has ever returned from a war zone, and their spouse, partner, or family members. Being back home can be as difficult, if not more so, than the time spent serving in a combat zone. It’s with this truth that Colonel Charles W. Hoge, MD, a leading advocate for eliminating the stigma of mental health care, presents Once a Warrior—Always a Warrior, a groundbreaking resource with essential new insights for anyone who has ever returned home from a war zone. In clear practical language, Dr. Hoge explores the latest knowledge in combat stress, PTSD (post-traumatic stress disorder), mTBI (mild traumatic brain injury), other physiological reactions to war, and their treatment options. Recognizing that warriors and family members both change during deployment, he helps them better understand each other’s experience, especially living with enduring survival skills from the combat environment that are often viewed as “symptoms” back home. The heart of this book focuses on what’s necessary to successfully navigate the transition—“LANDNAV” for the home front. Once a Warrior—Always a Warrior shows how a warrior’s knowledge and skills are vital for living at peace in an insane world.




A Clinician's Guide for Treating Active Military and Veteran Populations with EMDR Therapy


Book Description

Authored by “the” foremost expert on providing EMDR therapy to the military/veteran population! Based on the profound expertise of the author—an EMDR therapist, consultant, and trainer who brings 33 years of military experience to his therapeutic work—this is a “how-to” manual on the unique treatment needs of active duty and veteran populations and how to help them using EMDR therapy. Following an examination of the defining characteristics and philosophy of military culture as they bear on effective therapeutic treatment, the book comprehensively applies the EMDR model to the active military/veteran population with a variety of presenting issues. Considering the clinical challenges of treating a population with repeated exposure to life-threatening experiences, moral injury, sexual assault, and other potentially debilitating trauma, the book addresses skill development, specific to EMDR treatment in detail. This go-to manual covers all the steps and processes of EMDR treatment from introducing EMDR therapy to the client to developing a sense of safety in the treatment arena. Allowing therapists trained in EMDR therapy to appropriately assess and address the clinical needs of the veteran by treating clients with both PTSD and traumatic brain injury; along with moral injury, military sexual trauma (MST), or suicidal ideation by recognizing and addressing avoidance and building motivation for treatment and treatment pitfalls. Case examples address clinical “stuck” points and a variety of treatment options when addressing a broad range of symptoms. The EMDR AIP model is incorporated into each case illustrating the veteran’s treatment goal, presenting symptoms, targeted memories, and clinical decision points in treatment. The print version of the book is also available in ebook format. Key Features: Addresses step-by-step EMDR skill development specific to this population Incorporates the EMDR eight-phase approach Delivers abundant case examples enhanced with clinical treatment options Includes a paradigm for evaluating the military and veteran’s initial clinical presentation Discusses treatment for clients with PTSD, traumatic brain injury, moral injury, sexual trauma, and suicidal ideation Considers the treatment needs of the military family · Includes a variety of helpful patient handouts




Serving Military Families


Book Description

This text introduces readers to the unique culture of military families, their resilience, and the challenges of military life. Personal stories from nearly 70 active duty, reservists, veterans, and their families from all branches and ranks of the military bring their experiences to life. A review of the latest research, theories, policies, and programs better prepares readers for understanding and working with military families. Objectives, key terms, tables, figures, summaries, and exercises, including web based exercises, serve as a chapter review. The book concludes with a glossary. Readers learn about diverse careers within which they can make important differences for families. Engaging vignettes are featured throughout: Voices from the Frontline offer personal accounts of issues faced by actual program leaders, practitioners, researchers, policy makers, service members, veterans, and their families. Spotlight on Research highlights the latest studies on dealing with combat related issues. Best Practices review the optimal strategies used in the field. Tips from the Frontline offer suggestions from experienced personnel. Updated throughout including the latest demographic data, the new edition also features: -New chapter (9) on women service members that addresses the accomplishments and challenges faced by this population including sexual bias and assault, and combat-related psychological disorders. - New chapter (10) on veterans and families looks at veterans by era (e.g.WW2), each era’s signature issues and how those impact programs and policies, and challenges veterans may face such as employment, education, and mental and physical health issues. -Two new more comprehensive and cohesive chapters (11 & 12) review military and civilian programs, policies, and organizations that support military and veteran families. -Additional information on TBI and PTSD, the deployment cycle, stress and resilience, the possible negative effects of military life on families, same-sex couples and their children, and the recent increase in suicides in the military. -More applied cases and exercises that focus on providing services to military families. Intended as a text for advanced undergraduate or graduate courses on military families or as a supplement for courses on the family, marriage and family, stress and coping, or family systems taught in family science, human development, clinical or counseling psychology, sociology, social work, and nursing, this book also appeals to helping professionals who work with military and veteran families.




Adaptive Disclosure


Book Description

A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.




Effective Brief Therapies


Book Description

This treatment guide is based on selected disorders taken from the American Psychiatric Association DSM-IV Diagnostic Classifications. The disorders selected are treatable or responsive to brief therapy methods. The therapist or student in training can use this book to identify the elements needed for formulating a treatment plan on disorders typically encountered in clinical practice. The approaches taken are based on cognitive behavioral principles and makes use of empirical findings. However, the case study format allows the reader to see how the assessment and treatment is implemented in a "real-life" patient, and not as a clinical abstraction distilled from research studies. Moreover, the treatment plan is outlined in a manner that makes reimbursement likely from managed care organizations and insurance companies. Effective Brief Therapies is useful as a reference for therapists and as a training guide for graduate students. Case Descriptions Treatment Conceptualization Assessment Techniques Treatment Implementation Techniques Concurrent Diagnoses and Treatment Complications and Treatment Implications Dealing with Managed Care and Accountability Outcome and Follow-up Dealing with Recidivism




Healing War Trauma


Book Description

Healing War Trauma details a broad range of exciting approaches for healing from the trauma of war. The techniques described in each chapter are designed to complement and supplement cognitive-behavioral treatment protocols—and, ultimately, to help clinicians transcend the limits of those protocols. For those veterans who do not respond productively to—or who have simply little interest in—office-based, regimented, and symptom-focused treatments, the innovative approaches laid out in Healing War Trauma will inspire and inform both clinicians and veterans as they chart new paths to healing.