The Problem | Ineffective
Support For Veterans

I
t is estimated that approximately 11-20% of veterans from Operation Iraqi Freedom and Operation Enduring Freedom, and as many as 30% of Vietnam War veterans, experience PTSD in a given year. Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), two of the Veterans Administrations’s (VA) first-line interventions for PTSD have been found effective for only between one-half and two-thirds of patients.

Left untreated, PTSD places veterans at great risk for violent and self-destructive behaviors, including:

  • Suicide—more than 6,500 vets die by suicide every year
  • Alcoholism and drug abuse
  • Severe depression, anxiety, or emotional numbness
  • Family and employment problems
  • Homelessness
“I put a loaded 45 pistol to my head in front of my wife and young daughter and I was going to kill myself. I had consistently thought about suicide before I learned TM. It changed everything.”
Luke Jensen, Afghanistan War Veteran

Our Approach | Resilient
Warrior Program

The Institute for Mental Health and Resilience has developed successful programs with many thousands of veterans, active-duty personnel, and military families.

Our Resilient Warrior Program, which teaches Transcendental Meditation (TM) to veterans and then studies and documents its effectiveness, has been shown in various research studies to be as effective (and sometimes even more effective) as Prolonged Exposure, VA’s gold standard treatment for PTSD, and significantly more effective than a PTS education control group. The most recent finding comes from a randomized control trial with 203 veterans conducted at the VA Health Center in San Diego, CA, which was funded by the Department of Defense and published in Lancet Psychiatry in 2018.

A marine veteran describes his “life-changing” first meditation and the positive impacts that TM has for himself and his family. “You become who you’re supposed to be.” (0:59 minutes) “Makes you whole again.” (4:10 minutes)

Partnerships

Bronx VA Resilience and Wellness Center
One of our most successful partnerships has been with the Bronx VA Resilience and Wellness Center (RWC). The RWC is an innovative program focused on suicide prevention, augmenting traditional treatments with complementary and integrative health interventions. TM have been part of the RWC since its inception in October 2018; over 100 high-risk veterans have learned TM there.
Other multi-year program partnerships include:
  • US Department of Veterans Affairs
  • VA New York Harbor Healthcare System
  • James J. Peters Department of Veterans Affairs Medical
  • Center
  • Brooklyn VA Medical Center
  • VA Hudson Valley Health Care
  • UCLA/VA Veterans Family Wellness Center
  • West Los Angeles VA Medical Center
  • Rocky Mountain Regional VA Medical Center
  • Palo Alto VA Medical Center
US Military Bases
  • Fort Belvoir, Virginia
  • Fort Bragg, North Carolina
  • Fort Gordon, Georgia
  • Fort Hamilton, New York City
  • Davis Monthan Air Force Base, Arizona
New York City
  • Backpacks For Life – providing a unique and personalized support system for homeless and at-risk veterans struggling to reintegrate into civilian life
  • Black Veterans Project – furthering research and storytelling to advance racial equity in and out of uniform, leading a movement for racial inclusion and justice across the military while ensuring the welfare of all Black veterans
  • City University of New York Office of Veterans
  • Jericho Project – increasing supportive and affordable housing options and creating employment opportunities for homeless and low-income veterans
  • New York Presbyterian Military Family Wellness Center at Columbia Veterans Research Center
  • Northwell Health Unified Behavioral Health Center for Military Veterans and their Families
  • NYC Department of Veterans Services
  • Samaritan Daytop Village – empoweringCoalition of New Yorkers to improve the quality of their lives through substance use and mental health treatment and supportive housing
  • Veterans Mental Health Coalition of New York City
California
  • Center for Innovation and Research on Veterans and Military Families at the University of Southern California
  • New Directions for Veterans – providing comprehensiveservices to thousands of veterans in Los Angeles County
  • UCLA Veteran Family Wellness Center
Colorado
  • Warriors Write – a retreat for women veterans from all branches, which offers monthly, in-person writing and creativity workshops at Sylvan Dale Ranch in Loveland, Colorado
Florida
  • Explosive Ordnance Disposal Warrior Foundation – serving the EOD community by providing financial assistance, scholarships, maintaining EOD Memorial and Remembrance Garden and providing hope and wellness resources for the active-duty, reserve, national guard, retired and veteran EOD community and their families
  • Wounded Warrior Project — through direct programs in mental health, career counseling, and long-term rehabilitative care, along with advocacy efforts, improves the lives of millions of warriors and their families
Massachusetts
  • Women Veterans Network – a unique social network of women veterans to foster connections and build relationships
  • Headstrong Project – provides barrier-free, stigma-free mental health treatment for veterans and their families
Washington, DC
  • Boulder Crest Retreat Foundation – home of Posttraumatic= Growth (PTG), offering life-changing programs free of charge to members of the military, veterans, and first responder communities and their families
  • National Defense University
  • Walter Reed National Military Medical Center
  • National Women Veterans Association of America
  • Navy SEAL V.E.T.S.
National Partnerships
  • Norwich University
  • Once a Soldier

