Mental health conditions in Veterans returning from Iraq and Afghanistan have become an important public health problem. Up to 37% of the over two million service members who have deployed to Iraq or Afghanistan are struggling with serious mental health problems including post-traumatic stress disorder (PTSD), major depression, and traumatic brain injury.[1] These mental health conditions result in debilitating pain and suffering and are associated with additional problems including addiction, difficulties maintaining work, and homelessness.[2]
These mental health issues can lead to tragic consequences, as illustrated by increasing military suicide rates. Active duty suicides reached epidemic levels in 2010 with one active duty service member committing suicide every 36 hours. Our Veterans are killing themselves at twice the rate of other Americans.[3]-[4]
There are approximately 214,000 women serving in the military today, with more entering military service every year. In addition to the combat experiences that their male counterparts have to cope with, female Veterans suffer from significantly higher rates of Military Sexual Trauma, and have suicide rates that are up to three times higher than the rates of civilian women.3 In addition, the impact of these problems has a cascading effect on each of the 8-10 family members directly related to each service member and Veteran.
Despite barriers to care (e.g., the perceived and/or actual availability of health care services, particularly the availability of women-specific services), soldiers are seeking mental health help more than 100,000 times a month.[5] The number of active duty troops discharged from the Army for mental health problems increased by 64% between 2005 and 2009. In 2009, there were 17,538 hospitalizations for mental health problems, 17,354 for pregnancies, and 11,156 for injuries and battle wounds.[6] Mental health problems now account for one in nine medical discharges. For the first time, in 2009, more U.S. troops were hospitalized for mental health disorders than for any other reason.
Fortunately, there are effective treatments for these mental health problems and a great number of clinicians dedicated to helping our nations heroes. Unfortunately, even when provided with the best evidence-based treatments, non-response rates can be as high as 50%.[7] In addition, access to these treatments may be obstructed by an array of institutional and diagnosis-related barriers.
A Solution
Yoga is a path to experience greater connection and wholeness in life, a way to reconnect when life's challenges result in a deep sense of fragmentation. Yoga has been increasingly accepted as an effective complementary therapy for mental health issues including PTSD.
According to Dr. Bessel A. van der Kolk, clinician, researcher and teacher on posttraumatic stress since the 1970s:
People with PTSD lose their way in the world. Their bodies continue to live in an internal environment of the trauma. We all are biologically and neurologically programmed to deal with emergencies, but time stops in people who suffer from PTSD. That makes it hard to take pleasure in the present because the body keeps replaying the past. If you practice yoga and can develop a body that is strong and feels comfortable, this can contribute substantially to help you to come into the here and now rather than staying stuck in the past.
Yoga is increasingly being utilized by the military and VA to help address unmet mental health needs. Veterans and active duty military personnel who practice yoga regularly report reduced anxiety and depression, improved sleep and concentration, a greater ability to focus on the positive, support in addiction recovery, pain relief, and increased ability to deal with the mental and emotional strain of combat. A recent Department of Defense study found that Veterans diagnosed with PTSD showed improvement in their symptoms after 10 weeks of yoga classes.[8]
Over the past few months, this meditation has helped me realize how closely connected my physical and mental pain are. I told my wife that I feel like I’m untangling a big knot. I didn’t know which strand was which when it was all knotted together, but as I do the meditation, I feel myself unwinding. As I undo the knot, I see what was mental and what was physical and how letting go of each helps the other.
– Jon, Vietnam Veteran
When I heard we were going to do yoga, I laughed! I thought that soldiers doing yoga was ridiculous. After two weeks of practice, though, I thought, ‘Who would have ever thought you could get so chill?’ I want to find a class to do with my wife, something we could share.
–OIF Veteran (3 deployments)
Give Back Yoga Foundation’s Commitment to Veterans
Give Back Yoga Foundation believes in making yoga available to those who might not otherwise have the opportunity to experience the transformational benefits of this powerful practice. We do this by supporting and funding certified yoga teachers in all traditions to offer the teachings of yoga to under-served and under-resourced socio-economic segments of the community and inspire grassroots social change and community cooperation. Give Back Yoga Foundation also supports the creation and distribution of yoga resources and products, such as books, CD’s, DVD’s, to serve these communities in need.
