As a practicing psychiatrist who works with Veterans and civilians coping with PTSD, McLay had known for years before the September 11, 2001, attacks that effective treatments for the condition were elusive. When active duty called, he met the challenge, becoming the primary investigator on PTSD treatment projects that had Service Members face the ghosts of war in a computer simulator. After using this new form of exposure therapy on the home front, McLay and his team believed they had found a promising way to work with warriors broken by combat, so in 2008 they took it to the front line in Fallujah, Iraq, with the First Marine Expeditionary Force.
Several years into the project, McLay recounts openly and with bleak honesty the successes, failures, and limits of virtual reality treatment for PTSD. Filled with poignant firsthand accounts of war and its psychological aftermath, At War with PTSD explains the difficulties of using this specialized technology in the field and discusses such challenges as helping people who refuse to believe in PTSD, including those diagnosed with it. So far, the virtual reality program shows more promise than traditional therapies. And although McLay remains unsure why or how, his experiences hold out hope for those suffering from this devastating disorder.
Robert N. McLay, M.D., Ph.D., is a psychiatrist and research director with the Naval Medical Center San Diego. He came on active duty in the United States Navy in 2001 and shortly after the start of the war in Afghanistan became Primary Investigator on two Navy programs involving Virtual Reality treatment for PTSD.