While Thursday’s release of American prisoners from Russia was marked by celebration and relief, the former captives could face future health challenges, experts say.
Wall Street Journal reporter Evan Gershkovich and American veteran Paul Whelan were among those released from Russia on Thursday in a large prisoner swap.
A third U.S. citizen, Russian-American journalist Alsu Kurmasheva, was also released.
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A plane carrying the freed Americans landed at Joint Base Andrews in Maryland late Thursday night, where they were greeted by President Joe Biden and Vice President Kamala Harris.
The newly released prisoners were then flown to San Antonio, Texas, for evaluation and rehabilitation at Brooke Army Medical Center, a premier military medical facility, according to reports.
Although the prisoners are safely back on U.S. soil and have been reunited with their families, they may experience mental health challenges stemming from the trauma of detainment, said experts.
“Besides the obvious threats to one’s safety and the horrifying prospect of confinement, a situation like this is fraught with uncertainty,” Dr. Norman Blumenthal, director of the Ohel Zachter Family National Trauma Center in New York, told Fox News Digital.
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“Ambiguity in and of itself induces stress — and that, coupled with their very predicament, can create a marked escalation of trauma.” (None of the experts cited here have treated the released Americans.)
Dr. Karen DeCocker, a psychiatric mental health nurse practitioner director at Stella Centers in Chicago, noted that being held captive can lead to several types of trauma.
“This varies from person to person based on prior history and the experiences encountered during captivity,” she told Fox News Digital.
While each person reacts differently to trauma, Blumenthal predicted that the freed prisoners would likely experience an “initial thrill and exhilaration” from their liberation.
“The celebrations and enthusiastic reunions with loved ones can temporarily overshadow the trauma,” he noted.
“Frightening flashbacks and intrusive recollections can become disruptive and destabilizing.”
“As life returns to normal and routines set in, that is often when the frightening flashbacks and intrusive recollections can become disruptive and destabilizing.”
Dr. Marc Siegel, senior medical analyst for Fox News and clinical professor of medicine at NYU Langone Medical Center, said it is likely the prisoners experienced physical and mental abuse, sleep deprivation, dehydration, malnutrition and possibly infections.
Trauma disorders and symptoms
Jonathan Alpert, a psychotherapist and author based in New York City, said that Gershkovich, Whelan and Kurmasheva, along with the other released prisoners, may suffer from both acute stress disorder (ASD) and post-traumatic stress disorder (PTSD).
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ASD is a short-term mental health condition that typically occurs within a month after a traumatic experience, according to Cleveland Clinic’s website.
“Acute stress disorder may include flashbacks, nightmares, intense fear and high anxiety,” Alpert told Fox News Digital.
It can also include feelings of numbness or detachment.
PTSD occurs when such symptoms persist for a month or longer, and the anxiety becomes chronic, according to Alpert.
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PTSD may include many of the same symptoms as ASD, and can impair the person’s ability to function in daily activities.
The freed prisoners may also experience depression, anger and difficulty trusting others, said Alpert.
“The celebrations and enthusiastic reunions with loved ones can temporarily overshadow the trauma.”
If symptoms are interfering with day-to-day functioning, Alpert recommends seeking professional help.
“In the case of a severe trauma, such as being held prisoner and wrongly convicted, symptoms may not surface right away,” he pointed out.
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“It can be helpful to get ahead of it and speak to a specialist.”
All forms of professional help are useful, DeCocker noted. Those include talk therapy, psychiatric support, interventional treatment modalities specific to treating trauma, and physical treatments and therapies to heal the body.
Other treatments may include cognitive behavioral therapy, relaxation techniques, and medications such as beta blockers, antidepressants and potentially psychedelics, according to Siegel.
Support from loving family members and friends is also key, the doctor added.
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Most people do have an “inherent resilience and capacity to hope,” Blumental said.
“These and other freed hostages may, on their own, mobilize and harness strength and heroic reformulations of their recent incarceration to go on and resume normal functioning.”
Scott McDonald of Fox News Digital contributed reporting.