Key Takeaways
- 6% of U.S. veterans reported having PTSD in the past year
- 11% of U.S. veterans reported having PTSD at some point in their lifetime
- 10% of OEF/OIF/OND veterans in the VA cohort reported PTSD symptoms consistent with PTSD
- A U.S. Department of Veterans Affairs study found 60% of veterans with PTSD did not receive adequate evidence-based PTSD treatment
- The PCL-5 uses a common threshold of 33 points (range 0–80) for probable PTSD in DSM-5-based scoring
- The PC-PTSD-5 uses a cutoff of 3 or higher (range 0–5) for probable PTSD
- $11.5 billion U.S. total economic burden for PTSD in 2016 dollars (direct and indirect costs) estimated in a healthcare cost study
- $2.2 billion annual cost for PTSD in military/veteran populations in a U.S. estimate (incremental cost)
- $6.5 billion annual national costs of PTSD in a 2006 estimate (updated using CPI assumptions in later analyses)
- Prolonged Exposure therapy is recommended for PTSD; VA notes it has been shown to be effective in multiple studies
- Cognitive Processing Therapy (CPT) for PTSD is recommended; VA states it has strong evidence across clinical trials
- In a VA clinical practice summary, evidence-based trauma-focused therapies for PTSD reduce symptom severity compared with control conditions
- 29% of veterans with PTSD in VA reported receiving at least one evidence-based trauma-focused therapy (VA-reported figure in analysis)
- VA’s National Center for PTSD reported that as of 2023, it had trained 10,000+ clinicians in evidence-based PTSD treatments (training scale)
- VA’s telehealth expansion in 2020 peaked with 1.0 million video/telephone mental health encounters in a month (VA telehealth dashboard reporting)
About 13 percent of veterans and service members experience PTSD, often without receiving evidence based care.
Prevalence & Burden
Prevalence & Burden Interpretation
Prevention, Screening & Care Pathways
Prevention, Screening & Care Pathways Interpretation
Economic Impact & Health Services
Economic Impact & Health Services Interpretation
Treatments, Outcomes & Effectiveness
Treatments, Outcomes & Effectiveness Interpretation
Industry Trends
Industry Trends Interpretation
References
- 1ptsd.va.gov/professional/assessment/overview/veterans.asp
- 6ptsd.va.gov/professional/assessment/overview/epidemiological-facts.asp
- 8ptsd.va.gov/professional/treat/co-occurring/mst.asp
- 44ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp
- 45ptsd.va.gov/professional/assessment/pc-ptsd.asp
- 46ptsd.va.gov/professional/assessment/measure-development/cr-pcl.asp
- 73ptsd.va.gov/professional/assessment/overview/economic-costs.asp
- 99ptsd.va.gov/professional/treatment/therapy-approaches/treatment-resources.asp
- 101ptsd.va.gov/professional/treatment/therapy-approaches/prolonged-exposure.asp
- 102ptsd.va.gov/professional/treatment/therapy-approaches/cognitive_processing.asp
- 103ptsd.va.gov/professional/treatment/overview/what/index.asp
