Military Wives Strip Down to Raise Awareness About PTSD: Battling Bare


Ashley Wise's husband Rob is about as tough as they come. The career soldier spent 8 years in the Marines before joining the Army after 9/11 and serving on two tours of duty in Iraq, but in April this year, he hit a wall. He locked himself in a hotel room with guns and alcohol and told his wife "he might do something stupid."
Thankfully, he came back home alive. Ashley reached out to the Family Advocacy Service at Fort Campbell, Kentucky, where they are currently stationed, and discovered that, like many other soldiers who are suffering from mental anguish or who might have Post Traumatic Stress Disorder (PTSD), finding the help he needed without putting his career in jeopardy would be a struggle. When Wise, believing her conversation to be confidential, divulged to a counselor that Rob had once become physical with her, an MP was immediately brought in. Husband and wife were not allowed contact for 72-hours and Rob now faces domestic assault charges (which Wise is trying to have dropped).
"The last thing a soldier needs is to be separated from his wife," Wise tells Yahoo! Shine. "Guys kill themselves because they think they are such a burden to their families." Wise says soldiers avoid telling anyone they are feeling depressed, angry, or even suicidal for fear of being dishonorably discharged. "Take the number of men who actually report having PTSD and multiply that by 50."
That evening, Wise told a girlfriend, "I want to streak across the 101st command building, because then maybe the general or someone would listen to what I'm saying." Instead she grabbed an eyeliner pencil and had her friend write these words on her back:
"Broken by battle,
Wounded by war,
I love you forever,
To you this I swore:
I will quiet your silent screams,
Help heal your shattered soul
Until once again, my love, you are whole."
Wise posted a picture of her naked back on Facebook, invited other military wives to share images of themselves, and the organization Battling Bare was born. "Our initial intent was to take Facebook by storm," says Wise. She says, at heart, she simply wanted families to be able to enjoy normal things together like "eating at Chuck E. Cheese's or going to the fireworks." When she spoke to other women and "realized how big the problem is, we knew we had to do something."
Now, just two months later, Wise is working with seven other military wives to launch a non-profit organization to raise awareness about PTSD and the impact it has on spouses and children. In three years, they aim to have a chapter in every state in place to support military families and hold workshops based on a model developed by Operation Restored Warrior.


While some people are critical of their bold approach--she says she's had some ugly feedback and got a call from a stranger who called her "an attention grabbing whore"--the military isn't asking them to take their website or Facebook page down. Wise tells Shine that Battling Bare is "on the Pentagon's radar," and when she spoke to Colonel William Gayler, Fort Campbell's Chief of Staff, he assured her, "I want to fix this."

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Affordable Therapy: A Walk In The Woods

By Gerti Schoen, MA, LP

Park Natoliński
Everybody has felt the positive impact of being out in nature: we feel the calming effect of sitting in a meadow or by the ocean. We feel energized by climbing a mountain or swimming in a lake.
It doesn't take rocket science to know how good it is for us to get in touch with nature. But this is what is happening in Japan where a "new" form of therapy is on the rise: Shinrin-Yoku, which means forest bathing.
Scientists have discovered the therapeutic effects of walking in the woods. Before and after they embark on their stroll, they measure the blood pressure and cortisol levels in the blood of their test subjects, which indicate how stressed they are.
After half an hour of slow walking, there is a clear decrease in the measurable signs of stress. Even the body's natural killer cells, which fight disease in us, are positively impacted. In Japan, forest bathing is becoming a part of preventive medicine, since so many of our modern day illnesses are stress based.
The trick is to walk in the woods slowly. Engage all your senses. Take in the cool air, smell the scents of the forest. Pay attention to the colors and sounds.
This way a walk becomes a form of meditation. We become mindful of our environment. The slower pace makes us more perceptive of subtle details. The over stimulation of the city environment is lacking and everything slows down.
This is when relaxation sets in.
 

