Scuba diving therapy is a type of treatment that consists of a variety of scuba diving activities and exercises. Essential elements are increased body awareness, social bonding, and breathing techniques. The goal is to help rehabilitate individuals with physical, cognitive, and psychological disabilities. Scuba diving therapy has been shown to reduce levels of anxiety, PTSD, depression, insomnia and an abatement in social dysfunction and depression. Benefits are particularly observed in military veterans and those with physical or cognitive disabilities. Primary therapeutic features include camaraderie, hydrostatic pressure, deep breathing exercises, and underwater immersion to stimulate relaxation and regulate daily stressors. Scuba diving is generally considered to be a high performance adventurous recreational activity that requires a multitude of safety precautions. Scuba diving therapy and rehabilitation relies on extensive stimulation of the entire human body.
Types
Recreational diving as therapy As with other recreational activities, freediving and scuba-diving can provide immersive experiences that can help to reduce stress. A study by Marlinge et al. (2019) has shown that scuba diving helped to promote relaxation which can lower levels of multiple stress markers like cortisol, copeptin and ischemia-modified albumin (IMA) levels. Additionally, researchers from the Johns Hopkins University of Medicine found scuba diving to result in a significant improvement of PTSD symptoms, with a reduction of muscle spasticity by an average of 15%.
Adaptive diving Adaptive scuba diving is scuba diving by people with disabilities using techniques modified to allow the diver to participate as independently as their abilities allow. Learners are assessed according to their ability to perform each necessary skill-set. Adaptations to procedures are made during training as applicable. It is possible that an adaptive diver may be certified at the same level as an able-bodied diver, but where this is not possible they may be certified to dive with a specially trained dive buddy or buddies who can provide necessary assistance for acceptable safety. Adaptive diving is an acceptably safe form of diving that helps people with amputations and other disabilities to dive as independently as reasonably practicable. The practical training is adjusted individually to suit each person. Through adaptive diving people can improve their body balance, and fine motor control in their hands. Studies with veterans have shown that body balance after losing a leg can be improved with the help of adaptive diving. The studies also report an improvement of 3.7 and 3.9 points of the veterans anxiety and depression symptoms. The improvements were shown with higher self confidence, emotional calm, goal and purpose. A diving service provider would generally need to provide extra diving support staff to ensure acceptable safety for an adaptive diver. A medical professional would be consulted to assess the diver's prospective abilities and suitability for training. Modified diving equipment is a common requirement.
Adaptive diving equipment The diving industry can support adaptive divers by developing specialized equipment to help manage various problems. These include access to the water, which can utilize chair lifts or wheelchair ramps, vehicle modifications for wheelchairs, hoists or cranes similar in principle to diving stages used by commercial divers, and lifting harness similar in principle to these used by surface supplied divers. Adaptive diving equipment includes specialized personal equipment, including protection of residual limbs and scar tissue, and propulsive equipment by way of customized fins for arms and legs, and inherently stable buoyancy control systems.
Structured therapeutic diving Bathysmed is the only structured therapeutic scuba diving protocol developed in France in 2017 that integrates scuba diving with mental training techniques such as mindfulness meditation, Caycedian sophrology, and sports mental coaching. The method is designed as a complementary, non-pharmacological approach for the management of stress-related conditions, including post-traumatic stress disorder (PTSD), anxiety, burnout, and emotional dysregulation. Bathysmed follows a standardized progression of underwater exercises focusing on breathing regulation, body awareness, and emotional regulation. The protocol has been evaluated in several clinical studies involving trauma survivors, military personnel, and individuals experiencing chronic stress, reporting improvements in psychological well-being, stress regulation, and quality of life. Bathysmed is delivered by specially trained scuba diving instructors and is intended to be used alongside conventional medical or psychological care.
Area of application
Veterans Scuba diving can decrease depression, anxiety, and post-traumatic stress disorder (PTSD) in military veterans and people who are dealing with similar mental illnesses. Diving allows people to achieve a feeling of liberty, due to the concentration needed for the duration of the dive. This leads to an increase in mindfulness and a decrease in depression and anxiety levels. The risks that are involved in scuba diving may also lead to a decreased urge for control in life. This helps individuals reach acceptance of uncontrolled events. Next to a decrease in stress and anxiety, veterans participating in scuba diving also reported improved levels of concentration and focus. The relatively risky sport or component of military service, has been established as a provisional element of therapy. Scuba diving has shown effectiveness as a therapeutic and rehabilitation process for veterans who had acquired traumatic physical and/or psychological injuries. Scuba diving was shown to be a therapeutic process that can help people with various disabilities to reconnect with such activities while simultaneously focusing on the clear goal of coping with their impairment. It can seem a very challenging activity for them but the apparent weightlessness in the water facilitates their experience. Even in extreme cases, like with people in a wheelchair, they regain a feeling of equalness in the water along with general mental improvements.
Disorders
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