- 112ptsd.va.gov/professional/assessment/overview/therapy-outcomes.asp
- 132ptsd.va.gov/about/center/activities/index.asp
- 138ptsd.va.gov/about/center/activities/workforce.asp
- 2rand.org/pubs/research_reports/RR2255.html
- 52rand.org/pubs/research_reports/RR2133.html
- 58rand.org/pubs/research_reports/RR2345.html
- 134rand.org/pubs/research_reports/RRA1534-1.html
- 3pubmed.ncbi.nlm.nih.gov/37127355/
- 4pubmed.ncbi.nlm.nih.gov/29518963/
- 12pubmed.ncbi.nlm.nih.gov/25762424/
- 14pubmed.ncbi.nlm.nih.gov/30670735/
- 15pubmed.ncbi.nlm.nih.gov/32340375/
- 19pubmed.ncbi.nlm.nih.gov/34078543/
- 22pubmed.ncbi.nlm.nih.gov/25154930/
- 24pubmed.ncbi.nlm.nih.gov/32909455/
- 25pubmed.ncbi.nlm.nih.gov/30342966/
- 26pubmed.ncbi.nlm.nih.gov/27491227/
- 27pubmed.ncbi.nlm.nih.gov/23847307/
- 28pubmed.ncbi.nlm.nih.gov/25651079/
- 36pubmed.ncbi.nlm.nih.gov/28013231/
- 37pubmed.ncbi.nlm.nih.gov/26261222/
- 38pubmed.ncbi.nlm.nih.gov/26647692/
- 39pubmed.ncbi.nlm.nih.gov/30601943/
- 40pubmed.ncbi.nlm.nih.gov/32419372/
- 42pubmed.ncbi.nlm.nih.gov/29232907/
- 47pubmed.ncbi.nlm.nih.gov/16873879/
- 48pubmed.ncbi.nlm.nih.gov/24558137/
- 49pubmed.ncbi.nlm.nih.gov/23682496/
- 54pubmed.ncbi.nlm.nih.gov/31035704/
- 56pubmed.ncbi.nlm.nih.gov/30706157/
- 61pubmed.ncbi.nlm.nih.gov/35173434/
- 66pubmed.ncbi.nlm.nih.gov/29747420/
- 67pubmed.ncbi.nlm.nih.gov/23602577/
- 68pubmed.ncbi.nlm.nih.gov/31430336/
- 70pubmed.ncbi.nlm.nih.gov/30290279/
- 74pubmed.ncbi.nlm.nih.gov/28038862/
- 76pubmed.ncbi.nlm.nih.gov/25059952/
- 77pubmed.ncbi.nlm.nih.gov/24866014/
- 79pubmed.ncbi.nlm.nih.gov/29564244/
- 80pubmed.ncbi.nlm.nih.gov/29290925/
- 81pubmed.ncbi.nlm.nih.gov/25531963/
- 82pubmed.ncbi.nlm.nih.gov/28172985/
- 83pubmed.ncbi.nlm.nih.gov/28920290/
- 84pubmed.ncbi.nlm.nih.gov/25473651/
- 85pubmed.ncbi.nlm.nih.gov/27537444/
- 86pubmed.ncbi.nlm.nih.gov/27766225/
- 87pubmed.ncbi.nlm.nih.gov/30639225/
- 88pubmed.ncbi.nlm.nih.gov/28127889/
- 91pubmed.ncbi.nlm.nih.gov/28512178/
- 92pubmed.ncbi.nlm.nih.gov/23938185/
- 93pubmed.ncbi.nlm.nih.gov/24446437/
- 94pubmed.ncbi.nlm.nih.gov/24932846/
- 95pubmed.ncbi.nlm.nih.gov/20581125/
- 96pubmed.ncbi.nlm.nih.gov/27341373/
- 97pubmed.ncbi.nlm.nih.gov/25177977/
- 98pubmed.ncbi.nlm.nih.gov/27033189/
- 100pubmed.ncbi.nlm.nih.gov/27530342/
- 104pubmed.ncbi.nlm.nih.gov/26946336/
- 105pubmed.ncbi.nlm.nih.gov/24607615/
- 106pubmed.ncbi.nlm.nih.gov/28913678/
- 107pubmed.ncbi.nlm.nih.gov/12412547/
- 108pubmed.ncbi.nlm.nih.gov/12829325/
- 109pubmed.ncbi.nlm.nih.gov/15670387/
- 110pubmed.ncbi.nlm.nih.gov/25093807/
- 111pubmed.ncbi.nlm.nih.gov/32120168/
- 113pubmed.ncbi.nlm.nih.gov/24523785/
- 114pubmed.ncbi.nlm.nih.gov/25872938/
- 115pubmed.ncbi.nlm.nih.gov/9385425/
- 116pubmed.ncbi.nlm.nih.gov/10089122/
- 117pubmed.ncbi.nlm.nih.gov/21913372/
- 119pubmed.ncbi.nlm.nih.gov/32570704/
- 120pubmed.ncbi.nlm.nih.gov/27065552/
- 121pubmed.ncbi.nlm.nih.gov/27718243/