Army Care for Mental Disorders Improves with Primary Care Involvement

By Rick Nauert PhD Senior News Editor
Reviewed by John M. Grohol, Psy.D. on June 7, 2012

A proactive U.S. Army program uses technology and primary care to improve detection and treatment of depression and post-traumatic stress disorder (PTSD) among American soldiers.
The innovative initiative, termed RESPECT-Mil, involves behavioral health screening during all primary care visits. This approach currently works out to more than 100,000 screenings a month with rates expected to climb as providers become accustomed to the new strategy. A key component of the program includes care coordinators' use of a secure, web-based care management platform for following patients called FIRST-STEPS.
In the new software, care coordinators enter assessments and schedule appointments, while behavioral health providers use it to review case loads. The most acute cases receive immediate attention. The system also automatically flags patient records that don't show clinically significant improvement after eight weeks for review so providers may adjust treatment plans in a timely way, consistent with treatment guidelines.
The new inititaive levers technology to provide primary care clinicians web-based training on how to diagnose and treat PTSD and depression.
"Making behavioral health screening as standard as a blood pressure check helps defuse any perceived stigma around seeking help for symptoms of PTSD or depression," said Col. Charles Engel, M.D., M.P.H.
"Early intervention ensures soldiers get effective help sooner while reducing the use of clinical services for related symptoms like back pain or accidents and emergency room visits from hazardous drinking."
Since 2007, about 63,000 soldiers – accounting for 3 percent of all primary care visits – have been diagnosed with a previously unrecognized behavioral health need and received treatment. So far, results have been positive.
Researchers say that a review of cases between August 2009 and December 2010 showed that PTSD remissions overall have doubled over time, meaning that twice as many patients (starting at less than 10 percent and rising to more than 20 percent) experienced a clinically significant reduction in self-assessed PTSD symptoms.
Likewise, RESPECT-Mil data shows that as the number of contacts a care coordinator has with a patient rises, the PTSD and depression severity scores trend downwards in a clinically significant way – regardless of treatment method.
RESPECT-Mil has been rolled out in 88 of the Army's 96 targeted primary care clinics worldwide, with the remainder expected to be online by July. Approximately 100,000 behavioral health screenings now take place in these clinics each month – a rate expected to continue rising as clinics and providers gain experience.
Participating clinics follow a three-component model, with a care coordination manager ensuring continuity of care for the patient and ongoing communication between the primary care provider and a behavioral health specialist. The care coordinator follows up with patients at regular intervals, raising any patient concerns with their providers and ensuring patients follow their treatment plans.
"RESPECT-Mil has improved our clinic's efficiency in diagnosing and treating Soldiers with behavioral health concerns," said Melissa Molina, M.D., a family practice physician at Fort Bliss in El Paso, Texas. "We've had a significant reduction in the severity of symptoms of PTSD and depression in our patients. Because most Soldiers screen negative, 90 percent of clinic visits require no added provider time. But in cases where a Soldier does need attention, RESPECT-Mil gives us a proven, effective process to follow."
The Army will refine the RESPECT-Mil program to continue improvements in patient outcomes.
New enhancements will include telehealth augmented cognitive-behavioral therapy and a stepped approach of psychosocial modalities. Also under development is a five-year, randomized controlled trial in 18 clinics comparing the current approach to a modified approach that Col. Engel's RESPECT-Mil team hopes will offer even greater benefits for patients in need.
Currently the Army plans to make the program available to all military health system beneficiaries (including families) as care is transitioned to a concept known as Patient Centered Medical Homes.

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Don’t Give Up! 4 Ways to To Persevere When Things Get Tough

from http://everydaytruths.com/
 
What's the main difference between someone who achieves their goal and someone who doesn't?
HINT: It's not talent…it's not intelligence.
It's the ability to stick with it 5 minutes longer.
Perseverance is the key.
So many give up when they are really just inches from their goal, and it's in those moments of darkness that the best ideas come your way.
It's easy to give up, but it's not easy to live with the uncertainty of 'what could have been'. When you really think about it, that uncertainty and regret of not persevering, is a lot harder to live with than staying with it five minutes longer.
Life is full of challenges. Nevertheless, it's important that you keep trying. Every day you try is another chance for success.


