So far, there are four comprehensive posttraumatic stress disorder (PTSD) and combat stress treatment programs in the U.S. Army that have incorporated different CAM approaches in their treatment programs. Many of these comprehensive programs started as a result of the Ft. Bliss Restoration and Resilience Center, near El Paso, Texas. This integrative approach treats many of the symptoms of PTSD that are not addressed through the standard mental health protocols that included cognitive-behavioral therapy and pharmacotherapy. The Ft. Bliss program incorporated medical massage, meditation, yoga, acupuncture, marital/family therapy and Reiki with standard treatment protocols . Additionally, soldiers go through a daily 45-minute "power walk" and play water polo three times a week.
Public relations exposure at Ft. Bliss has built support for the integration of CAM into standard treatment programs. This support has been generated through scheduled visits to the facility by top military personnel, including Secretary of Defense Robert Gates, and the Chairman of the Joint Chiefs of Staff, Admiral Michael Mullen.
At the Warrior Combat Stress Reset Program at Ft. Hood (near Killeen, Texas), their intensive, combat-stress three-week program focuses on the reduction of hyperarousal and reactivity. Reducing these core symptoms of combat stress and posttraumatic stress disorder allows other treatments to be more effective. The program includes group counseling, biofeedback, individual counseling and alternative therapies (massage, acupuncture, yoga and Reiki).
The Deployment Health Clinical Center at Walter Reed Army Medical Center (in Washington, D.C.) uses evidence-based therapies in a comprehensive three-week program. Soldiers learn coping skills to reduce intrusive symptoms such as hyperarousal and avoidance. The program also provides a therapeutic group process for mutual support and re-integration into family and community. Additionally, soldiers are taught stress management and practice various forms of relaxation (guided imagery, yoga, progressive muscle relaxation and deep abdominal breathing).
The Landstuhl Regional Medical Center (near Landstuhl, Germany) uses an intensive, eight-week, therapeutic day-treatment program that includes a holistic approach. During the eight-hour days, patients will participate in multiple disciplines and interests, including art therapy, yoga and meditation classes, substance-abuse groups, anger and grief management, tobacco cessation, pain management and multiple posttraumatic stress disorder treatment protocols. The evidence-based protocols include eye movement desensitization and reprocessing (EMDR), cognitive processing therapy, and prolonged-exposure therapy.
STANDARD DISCLAIMER
The views expressed in this article (book, etc.) are those of the author and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the U.S. Government. Opinions, interpretations, conclusions, and recommendations herein are those of the author and are not necessarily endorsed by the U.S. Army.
NAVY DISCLAIMER:
The article written titled "Acupuncture Collaboration with the U.S. Navy and the U.S. Marines" (August 2009 Acupuncture Today) are those of the author and do not reflect the official policy or position of the Department of the Army, the Department of the Navy, the Department of the Marines, Department of Defense, or the U.S. Government. Opinions, interpretations, conclusions, and recommendations herein are those of the author and are not necessarily endorsed by the U.S. Army, the U.S. Marines, and the U.S. Navy.
Chronic pain afflicts over 20% of the adult population. Sadly, most MDs have essentially no education in treating pain, beyond offering a few toxic medications. Then they tend to steer people with pain away from those health practitioners who are trained. This puts the acupuncture community on the front lines for addressing this epidemic.
When the body is going through a stressful event, the sympathetic system is activated. This activation will help the body with a life-threatening situation. If this state is activated for prolonged periods of time, it starts to consume energy. These traumatic events that generate stressors in the autonomic nervous system (ANS) will eventually become internalized.
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One of the things that makes acupuncture so difficult to measure is that the medicine actually does contain some esoteric aspects. There have been numerous studies that demonstrate the neurochemical reasoning behind why acupuncture points stimulate the autonomic nervous system to enact change However, not all the benefits of TCM can easily be measured by randomized, controlled trials. But does that make them fundamentally and definitively untrue?
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