Doggedly serving veterans | va coatesville health care | veterans affairs

After decades of avoiding facing the traumatic events she experienced in Kuwait and treating her post-traumatic stress disorder (PTSD) with a medication-only treatment plan, this Veteran

lost her job, her partner, and nearly lost her home and her life. Renè Toney separated from the Army after 13 years of service. During a deployment to Kuwait, she was triaging enemy

prisoners of war when the events that caused her trauma occurred. For years she was regularly triggered by sundown and relived her experience when the sun began to set.  CONFRONTING TRAUMA

These days Toney finds herself doing the hard work she spent so many years avoiding through Prolonged Exposure therapy with support from a yellow Labrador Retriever, Jackson; her service dog

by her side.   Prolonged Exposure is a psychotherapy also known as talk therapy used to decrease PTSD symptoms by gradually approaching trauma-related memories that a Veteran has been

avoiding.  “The first time you do Prolonged Exposure is very, very emotionally overwhelming.” The therapy sessions can arouse Toney’s PTSD.  SERVICE ANIMALS Service dogs are trained to

identify the Veteran’s unique stressors and disrupt the symptoms before they escalate any further. Jackson’s service supports Toney's daily life while she is out in public, at home in

bed, and during therapy sessions where Toney is now facing her PTSD. When a session triggers a flashback Toney is unaware of anything happening around her. Jackson will instantly go from

laying on the floor to being pressed up against her and will remain by her side. “When it’s all over and you sort of come out of that imaginary process, he's there.”  “Jackson does an

enormous amount for me in terms of panic and anxiety attacks. He will let me know long before I know that a panic attack or an anxiety attack is coming.” Jackson, who is trained to the 

Americans with Disabilities Act standards, will lean hard into Toney. “He will not leave that position until that attack is done. And even though I may not feel it anymore, it's not

done until he knows it's done.” ON CALL 24/7 Jackson is on call for Toney 24/7 but he is not on duty every minute of the day. “When his vest is on, he is locked in on me and whatever it

is I need.”  During downtime he gets to take the vest off, his favorite word and his favorite game is frisbee. “He will run a frisbee until you do not throw it anymore.” Toney makes sure he

gets to play as often as she can. “His service is a very real service. He works really hard. I'm blessed and thankful because otherwise, my life would be very different, and my world

would be much smaller.” Veterans who are ready to face the trauma behind their PTSD can get help in finding a therapist or review self-help and coping tools to manage stress.  If you are

experiencing a crisis, call the Veterans Crisis Line at 988 and then press 1 to speak with a responder qualified to support Veterans or text 838255.