- 122pubmed.ncbi.nlm.nih.gov/26280915/
- 123pubmed.ncbi.nlm.nih.gov/16788129/
- 124pubmed.ncbi.nlm.nih.gov/19759241/
- 125pubmed.ncbi.nlm.nih.gov/30541672/
- 126pubmed.ncbi.nlm.nih.gov/30924992/
- 127pubmed.ncbi.nlm.nih.gov/28863566/
- 128pubmed.ncbi.nlm.nih.gov/29844062/
- 129pubmed.ncbi.nlm.nih.gov/28789763/
- 130pubmed.ncbi.nlm.nih.gov/23359684/
- 139pubmed.ncbi.nlm.nih.gov/?term=veteran+ptsd+bibliometric
- 140pubmed.ncbi.nlm.nih.gov/35663812/
- 141pubmed.ncbi.nlm.nih.gov/32588663/
- 142pubmed.ncbi.nlm.nih.gov/35850178/
- 145pubmed.ncbi.nlm.nih.gov/32080066/
- 5ncbi.nlm.nih.gov/pmc/articles/PMC4601191/
- 9ncbi.nlm.nih.gov/pmc/articles/PMC2647807/
- 11ncbi.nlm.nih.gov/pmc/articles/PMC6981860/
- 13ncbi.nlm.nih.gov/pmc/articles/PMC4450107/
- 16ncbi.nlm.nih.gov/pmc/articles/PMC381591/
- 20ncbi.nlm.nih.gov/pmc/articles/PMC9262040/
- 21ncbi.nlm.nih.gov/pmc/articles/PMC5205880/
- 23ncbi.nlm.nih.gov/pmc/articles/PMC5672030/
- 29ncbi.nlm.nih.gov/pmc/articles/PMC4831302/
- 31ncbi.nlm.nih.gov/pmc/articles/PMC4951992/
- 32ncbi.nlm.nih.gov/pmc/articles/PMC2691484/
- 33ncbi.nlm.nih.gov/pmc/articles/PMC3412442/
- 34ncbi.nlm.nih.gov/pmc/articles/PMC4280000/
- 41ncbi.nlm.nih.gov/pmc/articles/PMC6552566/
- 43ncbi.nlm.nih.gov/pmc/articles/PMC5999587/
- 50ncbi.nlm.nih.gov/pmc/articles/PMC5304340/
- 51ncbi.nlm.nih.gov/pmc/articles/PMC5714994/
- 53ncbi.nlm.nih.gov/pmc/articles/PMC4681347/
- 57ncbi.nlm.nih.gov/pmc/articles/PMC5963893/
- 59ncbi.nlm.nih.gov/pmc/articles/PMC6039807/
- 60ncbi.nlm.nih.gov/pmc/articles/PMC10495653/
- 62ncbi.nlm.nih.gov/pmc/articles/PMC5793041/
- 64ncbi.nlm.nih.gov/pmc/articles/PMC4941448/
- 65ncbi.nlm.nih.gov/pmc/articles/PMC6232127/
- 71ncbi.nlm.nih.gov/pmc/articles/PMC6765018/
- 72ncbi.nlm.nih.gov/pmc/articles/PMC5408745/
- 75ncbi.nlm.nih.gov/pmc/articles/PMC5338077/
- 78ncbi.nlm.nih.gov/pmc/articles/PMC4105145/
- 89ncbi.nlm.nih.gov/pmc/articles/PMC3795311/
- 118ncbi.nlm.nih.gov/books/NBK207191/
- 131ncbi.nlm.nih.gov/pmc/articles/PMC4744233/
- 7nimh.nih.gov/health/statistics/post-traumatic-stress-disorder-ptsd
- 10jamanetwork.com/journals/jama/fullarticle/190931
- 17mentalhealth.va.gov/docs/VA-PTSD-Factsheet.pdf
- 18mentalhealth.va.gov/docs/2023/VA-Suicide-Prevention-Report.pdf
- 30benefits.va.gov/REPORTS/abr/docs/2022-abr-part-1.pdf
- 35healthaffairs.org/doi/10.1377/hlthaff.2018.0428
- 55apps.dtic.mil/sti/pdfs/ADA600823.pdf
- 63apps.dtic.mil/sti/pdfs/ADA620543.pdf
- 69apps.dtic.mil/sti/pdfs/AD1127323.pdf
- 90apps.dtic.mil/sti/pdfs/ADA607972.pdf
- 133va.gov/opa/pressrel/pressrelease.cfm?id=5480
- 144va.gov/vhapublications/ViewPublication.asp?pub_ID=8099
- 135psychiatry.org/newsroom/covid-19-americas-clinicians-survey-report
- 136grandviewresearch.com/industry-analysis/telehealth-software-market
- 137fortunebusinessinsights.com/digital-therapeutics-market-102734
- 143clinicaltrials.gov/search?term=PTSD+veterans&aggFilters=status:not%20rec%20&viewType=table







