Integrated Health Care for Post-Traumatic Stress Disorder

This trial explores how different integrative care approaches can help Veterans with post-traumatic stress disorder (PTSD) improve daily functioning. Participants will receive 12 weeks of care, which may include usual care, yoga and meditation, wellness classes, or classes to boost positive feelings and social support. The goal is to determine which type of care works best and how these treatments can be effectively used in the VA Healthcare System. Veterans diagnosed with PTSD and eligible for Cognitive Processing Therapy (CPT) at a participating VA site might be a good fit for this trial. As an unphased trial, this study offers Veterans the chance to explore innovative care approaches that could enhance their well-being.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

Research shows that the treatments tested in this trial are generally safe for people. Each type of treatment offers specific benefits:

1. **Yoga and Meditation**: Studies have found that yoga and meditation are safe and can alleviate PTSD symptoms. They lower stress and improve mood without causing serious side effects.

2. **Wellness (Exercise and Nutrition)**: Exercise is safe and beneficial for people with PTSD, reducing anxiety and aiding sleep. Research indicates that exercise and nutrition programs are well-received and can enhance overall mental health.

3. **Positive Affect (Increasing Positive Feelings)**: Focusing on positive feelings and building social connections is safe and helpful. Studies suggest that strong social ties boost mental health and help manage PTSD symptoms.

Researchers are excited about the Integrated Health Care for PTSD trial because it explores alternative approaches to managing PTSD that go beyond traditional therapies like medication and talk therapy. This trial investigates the potential benefits of yoga and meditation, which use Hatha yoga classes and the Mantram Repetition Program to promote mental well-being through relaxation and mindfulness. Additionally, the wellness arm focuses on lifestyle changes with exercise and nutrition classes, aiming to support overall health. The positive affect arm seeks to enhance emotional well-being and social support, providing a holistic approach to mental health. These methods could offer new, non-pharmacological options for individuals with PTSD, potentially enhancing their quality of life in ways that standard treatments may not.

This trial will compare various treatment approaches for PTSD. Participants in the "Yoga and meditation" arm will engage in Hatha yoga classes via videoconferencing and self-learn the Mantram Repetition Program. Studies have shown that yoga and meditation can reduce symptoms like depression, anger, and trouble sleeping.

The "Wellness" arm will involve weekly exercise and nutrition classes to support lifestyle changes. Research suggests that regular exercise and a healthy diet can improve mental health and sleep for those with PTSD.