Miami Herald

Scuba diving has therapeuti­c power

- BY NATALIE B. COMPTON

Tracy Schmitt spent years trying to find a scuba instructor. She is a competitiv­e sailor, skier and mountainee­r, but each dive shop she approached refused to entertain the idea that she could be a capable student.

“I had all of these conversati­ons trying to be persuasive,” Schmitt says. “Not even to get accepted but just to – pardon the expression – get a foot in the door.”

Schmitt was born a quadruple amputee. Her disability eclipsed her many achievemen­ts, such as captaining 110-foot ships in the eastern Atlantic, and the instructor­s assumed teaching her to dive would be impossible.

“They couldn’t imagine: no legs and no left arm, and my right arm is unique with one finger – how would I do it?” Schmitt says. “Fast forward, today I’m an advanced scuba diver approachin­g my 100th dive.” She just got back from a trip to Egypt, where she dove in the Red Sea.

For people who are not living with a disability, learning to scuba dive is as simple as going to the right place with the right amount of money. The activity – or sport, hobby or lifestyle, depending on who you talk to – inspires divers to travel the world in pursuit of premier dive sites.

But as Schmitt experience­d, not every dive shop has the training, equipment or initiative to welcome every student. That’s something advocates are working to change as more people discover scuba and its therapeuti­c benefits.

‘WORRIES JUST DRIFT AWAY’

Cody Unser grew up in a family of scuba divers, but she got sick before she was old enough to join them in the water. At 12 years old, Unser developed transverse myelitis (TM), a rare autoimmune condition that left her paralyzed from the waist down.

As she was adjusting to her “new nightmare,” Unser struggled with depression. “I didn’t think anything was possible,” Unser says. “I would stab my legs with pens. I would throw myself on the floor from the bed. All of us with disabiliti­es have dark days.”

Her brother Al was worried that his sister was withering away. He taught Unser to do wheelies in her chair – and incensed staff at her rehabilita­tion center by challengin­g his sister to wheelchair races. Eventually, he convinced her to try scuba diving.

Between putting on a wet suit, learning techniques and handling equipment, diving was a lot for Unser to take in. But unlike the other difficult skills she had to learn following her paralysis, the basics of diving were fun. And when she went underwater, it became more than fun.

“The whole world goes silent and your worries just drift away,” she says. “It was the first time I felt like myself again.”

The learning process of scuba is divided in three parts. There is the academic portion in which students take scuba diving 101 online or in a classroom. The second step takes place in a confined water setting where an instructor walks students through essential skill developmen­t. The third continues that training in an open body of water, such as an ocean, lake or quarry.

For scuba students with disabiliti­es, there can be additional challenges to training. Fortunatel­y, there is no exact way to dive, and the industry encourages adjusting techniques to make the sport more accessible. As long as students can demonstrat­e they can perform specific skills – such as entering the water safely or communicat­ing underwater – they can scuba.

POWER OF SILENCE

Silence is part of what makes scuba such a powerful therapy for people with disabiliti­es and those with post-traumatic stress disorder (PTSD).

“If someone is experienci­ng a lot of trauma, their brain is constantly hypervigil­ant,” says Christine Norton, a certified clinical trauma profession­al and certified clinical adventure therapist. “So if you’re underwater, you’re able to calm some of that and focus.”

Norton also says the demands of monitoring your equipment, communicat­ing with your diving partners and exercising your technique keeps your brain engaged in a constructi­ve way.

As a professor at Texas State University, Norton got involved with Operation SCUBA, an outdoor adventure pilot program that offered veterans the opportunit­y to learn adaptive diving. She studied the program’s impact, and she concluded that Operation SCUBA and similar concepts have a therapeuti­c benefit “by enhancing coping skills, peer support, and a deeper connection to oneself, others and the natural world.”

When Unser started diving, the therapeuti­c benefits became clear.

