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PTSD: National Center for PTSD

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VA/DoD 2023 Clinical Practice Guideline for the Management of PTSD


VA/DoD 2023 Clinical Practice Guideline for the Management of PTSD

The Departments of Veterans Affairs and Defense (VA/DoD) Clinical Practice Guideline (CPG) for posttraumatic stress disorder (PTSD) and acute stress disorder (ASD) was updated in 2023 to provide recommendations based upon the best information available at the time of publication. Recommendations in the CPG are designed to assist clinical decision making; they do not establish a standard of care or present an exclusive course of case management. A panel of multidisciplinary experts performed a systematic review of clinical and epidemiological evidence for the management of PTSD. This guideline provides an explanation of the logical relationships among various care options and health outcomes while rating both the quality of evidence and the strength of recommendations. The information can be used to guide clinical care decisions and to identify areas of future research needed in the field.

The major recommendations in the CPG cover:

  • Diagnosis and assessment of PTSD
  • Prevention of PTSD
  • Treatment of PTSD
  • Treatment of PTSD with co-occurring conditions

Download the full CPG, Clinician Summary, and Quick Reference Guide from VA's website.

Additional CPG Resources

Provider handouts and slide deck

Continuing Education courses

Learn about the CPG recommendations in our PTSD Consult Lecture Series or Continuing Education courses. Online courses offer continuing education credit, recorded webinars do not include accreditation:

Relevant article and e-publication

Lang, A. J., Hamblen, J. L., Holtzheimer, P., Kelly, U., Norman, S. B., Riggs, D., Schnurr, P. P., & Wiechers, I. (2024). A clinician's guide to the 2023 VA/DoD Clinical Practice Guideline for Management of Posttraumatic Stress Disorder and Acute Stress Disorder. Journal of Trauma Stress, 1-16. PTSDpubs ID: 1629192 [PDF]

Schnurr, P. P., Hamblen, J. L., Wolf, J., Coller, R., Collie, C., Fuller, M. A., Holtzheimer, P. E., Kelly, U., Lang, A. J., McGraw, K., Morganstein, J. C., Norman, S. B., Papke, K., Petrakis, I., Riggs, D., Sall, J. A. Shiner, B., Wiechers, I., & Kelber, M. S. (2024). The management of posttraumatic stress disorder and acute stress disorder: Synopsis of the 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline. Annals of Internal Medicine. Advance online publication. PTSDpubs ID: 1631252 [PDF]

Hamblen, J. L., & Schnurr, P. P. (2024). Clinical Practice Guidelines for PTSD. PTSD Research Quarterly, 35(1). Available at [PDF]

PTSD Consultation Program

Any provider who treats Veterans with PTSD can ask a question or request consultation about PTSD-related issues. The PTSD Consultation Program is free.

PTSD consultaiton Program - For Providers who treat veterans.

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Are you treating Veterans with PTSD? We can help. PTSD Consultation Program for providers who treat veterans.

PTSD Consultation Program

Expert guidance for treating Veterans with PTSD.

PTSD Information Voice Mail: (802) 296-6300
Also see: VA Mental Health