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.
Religion and Mental Health: Research and Clinical Applications summarizes research on how religion may help people better cope or exacerbate their stress, covering its relationship to depression, anxiety, suicide, substance abuse, well-being, happiness, life satisfaction, optimism, generosity, gratitude and meaning and purpose in life. The book looks across religions and specific faiths, as well as to spirituality for those who don't ascribe to a specific religion. It integrates research findings with best practices for treating mental health disorders for religious clients, also covering religious beliefs and practices as part of therapy to treat depression and posttraumatic stress disorder. - Summarizes research findings on the relationship of religion to mental health - Investigates religion's positive and negative influence on coping - Presents common findings across religions and specific faiths - Identifies how these findings inform clinical practice interventions - Describes how to use religious practices and beliefs as part of therapy
The first book to explore the idea and effect of moral injury on veterans, their families, and their communities Although veterans make up only 7 percent of the U.S. population, they account for an alarming 20 percent of all suicides. And though treatment of post-traumatic stress disorder has undoubtedly alleviated suffering and allowed many service members returning from combat to transition to civilian life, the suicide rate for veterans under thirty has been increasing. Research by Veterans Administration health professionals and veterans’ own experiences now suggest an ancient but unaddressed wound of war may be a factor: moral injury. This deep-seated sense of transgression includes feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs. Rita Nakashima Brock and Gabriella Lettini, who both grew up in families deeply affected by war, have been working closely with vets on what moral injury looks like, how vets cope with it, and what can be done to heal the damage inflicted on soldiers’ consciences. In Soul Repair, the authors tell the stories of four veterans of wars from Vietnam to our current conflicts in Iraq and Afghanistan—Camillo “Mac” Bica, Herman Keizer Jr., Pamela Lightsey, and Camilo Mejía—who reveal their experiences of moral injury from war and how they have learned to live with it. Brock and Lettini also explore its effect on families and communities, and the community processes that have gradually helped soldiers with their moral injuries. Soul Repair will help veterans, their families, members of their communities, and clergy understand the impact of war on the consciences of healthy people, support the recovery of moral conscience in society, and restore veterans to civilian life. When a society sends people off to war, it must accept responsibility for returning them home to peace.
This book helps clinicians conceptualize moral injury and select evidence-based approaches to incorporate in their therapeutic work with trauma survivors, particularly military service members and veterans.
This book takes a case-based approach to addressing the challenges psychiatrists and other clinicians face when working with American combat veterans after their return from a war zone. Written by experts, the book concentrates on a wide variety of concerns associated with posttraumatic stress disorder (PTSD), including different treatments of PTSD. The text also looks at PTSD comorbidities, such as depression and traumatic brain injury (TBI) and other conditions masquerading as PTSD. Finally, the authors touch on other subjects concerning returning veterans, including pain, disability, facing the end of a career, sleep problems , suicidal thoughts, violence, , and mefloquine “toxidrome”. Each case study includes a case presentation, diagnosis and assessment, treatment and management, outcome and case resolution, and clinical pearls and pitfalls. Post-Traumatic Stress Disorder and Related Diseases in Combat Veterans is a valuable resource for civilian and military mental health practitioners, and primary care physicians on how to treat patients returning from active war zones.
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
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.
Trauma Informed Guilt Reduction Therapy (TrIGR) provides mental health professionals with tools for assessing and treating guilt and shame resulting from trauma and moral injury. Guilt and shame are common features in many of the problems trauma survivors experience including posttraumatic stress disorder (PTSD), depression, substance use, and suicidality. This book presents Trauma Informed Guilt Reduction (TrIGR) Therapy, a brief, transdiagnostic psychotherapy designed to reduce guilt and shame. TrIGR offers flexibility in that it can be delivered as an individual or group treatment. Case examples demonstrate how TrIGR can be applied to a range of trauma types including physical assault, sexual abuse, childhood abuse, motor vehicle accidents, and to moral injury from combat and other military-related events. Conceptualization of trauma-related guilt and shame, assessment and treatment, and special applications are covered in-depth. - Summarizes the empirical literature connecting guilt, shame, moral injury, and posttraumatic problems - Guides therapists in assessing posttraumatic guilt, shame, moral injury, and related problems - Provides a detailed look at a brief, transdiagnostic therapy shown to reduce guilt and shame related to trauma - Describes how TrIGR can be delivered as an individual or group intervention - Includes a comprehensive therapist manual and client workbook
The culmination of more than 25 years of clinical work and research, this is the authoritative presentation of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD). Written by the treatment's developers, the book includes session-by-session guidelines for implementation, complete with extensive sample dialogues and 40 reproducible client handouts. It explains the theoretical and empirical underpinnings of CPT and discusses how to adapt the approach for specific populations, such as combat veterans, sexual assault survivors, and culturally diverse clients. The large-size format facilitates photocopying and day-to-day use. Purchasers also get access to a Web page where they can download and print the reproducible materials. CPT is endorsed by the U.S. Departments of Veterans Affairs and Defense, the International Society of Traumatic Stress Studies, and the U.K. National Institute for Health and Care Excellence (NICE) as a best practice for the treatment of PTSD.
This eBook focuses on a relatively new frontier in psychiatry, the topic of “moral injury” (MI), which is examined here in the setting of post-traumatic stress disorder (PTSD) among Veterans and Active Duty Military. We define MI, describe how to identify it by screening, explain the impact that MI has on mental health outcomes (particularly PTSD and mental health problems often associated with PTSD), and provide information on what clinicians can do about it. While the focus here is on Veterans and Active Duty Military, MI is much more widespread than just among former or current military personnel. Healthcare professionals, first responders, clergy, and many patients seeking mental health care are also likely suffering from MI, which is not recognized or treated because clinicians are not familiar with it. Burnout among health professionals and those engaged in other high-stress occupations may often have MI as an underlying condition that is driving the burnout or related emotional condition. Therefore, psychiatrists and all mental health professionals must know about this syndrome, utilize the tools now available to identify it, and learn about interventions that can be employed to treat it. Success in treating many of the common mental health conditions that appear resistant to treatment may depend on knowing about this new (yet very old) syndrome.
