All Roads Lead To Where I Stand: A Veteran Case Review


  • Kristen Stewart VA - Hudson Valley Healthcare System




The purpose of this article is to illustrate individualized clinical practice in music therapy as part of treatment programming for veterans with PTSD. Multidimensional aspects of treatment are referenced through an integrative and multi-modal approach to highlight the coordination of processes in meeting veteran needs and goals. The incorporation of Somatic Experiencing® techniques will also be highlighted as a means of promoting stabilization and developing resiliency by increasing awareness of sensate experience to help resolve fixated physiologic states due to traumatic stress. Current trauma models will be reviewed to help explore additional needs for growth in music therapy practice in the treatment of veterans coping with trauma.

Author Biography

Kristen Stewart, VA - Hudson Valley Healthcare System

Kristen Stewart, MA, LCAT, MT-BC, holds two post-graduate certifications in trauma treatment, has worked to develop a new model of treatment for trauma prevention in preterm infants (PATTERNS), and has evolved her music therapy practice through her work in medical, educational, mental health and residential contexts. She is currently working with veterans in the VA – Hudson Valley Healthcare System.



Rourke, Margaret Ann (1996). Music and the Wounded of WWII. Journal of Music Therapy, Vol. 33 (3), pp. 189-207.

U.S. War Department (1945). Technical Bulletin 187: Music in reconditioning the American Service Forces convalescent and general hospitals. Washingtion, D.C. : U.S. War Department.

American Music Therapy Association. Music Therapy and Military Populations. [Online] American Music Therapy Association, March 3, 2014. [Cited: February 8, 2018.]

Bensimon, Amir and Wolf (2012). A pendulum between trauma and life: Group music therapy with post-traumatized soldiers. The Arts in Psychotherapy, Vol. 39, pp. 223-233.

Davis et al (2014). Complementary and alternative medicine among veterans and military personnel: A synthesis of population surveys. 12 Suppl 5, s.l. : Medical Care, 2014, Vol. 52. pp. S83-S90.

Americans for the Arts (2013). Arts, health and well-being across the military continuum. Washington, D.C. : Americans for the Arts.

U.S. Department of Veteran Affairs. PTSD: National Center for PTSD. U.S. Department of Veteran Affairs. [Online] October 3, 2016. [Cited: March 31, 2018.]

Stewart, Kristen (2009). PATTERNS - A model for evaluating trauma in NICU music therapy: Part I - Theory and design. Washington, D.C. : Sage, Vol. 1 (1), pp. 29-40.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed). Arlington : Author.

van der Kolk, Bessel A (2001). The assessment and treatment of complex PTSD. [book auth.] ed. Rachel Yehuda. Traumatic Stress. Washington, D.C. : American Psychiatric Press.

Britvic et al (2015). Comorbities with posttraumatic stress disorder (PTSD) among combat veterans: 15 years postwar analysis. International Journal of Clinical and Health Psychology, Vol. 15, pp.

Gonzales-Nolas, Cheryl. Dual Diagnosis. U.S. Department of Veteran Affairs. [Online] February 26, 2014. [Cited: March 31, 2018.]

Wilber, Ken (1996). A brief history of everything. Boston : Shambhala.

Forman, Mark D (2010). Integral theory and the principles of integral psychotherapy. A guide to integral psychotherapy. Albany : SUNY Press. Evidence-based treatment planning for post-traumatic stress disorder (for counselors). U.S. Department of Veteran Affairs - Talent Management System. [Online] December 16, 2016. [Cited: March 23, 2018.]

Fatter, Daphne (2018). Integrating traumatic memories: Conceptualization and clinical considerations in evidence-based approaches to trauma processing home study. TZK Seminars.

Fatter, Daphne (2018). Utilizing phase-oriented treatment and adjunctive interventions to regulate arousal in trauma treatment home study. TZK Seminars.

Herman, Judith (1992). Trauma and recovery. New York : Basic Books.

van der Hart, Brown & van der Kolk (1989). Pierre Janet's treatment of posttraumatic stress. Journal of Traumatic Stress, Vol. 2(4), pp. 379-395.

van der Kolk, McFarlane & van der Hart (1996). A general approach to treatment of posttraumatic stress disorder. [book auth.] McFarlane & Weisaeth, ed. van der Kolk. Traumatic stress: The effects of overwhelming experience on mind, body and society, pp. 417-440. New York : Guilford Press.

U.S. Department of Veteran Affairs. Evidence-based treatment planning for PTSD. U.S. Department of Veteran Affairs - Talent Management System. [Online] December 16, 2016. [Cited: March 23, 2018.]

Schnurr, Paula P (2008). Treatments for PTSD: Understanding the evidence. The National Center for PTSD, Vol. 19(3). ISSN:1050-1835.

U.S. Department of Veterans Affairs and Department of Defense (2017). VA/DOD Clinical practice guideline for the management of post-traumatic stress disorder and acute stress disorder: Clinical summary. Washington, D.C. : U.S. Department of Veterans Affairs and Department of Defense.

Foa, E.B., Keane, T.M., Friedman, M.J., & Cohen, J.A. (ed.) (2010). Effective treatments for PTSD: Practice guidelines from the international society for traumatic stress studies. New York : Guilford Press.

Levine, Peter A. (1997). Waking the tiger: Healing trauma. Berkeley : North Atlantic Books.

Levine, Peter A. (2010). In an unspoken voice: How the body releases trauma and restores goodness. Berkeley : North Atlantic Books.

Poole-Heller, D. & Levine, P.A. (2002). Somatic experiencing: Beginning level curriculum. Unpublished manuscript.

Bosco, Frank (2010). Translating somatic experiencing and gesalt therapy for trauma resolution into music therapy practice with adults. [book auth.] ed. Kristen Stewart. Musis therapy & trauma: Bridging theory and clinical practice, pp. 58-73. New York : Satchnote Press.

Brom et al (2017). Somatic experiencing for posttraumatic stress disorder: A randomized controlled outcome study. Online : Journal of Traumatic Stress, Vol. 30(3).

Levitin, Daniel J. (2013). Neural correlates of musical behaviors: A brief overview. Music Therapy Perspectives, Vol. 31(1), pp. 15-24.

Chanda, M.L. & Levitin, D.J. (2013). The neurochemistry of music. Trends in Cognitive Sciences, Vol. 17(4), pp. 179-193.

Abrams et al (2013). Inter-subject synchronization of brain responses during natural music listening. European Journal of Neuroscience, Vol. 37(9), pp. 1458-1469.

Dillman Carpentier, F.R. & Potter, R.F. (2007). Effects of music and physiological arousal: Explorations into tempo and genre. Media Psychology, Vol. 10, pp. 339-363. ISSN: 1521-3269.

Porges, Stephen W.(2010). Music therapy and trauma: Insights from the polyvagal theory. [book auth.] ed. Kristen Stewart. Music therapy & trauma: Bridging theory and clinical practice. New York : Satchnote Press.

Gendlin, E.T. Focusing. New York : Everest House, 1978.






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