Research On Transcendental Meditation And Ptsd

A
pproximately 400 peer-reviewed published research studies on TM at over 100 medical and research institutions throughout the world have demonstrated the benefits of TM in a wide-range of physical and mental health conditions, including cardiovascular disease and its risk factors, breast cancer quality of life, PTSD, depression, and anxiety. The National Institutes of Health and the Department of Defense have awarded research grants of nearly $30 million to study the effects of TM on stress, heart health, and PTSD conditions.

Current Multi-Site Randomized Control Trial On Meditation And Veterans With PTSD

In 2023, the David Lynch Foundation’s Institute for Mental Health and Resilience launched the largest study everTranscendental Meditation conducted on the impact of meditation on veterans and first responders with PTSD. The study is a multi-site randomized controlled trial that will evaluate whether the Transcendental Meditation (TM) technique is effective as a first-line treatment for PTSD. Secondary outcomes will include reduced depression, suicidal ideation, alcohol craving/usage, and improved sleep quality and quality of life. The 3-site study will take place at research universities around the U.S. with approximately 300 subjects. The goal of the study is to secure long-term government funding for TM.

Featured Research

Reference: Nidich, S., Mills, P., et al. Non trauma focused meditation versus exposure therapy in veterans with post-traumatic stress disorder: a randomized controlled trial. The Lancet Psychiatry. 2018, 5(2), 975-986.

Results Of Clinical Trials

PTSD AND DEPRESSION SYMPTOMS

Decreased PTSD Symptom Severity, Depression, and InsomniaJournal of Traumatic Stress. 2022; RCT

Forty veterans, diagnosed with PTSD, were assigned to TM or Treatment as Usual (TAU) control group. Participants were measured at baseline and after three months. A significant decrease in PTSD symptom severity, using the Clinician-Administered PTSD Scale (CAPS-5) was found for the TM group compared to the TAU group at three-month posttest (between group effect size Cohen’s d=0.86). Fifty percent of veterans in the TM group no longer met PTSD diagnosis at posttest, compared to 10% in the TAU group (p=.007). Significant reductions were also found for depression, anxiety, and sleep problems for the TM group compared to TAU (Cohen’s effect sizes ranged from .82 to 1.0).

Research Field Site: Northwell Health, Long Island, NY

Private foundation funding

Reference: Bellehsen, M, Stoycheva, V, et al. Transcendental Meditation as a treatment for PTSD in veterans. Journal of Traumatic Stress. 2022, 35(1), 22-31.doi.org/10.1002/jts.22665

Improved PTSD Symptoms, EEG, Depression, and Quality of LifePsychological Trauma: Theory, Research, Practice, and Policy. 2018; One Group pretest-posttest)

Twenty-nine veterans were recruited into the study and taught the Transcendental Meditation program. From baseline to posttreatment, participants reported reductions in PTSD symptoms, experiential avoidance, and depressive and somatic symptoms, as well as increases on measures of mindfulness and quality of life. Gains were either maintained or continued to improve through the 2-month follow-up. Compared to baseline, EEG spectral power increased in low-frequency bands (1–7 Hz) at posttreatment and follow-up and only during meditation states suggesting TM-specific changes in brain state associated with the intervention. Following TM practice, veterans with PTSD showed improvements in PTSD symptoms, as well as increased low-frequency (1–7 Hz) EEG power that might reflect enhanced cognitive controls and internally directed attention in participants. These improvements were either maintained or continued to improve through the 2-month follow-up.

