Archive For The “Expanded Therapies” Category

Expanded Therapy

Facts

  • About 300,000 Iraq and Afghanistan war veterans suffer from PTSD or major depression, and about 320,000 may have experienced at least a mild concussion or TBI in combat. RAND Corp. study released in 2008.
  • In 2008 one in four veterans were diagnosed with PTSD, and some experts believe this could increase to one in two by 2011 years end. –PTSD Foundation of America.
  • 11-20% of Veterans of the Iraq and Afghanistan wars; as many as 10% of Gulf War; and about 30% of Vietnam Veterans have PTSD. –Dept of Veterans Affairs  PTSD affects about 7.7 million American adults in a given year. NIMH- 2005 National Co-morbidity Survey-Replication study.
  • An estimated 5 percent of Americans—more than 13 million people—have PTSD. – Sidran Institute.
  • Untreated mental health problems among returning troops will cost the nation up to $6.2 billion over two years in medical costs, lost productivity, and lives lost to suicide. A RAND Corporation survey, Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery.
  • PTSD is often accompanied by depression, substance abuse, or other anxiety disorders as well as physical complaints such as chronic pain, fatigue, stomach pains, respiratory problems, headaches, muscle cramps or aches, low back pain, or cardiovascular problems and can include self-destructive behavior such as alcohol or drug abuse and suicidal tendencies. –Sidran Institute.
  • While there is no cure for PTSD, early identification and treatment of PTSD symptoms may lessen the severity of the condition and improve the overall quality of life for veterans suffering from this condition. *Veteran’s newsroom statistics.
  • Individuals with a TBI are twice as likely to die as a similar non-brain injured cohort and had a life expectancy reduction of seven years. –Brain Injury Assoc. of America (Harrison-Felix et al., 2006).
  • TBI is the leading cause of epilepsy in the young adult population. –Brain injury Assoc. of America.
  • In the U.S. alone, every year, over 125,000 individuals who sustain a TBI become disabled. –Brain Injury Assoc. of America

Equine Assisted Activities and Therapy in Veteran’s rehabilitation

  • Equine Therapy / Animal-assisted Therapy has shown to be effective in treating patients, including combat veterans, with PTSD, depression, anxiety, attentiondeficit/hyperactivity disorder, conduct disorders, dissociative disorders and other chronic mental illnesses. Journal of the American Medical Association.
  • More than 30 VA Medical Centers are participating in Equine Assisted Activities (EAA) programs all around the US as noted by the Supervisory Recreation Therapist Department of Veterans Affairs.
  • Horses are highly reactive and mimic human emotions – requiring calm and non-reactive communications which promotes emotional awareness, emotion regulation, self-control, and impulse modulation. Working with horses in a therapeutic setting offers instant and constant feed back to participants, requires physical strength and balance, and is highly motivational – combining to make an exceptionally effective rehabilitation environment.

Testimonial from a veteran’s equine program: “From a clinical view, the CHAPS program met and exceeded expectations. All of the participants’ symptoms were reduced as a result of the program, but what was also evident was the accelerated rate at which this occurred. My colleague Dr. Benson and I were more than satisfied.” –Dr. Rusty Reynolds, VA Medical Center psychologist with the Children, Horses and Adults in Partnership (CHAPS) Equine-Assisted Therapy program; Sheridan, Wyoming

Equestrian Assisted Psychotherapy

Reining in PTSD with Equestrian Therapy

A Veteran pats a horse in a stable

Army Veteran Larry Opitz spends some time with his favorite horse, Kris, at Strongwater Farm in Tewksbury, Mass. PHOTO BY BOB WHITAKER, LOWELL SUN. USED WITH PERMISSION.

by Tom Cramer, VA Staff Writer
Thursday, September 18, 2014

A horse is a horse, of course, of course … except, perhaps, when he’s also your therapist.

“Interaction with an animal just makes you feel more relaxed,” said Joe Grimard, a recreational therapist at the Edith Nourse Rogers Memorial Veterans Hospital in Bedford, Mass. “You’re connecting with an animal, a living thing and that’s all you’re focused on. You’re no longer focusing on yourself, or your problems.”

Each week, Grimard drives four to six Veterans out to nearby Strongwater Farm, where they get to ride horses for free. Family members of Veterans are also welcome.

“These guys are in the 90-day treatment program at our domiciliary,” said Grimard, a Navy Veteran. “So it’s good for them to get away from the hospital now and then and do something different.

“It’s my job to get these guys back out into the community, doing healthy things,” he added. “They need to know they have alternatives to the lifestyles that landed them in trouble before.”

Just Relax

Grimard said the whole idea is to provide Veterans with relaxing, positive experiences.

