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It's totally freeing

Years of flashbacks sent Dave Hanson to the edge. Dave, his family, and his therapist explain how Prolonged Exposure therapy brought him back to a full and happy life.

Transcript

- [Cori] My dad would 
always have a baseball bat

near the door. 
[Hanson] Nine-millimeter

between my mattress 
and the box-spring.

- [Lindy] Locking the doors

and rechecking it. 
[Cori] I kinda thought

that was normal.

- [Lindy] He was obsessed

about that sort of thing. 
[Hanson] My wife was complaining

about my nightmares.

[Lindy] I could never wake him. 
[Cori] Hearing a helicopter

overhead would bring flashbacks.

- [Hanson] They started 
getting to be more frequent.

- [Lindy] "It's just 'Nam 
again," he would say.

"It's just Vietnam again."

(ominous music)

(gentle somber music)

[Hanson] One night I heard somebody 
running through the wood floor

on our entryway to the 
house to the kitchen

and I got up, I went 
to the stairwell.

I saw two Vietnamese - 
what we call zappers -

run across the hallway.

They were naked except 
for a diaper-like device

and they wore a lot 
of those for fear

of the cloth getting caught in 
a wire or something like that.

And I saw them run 
across that floor.

It just, it was so real.

I went up to the kitchen and 
I sat on the kitchen floor.

I was scared. I was mad. 
I was tired of this crap,

and I had this knife in my hand,

and that was about as 
close as I could get

to thinking about suicide.

(car engine droning)

[Lindy] Yes, I knew that he had 
all this pent-up frustration

and anger and 
sadness about Vietnam

but I just had no 
idea how bad it was.

- To know that he had 
all that inside him

and never said anything,

(sniffs)

- [Interviewer] Do you, 
want a tissue or anything?

- No, I just didn't 
expect to cry. (laughs)

And so my mom and 
my sister and I

essentially just told 
him, "We're here for you.

"You just let us know 
what you want us to do

or how we can help," 
and he said, "You know,

"this is really something 
I have to do for myself."

(gentle somber music)

- I think my first 
impression of him was

because he is so 
intelligent and articulate,

he was very good at masking

what was probably a lot 
of pain below the surface.

I think that's something he 
was probably very practiced at.

- You want me to 
be honest? (laughs)

My first impression was, 
"Wow, she's really young,

"and could she really understand 
what I was going through?"

One, two, she was very pretty.

Could she really understand 
what I was going through?

- And it took a bit of effort 
to ask the right questions

to help him see how 
bothered he was,

even after an event as extreme

as the one that 
brought him into care.

- Very, very quickly 
in our first meeting,

it became evident 
that her reasoning

for being there was to help me

and that became very 
evident very, very quickly.

- It was such a relief to know

that somebody cared enough to 
want to try and do something.

(gentle somber music)

The imaginal exposures are

where a person tells 
their trauma narrative.

They tell it several times 
within about 45 minutes

of our 90-minute session.

We record those narratives

and then we have the 
patient listen to them

at home on a daily basis.

- Listen to it again and 
a third and a fourth

and a fifth and a tenth time, 
and then the second night

and a third night 
and a fourth night.

- We repeat and 
repeat and repeat

until the emotion has worn out.

- That was extremely hard.

(gentle somber music)

[Jackie] In vivo exposures are 
the in-life exposures

where we identify specific 
behavioral avoidance

and we create a hierarchy 
from easiest to hardest

and have the veteran 
practice going

into usually a situation that 
they normally would avoid,

staying in that situation 
until their distress peaks,

and then comes down, and then 
trying it again the next day.

- He would watch 
maybe a war movie

but it was really, 
really difficult.

He would be sobbing and crying

and it affected him very deeply.

- The first movie that I watched 
was Good Morning, Vietnam .

And that's a pretty docile movie,

except for one explosion point.

My SUDS levels 
skyrocketed at that.

(gentle somber music)

But by watching that 
specific segment again,

and then again and again 
became very easy to do.

My levels went from 
80, 90% down to 40, 50%

after the fifth or sixth 
time of watching that.

And I thought to 
myself, "That's success.

"I can feel that, wow."

- I thought watching 
more war movies, I mean,

I just couldn't understand it. 
It just sounded crazy to me.

But now I can see 
the importance of it

and I can just see what a 
difference it really made for him.

- The SUDS levels - my 
anxiety levels - came down,

and it felt so good, 
it was unbelievable.

[Hanson] Jackie knew that my first 
several months in Vietnam

was involved with a night ambush 
team actually in the bush,

so we would go out at 
nine, ten o'clock at night,

come in at four in the morning.

So I was supposed to go into 
my woods and stand there.

(crickets chirping)

I got to the end of 
the garage and I froze.

I couldn't go into the 
woods. I just couldn't do it.

[Lindy] He said it was 
kind of scary

so I was wondering whether 
he would do it again

and again and again, but he did.

- The second night, I stood 
there for maybe five minutes

and I walked into the woods 
at night for the first time

in 25 years that we lived there.

(tense percussive music)

[Hanson] I stood there by a tree 
and I looked directly

at the tree trunk so 
that I wouldn't notice

any other movement around me.

But I was listening intently

because when you're in 
the jungle in Vietnam,

you use whatever you can use.

You gain a leg up on 
whoever is out there.

And I didn't really 
hear anything.

My anxiety levels after 
about a half an hour

came from 70, 80, down 
to about 40 or 50

and that was the first success

that I felt that second night.

- I don't know what made him

go with such gusto 
over the homework.

He really wanted it 
and I think he knew

he couldn't skimp on that, 
and I know it was hard,

but I was glad for 
us that he did it.

- [Lindy] I saw 
him be more relaxed

and each night that he did it,

I could tell it was 
getting easier and easier,

and then I didn't 
worry about it anymore.

[Hanson] The third night I went out,

anxiety levels were not as high

and they came down more quickly,

and the fourth night and the 
fifth night, even more so.

When I went out into the 
woods the sixth night,

my anxiety levels were normal,

and again, it felt 
like absolute success.

- What's fabulous about these 
therapies is that if you do them,

if you do them and you finish 
them, you will benefit.

But if you throw yourself 
in in the way that Dave did,

the magnitude of your 
benefit is so much greater.

- I walked in to our 
sixth week meeting.

Jackie asked how that all went

and I told her exactly what 
happened and exactly what I did.

My thought was, "I'm gonna 
ask her if I'm done,"

and there was a 
pause and she said,

"David, do you think you're done?"

And I said, "Yes." (laughs)

"I am," and that was the 
last time I saw her.

I'm done.

[Lindy] I'm amazed at how 
things have turned out.

We have a different life now.

It's different. We're like 
average, normal people

that can go to bed and sleep

and not have to deal with 
nightmares every night.

- I feel like I know 
my dad a lot better.

We talked a lot but it was 
a more superficial talk

and now when we talk,

sometimes it's the 
normal everyday chitchat,

and sometimes it's a really 
deeper meaningful conservation,

and we would've never 
had that five years ago.

- Since that day - that's 
a little over four years -

I have not had one flashback.

I've not had any nightmares.

I've not had any bad dreams.

I do hear unusual noises, 
but I don't get up

and go hunting for it.

I just go back to sleep.

I don't have any issues walking 
through our woods at night.

It's been totally freeing.

(gentle music)

(Jackie speaking faintly)

- Yes.

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