Case Study: HBOT Helps a Vietnam Veteran with PTSD

This case explores the use of Hyperbaric Oxygen Therapy (HBOT) as a treatment for post-traumatic stress disorder (PTSD) in a Vietnam War veteran.?

John*, a 75-year-old Vietnam War veteran came to us with a long-standing history of PTSD symptoms, including intrusive thoughts, nightmares, hypervigilance, and irritability.

?He was hit by artillery in the head , arm and leg, but unfortunately 3 fellow servicemen next to him were immediately killed.

Over the years he has been suffering with anxiety, which can lead to severe panic attacks, depression, intermittent insomnia, nightmares and night terrors. He also has difficulty with his interpersonal relationships. In the beginning he wasn't able to recognize why he was feeling this way, but after time realized that he was suffering from PTSD.

He receives medical care at the local VA hospital, and was attending regular counseling sessions as well as group therapy. Despite participating in conventional therapies, his symptoms persisted and significantly impacted his daily life, interpersonal relationships, and overall quality of life. In consultation with his healthcare provider, he decided to explore HBOT as an alternative treatment option.?

CASE STUDY:?

Patient Age: 75

Gender: Male?

Presentation: Patient presented with a long-standing history of PTSD symptoms, including intrusive thoughts, nightmares, hyper-vigilance and irritability.?

Health History:

Patient was hit?by artillery in the head , arm and leg, and witnessed 3 fellow servicemen be immediately killed. Over the years he has been suffering with anxiety, which can lead to severe panic attacks, depression, intermittent insomnia, nightmares and night terrors. He also has difficulty with his interpersonal relationships.?

He receives medical care at the local VA hospital, and was attending regular counseling sessions as well as group therapy.

Personalized Treatment Protocol: Hyperbaric Oxygen Therapy 5 days a week for a total of 40 sessions. Session length of 60 minutes at 1.5 ATA.

Patient Outcome:

Patient was reassessed?using the CAPS and PCL-5. The post-treatment scores demonstrated a significant reduction in overall symptom severity compared to baseline.

The patient reported a decrease in intrusive thoughts, nightmares, hypervigilance, and irritability. Additionally, improvements were noted in his mood, sleep quality, and overall functioning. He also reported a greater sense of calmness, improved ability to manage stress, and enhanced social interactions.

Notes from the clinical team at Hyperbaric Medical Solutions about HBOT for PTSD:

Post-traumatic stress disorder (PTSD) is a debilitating psychiatric condition that can develop following exposure to traumatic events. Among veterans, PTSD is very prevalent. Standard treatment options for PTSD include psychotherapy, medication, and cognitive-behavioral interventions. However, not all individuals respond favorably to these approaches, necessitating the exploration of alternative therapies such as Hyperbaric Oxygen Therapy (HBOT).

"Over the years we've treated hundreds of patients experiencing miltary-based PTSD. One patient who had a very similar story to this case, but was borderline suicidal and we were concerned he was a danger to himself - within 2 weeks of HBOT treatments, we saw a huge turnaround in his mental health!" - Alan Katz, MD, National Medical Director

HBOT involves the administration of 100% oxygen in a pressurized chamber, allowing the patient to breathe in oxygen at a higher pressure than atmospheric conditions. The increased pressure facilitates the dissolving of oxygen into the bloodstream, resulting in elevated tissue oxygen levels. This therapy has been primarily used for treating conditions like decompression sickness, non-healing wounds, and carbon monoxide poisoning.

HBOT and Neuroplasticity

Neuroplasticity refers to the brain's ability to reorganize and adapt its structure and function in response to experiences, learning, and changes in the environment. It involves the creation of new neural connections, strengthening existing ones, and even rewiring neural pathways. This process is essential for learning, memory formation, and recovery from brain injuries or diseases.

Hyperbaric oxygen therapy (HBOT) has been suggested to improve neuroplasticity by enhancing oxygen delivery to the brain, promoting neurogenesis, and reducing inflammation.?

"Emerging evidence suggest HBOT has potential in modulating neuroinflammatory processes and promoting neuroplasticity, making it a promising treatment for PTSD." - Alan Katz, MD, National Medical Director

Conclusion

The positive outcomes observed in this case suggest that HBOT may hold promise as an effective treatment option for individuals with treatment-resistant PTSD, even for PTSD originating as far back as the?Vietnam War. The potential mechanisms of action of HBOT, including increased tissue oxygenation, modulation of neuroinflammation, and promotion of neuroplasticity, may contribute to its therapeutic effects in PTSD.?

More about the Author & Co-Author:

This case was presented and co-authored by Jodi Velocci, RPA-C, one of the lead physician assistants at HMS, who is overseen by Alan Katz, MD, the National Medical Director.