★   PTSDIY · Field Manual   ★   Part III   ★
Chapter 11
Cold water therapy
Controlled stress, chosen on purpose
FM 11-CLD-101Run time 30 sec–3 min
Pub. No.FM 11-CLD-101
SubjectCold exposure
EvidenceAnecdotal
Req. equipmentShower
11-1.Mission brief

Cold water triggers a stress response you choose, control, and end. Many people report feeling sharper and calmer afterward, and practicing calm breathing through the shock is a rehearsal for staying steady under pressure.

11-2.Intel

AnecdotalCold exposure reliably raises alertness and some mood-related brain chemicals in studies. Research on cold water for PTSD specifically is very thin. Treat it as a maintenance practice you might enjoy, not a treatment.

11-3.Field procedures — start in the shower
01Finish coolEnd your normal shower with 30 seconds of cool water.30 sec
02Control the breathSlow exhales through the gasp reflex. The drill is staying calm, not enduring pain.—
03Build slowlyAdd 15–30 seconds a week. One to three minutes is plenty.weeks
04RewarmDry off, dress, move. Let your body warm itself.5 min
11-4.Rules of engagement

Check with a doctor first if you have heart disease, high blood pressure, Raynaud's, or are pregnant. Never do open-water cold immersion alone; cold shock can cause drowning in seconds. Cold should never be used to punish yourself or to shock your way out of distress. If that's how you're reaching for it, talk to someone and use Part II instead.

11-5.Common faults & corrections
✕Fault: Going extreme on day oneCorrection: Ice baths are not entry level. Build tolerance over weeks.
✕Fault: Toughing it outCorrection: Shivering hard, numbness or confusion mean get out and rewarm now.
Companion episode — [IN PROGRESS]
PTSDIY · FM 11-CLD-101 · Part III11