The Give Back Yoga Foundation has spent the past few years researching and working in the field of yoga for Veterans. In 2010, we awarded a small grant to Comfort for America’s Uniformed Services at Walter Reed Army Medical Center in Washington, DC, to support a yoga and meditation program for wounded warriors. We quickly found ourselves deluged with requests both from yoga teachers around the country wanting to serve returning Veterans and from the Veterans and their families themselves.
Since that time, Give Back Yoga Foundation has been recognized as a national leader in the provision and distribution of empirically-informed, clinically-tested multi-media resources for veterans. We have supported the creation and distribution of the following unique yoga resources for Veterans, which have been distributed to a range of sites to date:[9]
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Meditation CDs donated by Karen Soltes’ iRest Yoga Nidra: Easing into Stillness (who teaches at the Washington, DC, VA hospital as part of the War Related Illnesses and Injuries Study Center); Suzanne Manafort’s "Breathe In, Breathe Out: Quick and Easy Breathing Practices to Help Balance the Nervous System,” designed for the Mindful Yoga Therapy for Veterans Coping with Trauma Program, a component of the PTSD Rehabilitation Residential Program (PRRP) in Newington, CT.; and Deep Relaxation: Yoga Nidra with Patty Townsend, a master teacher with a background of over 40 years in yoga and meditation.
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Beyond Disability: A Yoga Practice DVD based on Matthew Sanford’s unique experience with yoga and paralysis;
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a book, Finding Peace: A Yoga Guide for Veterans, Active Duty Military Service Members and Their Families, written by Beryl Bender Birch;
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the Mindful Yoga Therapy Practice Guide by Dr. Daniel Libby and Suzanne Manafort produced specifically for veterans coping with trauma; and
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a new DVD, VetsYoga, by Washington, DC yoga teacher Daniel Hickman who teaches at Walter Reed Medical Center, produced by Yatra Yoga International and Craig Coffman Productions.
The Give Back Yoga Foundation also recognizes the need for rigorous empirical research on the effects of yoga for combat-related mental health conditions. Although testimonials from Veterans and active duty service members have convinced us of the benefits of yoga for mental health, well-conducted research is required to document these benefits for policymakers, and to understand which yoga practices and which methods of delivery are the most effective. To this end, Give Back Yoga Foundation is supporting a pilot randomized clinical trial of Mindful Yoga Therapy for Veterans coping with trauma led by Daniel J. Libby, PhD, clinical research associate with the Evaluation Division of the National Center for PTSD.
The Operation Finding Peace Campaign
This is an incredible opportunity to help a demographic that suffers from combat-related stress. When I first began yoga in 2001, the vast majority of military members were very doubtful about the benefits. Since then, more and more military personnel are accepting the benefits of yoga. The classes here average about 20 each time. It is amazing how word spreads and how much people like it. Military personnel don't realize how much they need yoga until they try it.
–U.S. Navy Lt. Taeko McFadden, Base Command Group, Al Asad, Iraq
Those men and women who have put their lives on the line to serve their country need our help. Good work is happening: Throughout the United States, dedicated yoga teachers are working with Departments of Veterans Affairs and other organizations that currently offer or are interested in offering yoga as an adjunctive therapy practice for Veterans coping with mental health problems. However, a large gap remains between those desiring yoga information and instruction and actual delivery of these services and resources to those who need them most. To help close this gap, the Give Back Yoga Foundation is launching Operation Finding Peace, a targeted effort to provide the benefits of yoga to the military community. It is our goal to touch the lives of over 30,000 service members, veterans, and military families over the next three years through the following key activities:
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Create and distribute high-quality yoga and meditation resources to veterans organizations and other groups that provide evidence-based mind/body approaches for service members deploying and returning to help manage combat stress (see attached list of current partners, which we anticipate will grow).
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Objective: Produce 10,000 Yoga for Veterans Toolkits that include the complete suite of yoga resources for veterans, and distribute them to interested military bases, VA’s, and other community groups serving veterans and their families nationwide. These will also be distributed to the National Guard pre-deploying in order to help them have some tools provided by yoga and meditation prior to going into a combat theatre. See attached description of Toolkit contents.
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Objective: Create a pilot program that distributes 250 iPod Nanos, pre-loaded with yoga and meditation programs such as those listed above, to veterans at greatest risk, and evaluate the results via user surveys.
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Create a free, 24-hour Meditation Hotline for veterans suffering from PTSD to call anytime, and especially in moments of extreme anxiety or flashbacks. The hotline would guide veterans through simple meditation and breathing exercises, and would also provide access to additional mental health assistance. Not all veterans, particularly those living in rural areas, have access to a CD player or computer but they generally have a cell phone handy.
