One of the things that I have noticed over the years is that most people (including many clinicians and Service members) are confused about the clinical definition of “trauma.” These days, the word “trauma” has become a buzzword in our culture to describe negative life experiences that continue to have an impact on one’s life after the fact.
Depledge & Bird (2009) described the “blue gym” as an approach to promote well-being through being active in water environments such as surfing, kayaking, swimming, or walking along the beach. Being active can be stimulated by being near natural water. Stronger communities, stress reduction, and increased physical activity are three benefits from regular contact with natural environments. The blue gym helps us to connect to each other and the value of nature and our aquatic environments. There are some recent reports looking at the positive impact of surfing on PTSD symptoms for Veterans.
While most of our CDP blogs focus on some aspect of military behavioral health to include understanding, evaluating and treating various psychological wounds of war and reintegration challenges, we don’t often consider and discuss the spiritual conflicts that arise for many of our military-connected clients. These spiritual wounds and needs can have a significant impact and often caring for those needs goes beyond the skillset of a behavioral health provider. A referral or concurrent care addressing both behavioral and spiritual health needs might be the best course of action.
I catch myself in a trap every so often, as my colleagues have, getting so caught up in selling the phases outlined in a treatment modality that I haven’t taken the time to hear the words from the patients’ perspective. And, working with an all military culture, I’ve found that when this happens I’ve usually lost the patient. I’ve used terms that simply don’t resonate with them and they are less willing to engage in whatever awesome thing I’m trying to get them to try.
If a client proclaimed during a session that drugs with abuse potential are beneficial in managing PTSD symptoms, most therapists would identify this as cause for concern. When drugs with abuse potential are used in response to PTSD symptoms, they generally maintain or exacerbate the condition. For example, the classic client with alcohol use disorder and PTSD drinks to avoid trauma-related thoughts and reduce heightened arousal symptoms (e.g., hypervigilance).