A Deeper Look Into A VA Psychologist's Life
By Michelle Williams
Stacey Pollack
Clinical psychologist, Department of Veterans Affairs
As awareness of post-traumatic stress disorder has increased in recent years, Americans have gotten a clearer understanding of what some veterans have to fight against every day. NationalJournal.com met with a clinical psychologist in the Department of Veterans Affairs, Stacey Pollack, for her perspective on the battle against PTSD. Pollack is also the director of trauma services at the VA Medical Center in Washington, where she says there is no such thing as a typical day.
Edited excerpts follow.
NJ: What inspired you to become a psychologist?
Pollack: I went into psychology because I really wanted to do therapy and to help others. It actually became sort of by chance that I ended up working with PTSD. In the summer of 1995... I ended up working as a summer extern at the Baltimore VA and ended up working with veterans with post-traumatic stress disorder. I really liked working with that population. My research area in graduate school was on sexual trauma, but more from a perpetration angle than from the sort of victimization/PTSD perspective. But after working with the vets at the Baltimore VA, I knew it was something I really wanted to do, to switch my focus.
NJ: What draws you to them?
Pollack: I think these are men and women who really have served our country well and they deserve the best health care that we can provide. It's really rewarding to work with someone who has done their duty for our country.
NJ: What do your family and friends think about your job?
Pollack: My family and friends are all really supportive of my job. They're sort of in awe sometimes, and they say "I couldn't do what you do." And you know, I say "I couldn't do what you do" to some of them. I couldn't be an accountant, or I couldn't be a schoolteacher. But I think, you know, it's nice because I think my family and friends also have a greater appreciation for our military and our returning service members in terms of reaching out to them and what they do.We were on a plane recently, and there was a service member who had just come back. It's nice to see my family walk over to that person and say, you know, "Thank you for your service."
NJ: Have you thought about joining the military before?
Pollack: I have thought about joining the military, especially in recent years, as the Army, the Air Force and the different branches of the services certainly need more and more mental health programs, more mental health providers. That being said, I really like what I'm doing and working with the veterans. I'm working with the same population, just at a later point.
NJ: So, what are some of the therapies you provide at the medical center?
Pollack: We provide group therapy for PTSD, using a cognitive-behavioral-based model. We do individual therapy using cognitive processing therapy or prolonged exposure therapy, which are two evidence-based therapies for PTSD. We have a dual-diagnosis track of our program treating comorbid PTSD and substance abuse. Those two things often go hand-and-hand, so we treat those two things together. We have a women's trauma track where we have specific groups for female veterans with trauma. Those are often also cognitive-processing-therapy-based groups as well as cognitive behavioral groups. We are really lucky because here at our particular medical center, we have one of three WRIISC programs. What that stands for is War-Related Illness and Injury Study Center. And they're able to offer a whole lot of complementary and alternative medicine services that we provide to our veterans. So we'll refer veterans to things like group ear acupuncture or yoga nidra.Within our clinic, we offer relaxation groups. We have family therapy. We have family education. We offer couples therapy. We have a spirituality group that meets with a chaplain. We have recreation therapy for folks who are isolated, can't remember the last time they went to a movie or went out to a shopping mall. We have recreation therapy, doing art therapy with our veterans. So it's really depending on what an individual needs. We obviously have a whole comprehensive array of services, and it's really with each individual we can develop a unique treatment plan to meet his or her own needs.
NJ: What have been some of your joys?
Pollack: One of the best things that I've seen is when someone comes in really struggling with PTSD, and after completing treatment says, "You know what? I'm OK. Those things that were once bothering me are now not bothering me anymore. I used to be having nightmares, multiple times a week. I may have nightmares now once a month, and I can really manage it. I'm reconnected with my family. I'm back at work, and I'm really doing well, and I didn't think it was possible to be doing as well as I am."
NJ: What are some of the challenges?
Pollack: It's a busy system. When I said there's not a typical day, you know, it's challenging. We have a lot of men and women coming back from the current conflict. We treat, still, a whole lot of veterans from other conflicts as well as individuals with military sexual trauma and non-combat PTSD. So we are very busy.I'd say personally the biggest challenge for me is when you see someone really needs help and that person is not willing to go get the help right now. There's still a huge stigma attached to mental health, and we can do everything we can to try and encourage people to come in. But we can't force folks to get treatment. And that can be really frustrating when you know somebody can really benefit from it.
NJ: I know that Secretary Eric Shinseki has said that one of the VA's top priorities is addressing mental health. How has things changed since the time you started to now?
Pollack: When I started here [in 2000], we were a team of six individuals. We now are 25 individuals. So I can say that the VA administration has certainly put its money where its mouth is in the sense of enhancing services that we're able to offer. We can obviously do a whole lot more with 25 staff members than we could with six. We still have Vietnam veterans coming in for treatment for the first time -- we still have World War II vets coming in for treatment for the first time. But certainly we're able to offer an array of services and able to offer a whole lot more. Mental health, not just within the PTSD realm, but mental health programs in general have been expanded greatly over the last couple of years and are continuing to do so.
NJ: Are the majority of the veterans you see from Operation Enduring Freedom and Operation Iraqi Freedom?
Pollack: Up until recently, primarily the... new patients coming in for treatment were still Vietnam veterans. But there actually has been a shift in terms of the referrals that we get where I would say it's actually 50/50. Probably 50 percent returning vets from OEF/OIF and 50 percent Vietnam vets. That doesn't exclude other veterans from other eras. Maybe 10 percent -- not that we can have 110 percent individuals -- but we do still get individuals coming in from the Persian Gulf, from Korea, from World War II, as well as some folks with some folks non-combat PTSD and military sexual trauma.
NJ: Is there anything else you'd like to add?
Pollack: It's a pretty good life. I really enjoy my job. I'm very lucky to be able to say that I go home from work at the end of the day and feel like I've had a good day and really enjoy what I'm doing. It's really meaningful to be able to give back to the men and women who served, and to do so whether it's in an administrative capacity, you know, a clinical capacity, or a research capacity. It's really great to be able to work for our veterans. And I think that's what everybody has to remember. We're here for the veterans. That's what our job is. It's a rewarding place to be.


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With all my respect for today's heroes from Iraq, and Afghanistan veterans, if they cannot get by on the benefits that are in place then I feel terrible for our nation.
As for the Department of Veteran Affairs they are doing a great job with what they are given. God bless them.
As for PTSD, if there is a problem with PTSD it is not because the VA does not try. It is because returning veterans come back to a nation stupefied by consumerism, brain dead trivial information, starting with the latest gimmick on television where people are declared stars without ever having done anything useful in society.
If you want to know what American veterans had it hard adjusting back, after war in our history look at the civil war veterans, WW 1 veterans, and yes today's lepers Vietnam veterans.
Arlington must rumble and the ground shake, with those heroes rolling over in the graves. If you want to help a combat vet with PTSD get involved in politics and turn the television off.
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