Private funding

Reference: Kang S.S., et.al. Transcendental meditation for veterans with post-traumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy. 2018 Nov;10(6):675-680. doi:10.1037/tra0000346. Epub 2018 Jul 19.

Reduced PTSD and Depression SymptomsThe Lancet Psychiatry. 2018; RCT

This randomized controlled study of 203 Veterans with PTSD, funded by the Department of Defense and conducted at the San Diego VA, compared the non-trauma-focused practice of Transcendental Meditation (TM) with the “gold standard” trauma-focused prolonged exposure (PE) therapy in a non-inferiority clinical trial, and compared both treatments to a PTSD health education (HE) control. For PTSD symptom severity total scores, using the Clinician-Administered PTSD Scale (CAPS-IV), both TM and PE were significantly superior to HE, with TM being non-inferior to PE over a three-month period. Similar results were found for depression using the Patient Health Questionnaire (PHQ-9). In terms of percentages of Veterans exhibiting clinically significant change on the CAPS (equal to or greater than a 10-point reduction), 61% of those receiving TM, 42% of those receiving PE, and 32% of those receiving HE showed clinically significant improvements. Results indicated the effectiveness of TM in decreasing PTSD symptom severity in Veterans and serving as an alternative for those who prefer not to receive or who do not respond to traditional exposure-based treatments of PTSD. 

Research Field Site: VA San Diego 

Department of Defense Grants W81XWH-12-1-0576, W81XWH-12-1-0577

Reference: Nidich, S., Mills, P., et al. Non trauma focused meditation versus exposure therapy in veterans with post-traumatic stress disorder: a randomized controlled trial. The Lancet Psychiatry. 2018, 5(2), 975-986.

Reduced Anxiety and PTSD symptoms and Decreased Usage of MedicationMilitary Medicine. 2016; Controlled non-randomized

This study included 74 active military with documented PTSD or anxiety disorder not otherwise specified (ADNOS), 37 that practiced TM and 37 who did not. At 1 month, 83.7% of the TM group stabilized, decreased, or ceased medications and 10.8% increased medication dosage; compared with 59.4% of controls that showed stabilizations, decreases, or cessations; and 40.5% that increased medications (p < 0.03). A similar pattern was observed after 2 (p < 0.27), 3 (p < 0.002), and 6 months (p < 0.34). Notably, there was a 20.5% difference between groups in severity of psychological symptoms after 6 months.

Field Site: Fort Gordon, GA

Private foundation funding

Reference: Barnes V.A., et al. Transcendental Meditation and psychotropic medication use among active duty military service members with anxiety and PTSD. Military Medicine. 2016 Jan;181(1):56-63. doi: 10.7205/MILMED-D-14-00333.

Other Populations

Decreased PTSD Symptoms in Female InmatesThe Permanente Journal. 2017; RCT

Twenty-two female inmates at the Coffee Creek Correctional Facility in Wilsonville, OR, with at least 4 months left of incarceration were randomly assigned to either TM or a wait-list control group. Significant reductions were found over several months on total trauma symptom severity, intrusive thoughts, and hyperarousal, using the well-validated PTSD Symptoms Checklist (PCL-C). Effect sizes ranged from 0.65 to 0.99 for all variables.

Field Site: Oregon State Prison System

Private foundation funding

Reference: Nidich S., et al. Reduced trauma symptoms and perceived stress in female prison inmates through the Transcendental Meditation program: A randomized controlled trial. The Permanente Journal. 2017, 21, 16-0008.

