Jessica and Belissa Scherer Fernandez, the sixth-year medical students from Brazil, alongside translator and fifth-year Ukrainian medical student Maria Hrabovetska, are leading groundbreaking research on Imagery Rehearsal Therapy (IRT) and Self-Talk Rehearsal Therapy (STR). These techniques have demonstrated effectiveness in reducing trauma-related nightmares, alleviating distressing daytime symptoms, and fostering inner peace.

This study is the first to apply IRT and STR with active-duty soldiers before going back to war, a population previously unstudied in this context. Earlier research focused on non-active veterans and survivors of sexual abuse. This pioneering effort, inspired by a meeting with Dr. Michael Hollifield in Lviv, Ukraine, represents a significant advance in trauma care in medicine. Dr. Hollifield, a U.S.-based expert in psychiatry and family medicine, has been mentoring the team throughout the project.

Research Overview and Approach

The study involves three structured sessions and groups containing 3-5 participants, average total of 40 participants, control and intervention groups together. Each session is 2–3 hours long, time demanding and emotionally challenging but an impactful commitment. Soldiers are provided with a manual detailing the techniques and exercises, fostering engagement and personal reflection.

• Session 1 introduces participants to the project, the science of trauma, and coping mechanisms, including relaxation and breathing techniques.
• Session 2 focuses on practical application of IRT and STR, offering tools to reframe trauma-related experiences.
• Session 3 serves as a troubleshooting and recap session, emphasizing the importance of daily practice for lasting results.

Early Results and Impact

Participants are reporting significant improvements, including reduced nightmares, improved coping strategies, and a greater sense of control during trauma triggers. Two soldiers have achieved complete remission of nightmares. Observing psychiatrists in the department have noted positive behavioral changes, reinforcing the efficacy of the therapy.

The low dropout rate (three participants) highlights the project’s appeal, with some soldiers unable to continue due to unexpected redeployment. Pre- and post-study psychiatric evaluations are being used to measure the intervention’s impact systematically.

Acknowledgments and Future Implications

Belissa and Jessica extend their gratitude to the Psychiatric Department, especially Dr. Liuta Olha Oleksandrivna, for her support, and to Dr. Michael Hollifield for his invaluable guidance. The success of this initiative demonstrates the potential for IRT and STR to transform trauma care for active soldiers globally.

TNMU is immensely proud of Jessica and Belissa for their dedication and innovation in addressing the psychological toll of war. Their work is a testament to the power of compassion and science to bring hope to those who serve on the front lines.