
Doc Bender on top of the Ziggurat of Ur in Southern Iraq, in February 2009. (Photo: DCOE)
Dr. James Bender recently returned from Iraq after spending 12 months as the brigade psychologist for the 4-1 CAV out of Ft Hood. He served for four and a half years in the Army. During his deployment, he traveled through Southern Iraq, from Basra to Baghdad and many spots in between. He writes a monthly post for the DCoE Blog on mental health issues related to deployment and being in the military.
In a post for DoD Live last month, I covered resilience and actions you can take to enhance your psychological fitness. This month I’m covering how technology is being used to help treat service members who have a psychological health issue.
If you’ve spent a bit of time reading the DCoE Blog or our website, you’ve heard of post traumatic stress disorder (PTSD). This anxiety disorder occurs in some people who have experienced an intense trauma, like combat. PTSD can be very debilitating and can last many years.
Prolonged Exposure therapy is a treatment for PTSD that has proved very successful in the past few years. The idea is to expose the patient to what originally caused the trauma in a controlled way where the patient is in charge of the situation. For example, say a soldier becomes very nervous when he hears gunfire because it reminds him of a sniper attack he experienced in Iraq. Part of treating him with Prolonged Exposure therapy would be exposing him to gunfire in a safe, controlled way, such as going to the rifle range and listening to the “pop” sound the rounds make.
When conducting Prolonged Exposure therapy, it is important that the exposure is both realistic and controlled. It can be difficult to accomplish this when the original trauma happened in Iraq or Afghanistan — are you going to send the soldier back to Iraq, into an ambush, just to treat his PTSD? This isn’t very practical, not to mention the complete lack of control in that situation.
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