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Objective: Provide an easy-to-access, cloud-based 24-hour resource for veterans and service members suffering from PTSD and other mental health disorders.
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Provide scholarships for Veterans who wish to become certified yoga instructors so that they, in turn, can share the gift of yoga with other veterans. One of the most common questions that yoga instructors face when teaching veterans is “did you serve?” and veterans who practice yoga are themselves the best teachers of this unique population. This program will provide 50% tuition assistance for an accredited Yoga Teacher 200 or 500-hour certification program, with the remainder of costs to split equally between the studio and the student. The program includes a pledge that the veteran serve others in the military community or other underserved populations in need (e.g., at-risk teens).
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Objective: Support 200 veterans in their quest to become certified yoga instructors, seeding future outreach to the military population.
Join With Us to Serve
Yoga has helped me to reduce my anxiety and has improved my ability to focus... I think of yoga as survival training for the Veteran mind, body and soul.
- Paul, Vietnam Veteran
One area where I see yoga can be very helpful is in helping to prevent the effects of PTSD itself. My humble daily practice while under daily fire in Iraq helped to keep me centered and able to detach from the traumatic events happening all around me. I honestly believe that yoga could have helped to prevent the American NCO from shooting all those villagers in Afghanistan a few weeks ago...and truly want to help see if we can help to prevent such things from happening again in the future. - Chris, Iraq Veteran
I can testify to this program (iRest Yoga Nidra). The exercises were of personal help and now I will again introduce it as a form of relaxation and sleep enhancement to my Veterans diagnosed with TBI and Chronic Pain. Thanks a million. - Dorrett, RN, Fmr. CPT USAR
Together, we can provide the healing benefits of yoga and meditation to thousands of returning Veterans, service members preparing for deployment, and their families, and in so doing, improve mental and physical well-being for those who have done so much to serve our country. Support in any amount makes a difference. Join with us today.
The Give Back Yoga Foundation, Inc. is a non-profit organization under Section 501 (c) (3) of the Internal Revenue Code. Our Federal Tax ID is 20-8666751.
[1] Seal KH, Metzler TJ, Gima KS, Bertenthal D, Maguen S, Marmar CR. Trends and Risk Factors for Mental Health Diagnoses Among Iraq and Afghanistan Veterans Using Department of Veterans Affairs Health Care, 2002-2008. Am J Public Health. September 1, 2009 2009;99(9):1651-1658.
[2]Karney BR, Ramchand R, Osilla KC, Calderone LB, Burns RM. Predicting the Immediate and Long-Term Consequences of Post-Traumatic Stress Disorder, Depression, and Traumatic Brain Injury in Veterans of Operation Enduring Freedom and Operation Iraqi Freedom. In: Tanielian TL, Jaycox LH, eds. Invisible Wounds of War: Psychological and cognitive injures, their consequences, and services to assist recovery. Santa Monica, CA: Rand Corporation; 2008.
[3] McFarland BH, Kaplan MS, Huguet N. Datapoints: Self-Inflicted Deaths Among Women With U.S. Military Service: A Hidden Epidemic? Psychiatr Serv. December 1, 2010;61(12):1177.
[4] Kaplan MS, Huguet N, McFarland BH, Newsom JT. Suicide Among Male Veterans: A Prospective Population-based Study. Journal of Epidemiology and Community Health. July 1, 2007 2007;61(7):619-624.
[7] Schottenbauer MA, Glass CR, Arnkoff DB, Tendick V, Gray SH. Nonresponse and Dropout Rates in Outcome Studies on PTSD: Review and Methodological Considerations. Psychiatry: Interpersonal & Biological Processes. 2008;71(2):134-168.
[9] Distribution sites to date include VA hospital facilities in Texas, Philadelphia, Idaho, Nebraska, Florida, Washington, DC, Maryland, Virginia, New York, Connecticut, Pennsylvania, Arkansas, and California, with more on the way; Naval Medical Center (CA), Walter Reed Army Medical Center, various Soldier & Family Assistance Centers; Exalted Warrior Foundation camps for wounded Marines; Yellow Ribbon Program (Massachusetts); and the Semper Fidelis Health and Wellness Warrior Resiliency Day and Warrior Wellness Program.