Veterans with PTSD find relief by ditching 'Safety Crutches' in new therapy

NCT ID NCT04515784

First seen Nov 01, 2025 · Last updated Jun 23, 2026 · Updated 29 times

Summary

This study tested a 10-week group therapy called START-PTSD for 45 veterans with PTSD who had declined standard trauma-focused treatments. The therapy helps veterans identify and gradually reduce 'safety aids'—behaviors like avoiding certain places or using mental distractions—that can keep PTSD symptoms going. Researchers measured changes in PTSD symptoms, safety aid use, and treatment satisfaction to see if this approach is acceptable and helpful.

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Contacts and locations

Locations

  • Southeast Louisiana Veterans Health Care System, New Orleans, LA

    New Orleans, Louisiana, 70119, United States

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Safety Aid Reduction Treatment (START-PTSD) - a behavioral therapy that helps veterans identify and reduce safety behaviors (like avoidance) that maintain PTSD symptoms.

What this could lead to

If successful, this approach could offer an alternative treatment option for veterans with PTSD who are unwilling or unable to undergo traditional trauma-focused therapy.

What could go wrong

This was a small, early-stage study with only 45 participants, so results may not apply to all veterans. The treatment is behavioral and may not work for everyone, especially those with severe co-occurring conditions.

Conditions

The condition(s) this trial relates to.

post-traumatic stress disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.