Once you accept that you're destined for success, giving up is no longer an option!
Instead of throwing in the towel, seize success by following these strategies to acquire the drive to persevere and achieve your goals:
1. Analyze why things haven't worked yet. This is perhaps the most crucial step in ensuring you don't give up. Sometimes it's difficult to deal with failure, so much so that we just feel the urge to curl up and cry. However, by analyzing what actually prevented your victory, you might be surprised at how simple the fix can be.
• Did you forget a crucial step?
• Were external forces affecting your focus?
• Did you prepare yourself enough for the challenge?
• Is it something you truly wanted to pursue to begin with?
2. Reward yourself. Even though you might not have achieved the success you were expecting, that doesn't mean you didn't give your 100% effort to the task. And your efforts should never go unrewarded! Reward yourself for what did go right and treat yourself to a "pick-me-up" when you've fallen down:
• Treat yourself to your favorite desert.
• Show yourself some love by getting a massage.
• Get your car detailed. A spotless car can look brand new and might actually help you to feel brand new!
3. Carry out activities that you do well. Often, not succeeding may cause you to shy away from ever trying something again. You can build your inner strength and confidence by performing activities that you know you're good at. 

• Get out on the court and play some winning basketball.
• Challenge an opponent to a game of chess.
• Work at balancing those income and expenditure reports.
• Do anything you know you're good at to help build (or rebuild) your confidence.
4. Set smaller, attainable goals. Just because you didn't score the last time doesn't mean you can't score at all. Why not break up that big goal into smaller, more attainable ones? Perhaps you were overwhelmed by the task and somehow lost focus. By breaking it up into smaller goals, you'll be more likely to achieve the big goal.
No one ever said that perseverance was easy; in fact, it can be extremely difficult to look past the mistakes, failures and under-achievements and try again.
However, being able to persevere and push through until you win shows true strength and resolve.
Nothing worthwhile was ever achieved without perseverance. Keep going, and don't give up.

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How To Rest And Recharge: Bringing Balance To Your Life And Work

By Gabrielle Gawne-Kelnar

 
When was the last time you rested?
Truly just put aside some time – a minute or an hour – to do whatever it is that recharges you.
And what is that for you anyway?
What does rest look like – for you?
Is it kicking back and taking the phone off the hook and just breathing in the sun?
Or do you rest best while you're mindfully engaged in some activity – like maybe gardening or cooking or drawing or something else – where your mind can get involved just enough in the minute-by-minute process that it can let go of holding onto everything else?
Rest seems underrated sometimes. Misconstrued. Painted in the colours of lazy or unambitious. And then compared to the razzle dazzle 'importance' that busyness likes to decorate itself in.
But maybe rest is at least as important as busyness…
Apparently, in traditional farming practices, the fields were often rotated. One field was allowed to lay fallow for a while – not to have to be quite so obviously 'useful' or 'busy', 'required' or 'involved' all the time. Instead, it had the time and space to find its own vital force again. To only do the work of replenishing itself through nourishment and rest.
Are there parts of you that could use a break like this?
What might it feel like to just follow that impulse and let yourself fall into it for a moment?
Or an hour.
Or a day.
Perhaps rest is a rescue from the hard stuff in life. The opposite of depletion. The opposite of overwhelm. An antidote for burnout.
And maybe, despite our western workaholic ways, rest can be just as important as action. Maybe it's a kind of therapy where you can be both the therapist and the client.  Maybe, just like in the fields, rest can add a calming, quiet balance to the cycles of your life.
.
Text and photos copyright: Gabrielle Gawne-Kelnar
Gabrielle Gawne-Kelnar (Grad Dip Counselling & Psychotherapy) is a writer, blogger and Sydney psychotherapist in private practice at One Life Counselling & Psychotherapy. Gabrielle also facilitates telephone support groups for people who are living with cancer, for their carers, and for people who have been bereaved through a cancer experience. She provides regular therapeutic updates on facebook and Twitter @OneLifeTherapy.
 

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