1. Psych. 190 Dr. Elena Klaw

2.  Partner discussion activity: getting help  What makes it hard to get help?  Why do it?  Barriers for Vets  Treatments for PTSD  Advice for helping professionals serving Vets  Guest Speakers: SJSU Director of Military and Vet Program Services, U. Co. Services,

3.  Think of a time that it would have benefitted you to ask for help but you didn’t.  Why didn’t you ask for help?

4.  “I don’t want to bother anyone.  It really isn’t that important.  No one would understand. How could they help me anyway?  I’m embarrassed to admit it happened to me.  It will probably go away or get better.  I don’t want to cause a problem. I should take care of it myself.  Other people’s problems are much more serious than mine.  They might laugh at me. I don’t know how to talk about it. “

5.  We see our problems as personal problems instead of looking at social forces (political, economic)  Protestant Ethic/Capitalism - Says we are responsible for what happens to us  Masculine values  Fear of being vulnerable  Fear of being out of control  So, why get help??

6.  By integrating traumatic experiences, a person can reduce the number and severity of symptoms they experience improve their ability to relate to people, to function at work, and to enjoy life.

7.  Less than half of Vets who need it seek help! Warrior mindset Fear that they won’t be able to handle memories coming up, will lose control Concerned therapist can’t understand Seeing concerns as mental illness/disorder Stigma Navigating insurance, VA system Career related consequences Don’t think it could help

8.  Exposure – talking about the experience in a structured way, most evidence  Cognitive Restructuring- change thoughts  Cognitive Processing – adds written exposure and relaxation  Eye Movement Desensitization and Reprocessing (EMDR)- includese xposure, cognitive teechniques, relaxation  Group Therapy  Medication: SSRI

9.  Prepare but ask questions  Provide empathy and normalize “Your reactions were really essential for you in combat but are hurting you now..” “You are not going crazy”  Clarify that you are not judging  See people as whole individuals  Don’t use psych lingo to label  Don’t tell people what to do!  Be an ally through ups and downs