This study assessed the ability of the Therapeutic Spiral Model to increase self-esteem and occupational participation while decreasing hopelessness in military women with posttraumatic stress disorder (PTSD). A participant group (n = 7) and comparison group (n = 6) of military women with PTSD were given pretests: the Beck Hopelessness and Rosenberg Self-Esteem Scales. Participants attended a Therapeutic Spiral Model workshop. Both groups were given posttests and a semistructured interview. Participants in the group with clinical PTSD diagnoses increased self-esteem and decreased hopelessness. The comparison group decreased self-esteem and increased hopelessness. Participants gained insight into their traumatic experiences and tools to increase participation in roles and activities. Results support the use of psychodrama intervention with female military populations with PTSD.

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