Decreased PTSD Symptoms, Anxiety, Perceived Stress in Male InmatesThe Permanente Journal. 2016; RCT

Trauma events are four times more prevalent in inmates than in the general public and are associated with increased recidivism and other mental and physical health issues. One hundred eighty-one male prison inmates with a moderate- to high-risk criminal profile were randomly assigned to either the TM program or to a treatment-as-usual control group. The TM group compared to controls showed significant reductions in total trauma symptoms, anxiety, depression, dissociation, and sleep disturbance subscales, and perceived stress. 

Field Site: Oregon State Prison System

Private foundation funding

Reference: Nidich S., O’Connor T., Rutledge T., et al. Reduced trauma symptoms and perceived stress in male prison inmates through the Transcendental Meditation program: A randomized controlled trial. The Permanente Journal. 2016, 20(4): 43-47.

Decreased PTSD Symptoms and Increased Flourishing in NursesJournal of Nursing Administration. 2024; RCT

This clinical trial included a total of 104 nurses at three sites, including Sarasota Memorial Hospital, Florida, randomized to either TM or usual care control groups. Measures were administered at baseline, one-month, and three-months. Results indicated significant improvements at both one-month and three-month testing periods. Three month findings showed significant decreases in PTSD symptom severity in the TM group compared to controls (p< .006; between-group effect size d=.67) and the variable of flourishing (primary outcome; p< .006; d=.65). Compliance with TM home practice was 90%.

Field Site: Sarasota Memorial Hospital

Private foundation funding

Reference: Bonamer J, Kutash M, Hartranft S, Aquino-Russell C, & Johnson A. Transcendental Meditation improves clinical nurse-well being: a multi method randomized controlled trial. Journal of Nursing Administration. 2024 54(1),16-24.

Conferences

July 2023 Virtual Town Hall for Veterans

In this virtual town hall forum, the David Lynch Foundation provides updates on some of the most exciting and inspiring achievements from our important and impactful work with Veterans, from our Resilient Warrior program.

Veterans Advisory Board

Keren Bachi, PhD
Assistant Professor, Psychiatry Assistant Professor, Environmental Medicine and Public Health at the Mt. Sinai Icahn School of Medicine
James Galvin, MD
Founding Director of the Comprehensive Center for Brain Health, Professor of Neurology and Professor of Psychiatry and Behavioral Sciences at the University of Miami School of Medicine
Kisha Holden, PhD, MCSR
Poussaint-Satcher Endowed Chair in Mental Health and Associate Director of the Satcher Health Leadership Institute at Morehouse School of Medicine
Gabor Kelen, M.D., FRCP(C), FACEP, FAAEM
Director, Department of Emergency Medicine, Professor of Emergency Medicine
Alexander Kolevzon, MD
Child and Adolescent Psychiatrist and Professor of Psychiatry and Pediatrics at the Icahn School of Medicine at Mount Sinai
Yuval Neria, PhD
Professor of Clinical Medical Psychology at Columbia University, Departments of Psychiatry and Epidemiology, and Director of Trauma and PTSD at the New York State Psychiatric Institute (NYSPI)
Mark Rapaport, MD
Chairman of the Department of Psychiatry and CEO of the Huntsman Mental Health Institute (HMHI) at the University of Utah
Norman Rosenthal, MD
Clinical Professor of Psychiatry at Georgetown University School of Medicine
William Stixrud, PhD
Clinical Neuropsychologist and founder of The Stixrud Group, Teaching Faculty at Children’s National Medical Center and an Assistant Professor of Psychiatry and Pediatrics at the George Washington Univ. School of Medicine
“To become a great leader meditate because it is in the quiet that we can find our greatness. My daily practice of TM has brought me peace helped me to maintain perspective amid chaos.”
Hassan A. Tetteh,
Heart and Lung Transplant Surgeon
Warfighter Health Mission Chief
DoD Joint Artificial Intelligence