“A lot of these guys have anxiety,” he said. “They have traumatic memories, so we want them creating new, pleasant memories to replace the not-so-pleasant ones. This is a peaceful place. When I bring them out here, I don’t tell them I’m taking them to therapy. I just tell them, ‘I’m bringing you out here so you can enjoy life a little.’

“Once they get around a horse, they start to loosen up,” he continued. “You can see them begin to relax. You can see their self-esteem and their confidence building. Gradually you can see them becoming the person they were before all that stuff happened to them.”

Grimard said he’s now seeing an increasing number of younger Veterans — those who served in Iraq and Afghanistan — expressing an interest in visiting the horse farm.

“They’re very physical, very enthusiastic,” he said. “They just jump right on the horse without a second thought. It doesn’t matter whether you’re dealing with posttraumatic stress, addiction or family problems, coming out here is just a fun, cool thing to do.

 I feel like I have a friendship with the staff here at the Bedford VA. Without them, I would have been dead years ago. 
— Larry Opitz

An Apple a Day

“Some of the guys, they’ll come out with a bag of apples,” Grimard said. “They want to feed the horses, so a staff member teaches them how to feed an apple to a horse without losing any fingers. And if they don’t want to ride, they can sit in the sun, or talk to the staff out here. The staff is really friendly. They’ll teach you how to approach your horse, how to brush your horse down, where to stand and where not to stand when you’re near the horse.” (Helpful Hint: never stand behind a horse. Just don’t.)

“Our staff is very accommodating, very low key, very down to earth,” said Patti Lessard, program director at the non-profit, 800-acre horse farm. “We provide the environment and the four-legged partners and the Veterans take it from there. They become one with the animal they’re working with, so in a sense the horse becomes the therapist. All you’re thinking about is grooming your horse, riding your horse, building a relationship with that horse.

“You’re very engaged,” she added, “and you become very clear. The horse is your new buddy, your new partner, another member of your support system. Horses are intelligent, intuitive animals; they have a sixth sense. They can read where you’re at.”

Air Force Veteran Theresa Mickelwait couldn’t agree more.

In The Moment

“Horses, like people, are sentient beings,” Mickelwait noted. “Each one is different; each one has its own personality. The first time we went out to the farm I talked to a horse named Big Red. He was very friendly, but he had no problem invading your body space. He liked to go into your pockets to search for snacks. He was like a hyperactive little kid. He was a handful, but I liked him.”

Mickelwait recently completed her treatment program at the Bedford VA and will soon be working full-time and living in her own apartment in Boston. Recently, she won a scholarship that will enable her to take a writing course at the University of Boston.

The Air Force Veteran said her experience at Strongwater Farm was a memorable step on her road to recovery.

“Riding was the best part for me,” she observed. “I like to ride. I find it relaxing, because I’m focused on my horse. It’s an ‘in-the-moment’ sort of thing. You’re doing nothing but being with that animal.”

“Sometimes I won’t even ride,” said Army Veteran Larry Opitz, another recent graduate of the Bedford VA’s residential treatment program. “Sometimes I just like walking around the barns, or walking through the pastures. It gets you away from everybody. You can do a little soul searching.”

 I grew up raising horses, so I truly understand and appreciate the impact this program has on our Veterans. 
— Christine Croteau, Hospital Director, Bedford VA Medical Center

Getting Back Out Into Life

Opitz said he wasn’t quite sure what to expect on his very first visit to the horse farm. But he soon found out.

“When I went up there, all my anxiety was gone,” he said. “It’s dead quiet, except every now and then you can hear a horse whinny. They’ll whinny when someone’s grooming them, because they love it when you groom them. I’d love it too, if someone was scratching my back.”

Opitz said he still goes out to Strongwater Farm every Wednesday to help out. He said he wants other Veterans recovering at the Bedford VA to experience the same sense of peace he feels when he’s grooming his favorite horse (a big Belgian Quarter Cross named Kris), or walking through a quiet pasture, or simply sitting in the sun, watching other Veterans ride their horses.

“It’s about getting these guys back out into life,” he said. “A lot of these guys haven’t been on a horse…never. But now they tell me they can’t wait to go back. They’re like a bunch of school kids.”

In an effort to pay it forward, Opitz said he hopes to somehow raise the $500,000 Strongwater Farm needs to build a much needed indoor riding arena.

“That way the Veterans can come here year-round, even when it’s raining,” he said.

For more information on how VA is helping Veterans with PTSD, visit www.ptsd.va.gov

– See more at: http://www.va.gov/health/newsfeatures/2014/september/reining-in-ptsd-with-equestrian-therapy.asp#sthash.6QpbrGPO.dpuf

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