By John Upledger, DO, OMM
When I wrote this column, the tragic events of September 11, 2001
had not yet transpired. Never could I have imagined the topic I had chosen
would become so eerily apropos. With trauma of the magnitude our nation has
experienced, we can expect to see an exponential rise in the incidence of
Post-Traumatic Stress Disorder (PTSD) in years to come.
Since starting our PTSD program for Vietnam veterans more than
eight years ago, it has always been our desire to make the program available to
all victims of trauma who may suffer from this disorder. Up to this point, the
funding simply has not been available. In light of everything that has happened
recently, it is apparent that the time has come to expedite the outreach of
As we begin the healing process, individually and as a nation, our
thoughts and prayers remain especially with those directly affected by this
tragedy: the survivors of the attacks; the loved ones and colleagues of those
taken; the witnesses to the carnage; and the firefighters, police and rescue
workers who put themselves in harm's way.
Throughout human history, those who have undergone or witnessed
traumatic events have oftentimes experienced ongoing and uncontrollable fear,
anxiety, depression, and other life-altering emotions. It has only been in
recent times, however, that these symptoms have gained recognition, validation,
and a name.
In 1980, Post-Traumatic Stress Disorder (PTSD) was first
officially recognized by the American Psychiatric Association in its Diagnostic
and Statistical Manual of Mental Disorders, Volume III. Before 1980, the condition
existed only as titles such as "shell shock," "battle fatigue,"
"dissociative amnesia" and "physioneurosis." It was the
rather high incidence of PTSD in Vietnam veterans that finally prompted
inclusion of the condition as a mental disorder in the DSM III.
Although combat veterans comprise a significant percentage of PTSD
sufferers, combat should not be considered the singular cause of the disorder.
It can result from any experience a person feels is life-threatening,
terrorizing or totally degrading. It can also result from viewing horrible or
terror-inducing events that happen to others, especially loved ones.
The symptoms of PTSD may occur days to years after the related
event. Once begun, the symptoms occasionally go into remission and then return.
The disorder we now call PTSD may continue to affect the victim for years,
decades, or the balance of a lifetime. Though classified as a mental disorder,
PTSD has distinct physical origins. In our years of research and treatment of
PTSD, we have encountered numerous symptoms that respond well to hands-on
CranioSacral Therapy. The following are seven of the more prevalent symptoms
that the PTSD patient may endure, and how we approach managing such symptoms:
1. Insomnia can result when the joints of the head and neck become jammed due
to extreme backward or forward bending of the head during a traumatic
occurrence. CST is used to release these pressures and improve the efficiency
of fluid outflow at the occipital-cranial base (base of the skull). When
successfully applied, insomnia significantly improves.
2. Hypervigilance is a state of heightened awareness in which any surprise or
unexpected noise causes an excessive response that the PTSD person cannot
control. (This also contributes to insomnia.) We use CST and its offshoot,
SomatoEmotional Release, to locate and release energy cysts (contained areas of
stress) throughout the body.
We concentrate particularly on the reticular activating system
(RAS) of the brain and spinal cord, which is responsible for the secretion of
adrenalin and other stress hormones and biochemicals. When we can reduce this
system's level of ready alertness, both hypervigilance and hyperresponsiveness
are significantly alleviated.
3. Intrusive thoughts continually interrupt a PTSD victim's ability to concentrate, and
may even prove intellectually disabling. CST and its offshoots are used to
balance fluids and release restrictions on the right and left sides of the
cranium, thus enhancing the circulation of both blood and cerebrospinal fluid.
As a result, nutritional supplies to brain cells are improved and toxic waste
products are removed. The brain areas that help control conscious thoughts are
also revitalized and become more effective.
4. Flashbacks involve the mental re-experiencing of the horrific events that
caused the PTSD initially. Each time they occur, they are just as terrifying to
the person as the original experience. Unlike normal memories, they do not
mellow with each recall, nor can the person experiencing them describe them in
words. While this kind of response can be considered appropriate at the time of
the original traumatic event, it certainly is not appropriate 10 years later in
a different and probably safe setting.
Studies have shown that, in PTSD, the left hemisphere of the brain
is less functional than the right, and the hippocampus - thought to be an
important factor in memory control - is smaller on the left side than on the
right. CranioSacral therapists work to equalize the mobility and fluid flows of
both sides of the brain. They also pass a lot of energy from right to left,
focusing on the left-side speech area (plenum temporale).
Using this approach, we have seen clients become able for the
first time to describe the flashback event(s). As this ability improves, the
flashback comes under control and the experience can be recalled voluntarily.
Eventually, the power of the event fades and the flashbacks discontinue.
5. Panic attacks mark the beginning of PTSD, but they fade and discontinue as
hypervigilance, intrusive thoughts and flashbacks are successfully treated.
6. Long-term fear results in a PTSD patient faced with a short-lived, scary
episode. On the other hand, the non-PTSD person might well react with momentary
fear to the same episode. This long-term fear becomes chronic anxiety. As with
panic attacks, this too wanes as the CST takes effect.
7. Depression and suicidal thoughts are common in PTSD-afflicted
individuals. Our treatment focuses specifically on releasing abnormal
compression at three junctions: where the sphenoid bone and base of the
occipital bone meet (floor of the cranial vault); where the joints where the
first cervical vertebra and occipital bone unite (base of the skull); and where
the lumbar and sacrum come together (lower back into tailbone). Once
alleviated, depression lifts and suicidal ideations discontinue.
Using this approach in a study with 22 Vietnam veterans, we found
that, at the end of two intensive weeks of treatment, all of them tested much
lower on the depression scale. Even the administering psychologist had trouble
believing the results of his own tests. It may be difficult to understand how
something as light-touch as CranioSacral Therapy could effect meaningful change
in an individual suffering from Post-Traumatic Stress Disorder. You are not
alone. Those of us who practice the technique still marvel at the responses we
often witness. The body is a remarkable mechanism, full of mystery and capable
of untold feats of self-preservation and healing.
My hope is simply that this brief discussion helps you gain a
better understanding of how CranioSacral Therapy works to aid the PTSD sufferer
- and perhaps clears up some misperceptions about this disorder along the way.
PTSD is not an incurable mental disorder. Our research with
Vietnam veterans has shown just the opposite, producing some of the most
dramatic and encouraging results I have ever witnessed. This is just the tip of
the iceberg. I hope you will join our efforts in the years to come, as we seek
to eliminate PTSD from the trauma equation.
November, 2001, Vol. 01, Issue 11