In working with Psychology Interns, Psychiatry Residents, Social Workers, and all other types of mental health providers from the most experienced to least, I’ve found that people often forget the basis of Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). CPT is a form of Cognitive Behavioral Therapy (CBT) and PE is a form of Exposure Therapy. They are not unique theories.
1.8%
The percentage of "523,626 female and male active duty Sailors and Marines who entered the U.S. military between 2006 and 2013" who had a PTSD diagnosis, according to a recent article in the Journal of Traumatic Stress -- Prevalence of Posttraumatic Stress Disorder and Psychological Comorbidities Among U.S. Active Duty Service Members, 2006–2013.
A Vietnam Veteran walked into my office at one of the VA’s top inpatient residential posttraumatic stress disorder (PTSD) programs as a last-ditch effort to save his marriage. He said very little in our initial interactions, and the stress of the years working hard to provide for his family alongside many sleepless nights had settled into dark patches under his eyes and grime beneath his fingernails. His outpatient therapist referred him to the program to receive an evidence-based treatment for PTSD. He was quickly assigned to the Cognitive Processing Therapy (CPT) group and to supplemental individual CPT sessions with me.
It was happening again. Following another humid South Carolina rain, I sat beside my 6-year old sister, Trinh, who was having a “spell” – what we now know was some type of re-experiencing or panic attack - likely related to her boat escape from Vietnam just 10 days following the fall of Saigon. At the time, I could only do what my 5-year old self thought was best. Hold her hand, get the dog, tell her everything was going to be alright and wait for the spell to pass
In the wake of Kate Spade’s and Anthony Bourdain’s suicides last month and the news surrounding their deaths, I can’t help but wonder if stigma about getting mental health care may have deterred these talented individuals from seeking the help they deserved. These tragic events also led me to rethink stigma and its impact on Service members and Veterans.