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
The impact of war on the individual is
profound.
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War is “bad for your brain”.
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No one returns from deployment the
same.
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The “consequences of war” are
exacerbated as deployments increase.
Prevalence of TBI & PTSD in
OIF/OEF Soldiers
Estimates vary and sampling problems
have been identified:
TBI: 19.5% of soldiers translating to
320,000 probable TBI cases (95% CI of
16.4% - 22.7%).
PTSD: 13.8% of soldiers translating to
226,000 probable PTSD cases (95% CI
of 11.1% - 16.5%).
mTBI/PTSD SX Overlap
M. STEIN ET AL., AM J PSYCHIATRY 166, 7 (JULY 2009)
The consequences of war
and post-deployment
adjustment issues can lead
to chronic conditions that
impairs the entire person –
body, mind & spirit.
The “Typical” TBI Clinic Pt
The majority of SMs who present to the TBI Clinic suffer
from complex biopsychosocial disease including:
A)
B)
C)
D)
E)
F)
G)
H)
Chronic Pain
Chronic Insomnia
Cognitive Weaknesses
Other Physical Symptoms &/or Medical Conditions
Depression
Anxiety
Some degree of PTSD
Probable Alteration of Self Concept & Self-Esteem
These variables interact & can yield global
impairment.
TREATMENT
* This complex clinical sequelae demands
aggressive, integrated interdisciplinary
intervention.
* Each area of difficulty must be addressed.
* Because SXs interact, improvement in
one area can have carry-over effects.
Fort Hood TBI Clinic
Numerous Services are Available
Primary Care Medical Management
Acupuncture
Biofeedback
Chiropractic
Clinical Pharmacy
Education
Psychotherapy
Massage Therapy
NCM
Occupational Therapy Physiatry
Physical Therapy
Speech Therapy
Fort Hood TBI Clinic
Intensive Outpatient Program

The SM’s Command signs-off on
participation.
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Duty station for 6-weeks.
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0800 – 1600 5 days per-week.
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Each cohort includes 6 SMs.
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Group & Individual Sessions.
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Longitudinal Mutivariate Research Design.
Intrepid Spirit/NICoE