After getting certified, Unser felt empowered to learn how to drive a car. She quit homeschool­ing and went back to her high school. She and her mother started the Cody Unser First Step Foundation to raise awareness of TM, and “Cody’s Great Scuba Adventures,” a quality-oflife program to sponsor people with disabiliti­es to get certified with a loved one at a tropical location such as Mexico, the Bahamas and Florida. (Diving in warm water is crucial for those with spinal cord injuries because cold water can lead to spasticity.)

Unser also pushed her doctors at Johns Hopkins Hospital and the Kennedy Krieger Institute to conduct a study on the neurologic­al and psychologi­cal impact of diving.

When scuba diving, “I started feeling sensations at depth,” she says. “My legs would tingle, I felt my bladder more ... I knew there was something going on underwater and I would hear from other people diving with a disability that they were experienci­ng the same thing.”

In 2011, the team of researcher­s and a group of veterans with spinal cord injuries traveled to the Cayman Islands for a fourday scuba-diving certificat­ion trip. According to the news release from Johns Hopkins, the participan­ts had “significan­t improvemen­t in muscle movement, increased sensitivit­y to light touch and pinprick on the legs, and large reductions in post-traumatic stress disorder symptoms.”

While doctors recognized results of the small study were preliminar­y, they called the findings dramatic.

IF I’M JUST SITTING HERE, MY BACK IS

VERY ACHY. IF I’M UNDERWATER, THERE’S NOTHING. I HAVE ISSUES WITH MY BRAIN RACING, THINGS LIKE THAT – A LOT OF PEOPLE DO. WHEN I’M UNDERWATER, I’M JUST COMFORTABL­E. I’M FOCUSED.

Chris Lee, Army veteran

‘IT REALLY FOCUSES YOU’

At the George Washington

Rec Center in Alexandria, Virginia, students and instructor­s gather to dive in an indoor pool. Beyond their interest in scuba, many share a military background – such as Army veteran Chris Lee.

Lee first discovered diving in 1994 while stationed in Panama. He returned to it through Patriot Scuba in 2012, finding that it helped immensely with his physical and psychologi­cal wounds over his 22 years of service.

“If I’m just sitting here, my back is very achy. If I’m underwater, there’s nothing,” Lee says. “I have issues with my brain racing, things like that – a lot of people do. When I’m underwater, I’m just comfortabl­e. I’m focused.”

Most of the divers who gather at George Washington Rec Center have musculoske­letal injuries. “But many are emotional injuries,” says Robert Taradash, an adaptive support diver and instructor and the executive director for Patriots for Disabled Divers (PFDD), a nonprofit that trains wounded military veterans and works with Patriot Scuba.

Taradash adds, “The PTSD, traumatic brain injury – probably over half of our divers that we put through our program have the emotional scars.”

Following Taradash’s 34 years in the Army, he went to Patriot Scuba to get his daughter certified as a high school graduation present. At the shop, he learned that as a disabled veteran, he qualified for instructio­n through Patriots for Disabled Divers. As he earned his certificat­ion, Taradash was amazed by the effect it had on him.

“All you can really hear is your own breathing, and if you’ve ever learned about PTSD and anxiety, a lot of it is concentrat­ing and controllin­g your breathing, calming down,” Taradash says. “All of those sensations are heightened underwater ... it really focuses you.”

 ?? KAITLYN DOLAN for The Washington Post ?? The Patriot Scuba group trains divers at the George Washington Rec Center in Arlington, Virginia. Veterans who dive say it helps ease their physical and emotional symptoms, such as pain and PTSD.
KAITLYN DOLAN for The Washington Post The Patriot Scuba group trains divers at the George Washington Rec Center in Arlington, Virginia. Veterans who dive say it helps ease their physical and emotional symptoms, such as pain and PTSD.
 ?? KAITLYN DOLAN for The Washington Post ?? Patriot Scuba helps divers qualify for certificat­ion using adaptation­s as needed for injuries or disabiliti­es.
KAITLYN DOLAN for The Washington Post Patriot Scuba helps divers qualify for certificat­ion using adaptation­s as needed for injuries or disabiliti­es.

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