Rural life is known for its sense of seclusion and isolation. These qualities can attract people with PTSD, who are avoidant. Similarly, avoidance in people with PTSD means they typically do not present to mental health clinics requesting treatment for PTSD. Rather, many approach primary care providers for help with specific symptoms such as insomnia or relationship problems. This section of the toolkit provides key approaches for assessing PTSD, recommendations for PTSD treatment options, strategies to engage patients, and tips to avoid pitfalls.