New therapy helps veterans with PTSD by targeting 'Safety Behaviors'
NCT ID NCT04515784
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a 10-week group therapy program called START-PTSD for 45 veterans with PTSD who had declined standard trauma-focused treatment. The therapy helps veterans identify and gradually reduce 'safety aids'—behaviors like avoiding certain places or using mental distractions that keep fear alive. Researchers measured changes in PTSD symptoms, safety aid use, and treatment satisfaction immediately after the program and one month later.
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 this treatment works, it could offer a new option for veterans with PTSD who are unwilling or unable to undergo traditional trauma-focused therapy, potentially reducing their symptoms and improving daily functioning.
- What could go wrong
- This was a small, early-phase study with only 45 participants, so results may not apply to all veterans. The treatment is behavioral and may not work for everyone, and there is a risk that symptoms could worsen temporarily when safety aids are removed.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
45 people
The number who actually took part.
- Started
-
Sep 2024
- Finished
-
Sep 2025
- Lead sponsor
-
A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Veterans receiving care at New Orleans VA * Veterans with diagnosis of PTSD who decline trauma focused treatment Exclusion Criteria: * Substance dependence requiring detoxification * Active psychosis * Uncontrolled Bipolar Disorder * Severe suicidal intent requiring hospitalization * Current engagement in psychotherapy
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Stress disorders, post-traumatic are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Southeast Louisiana Veterans Health Care System, New Orleans, LA
New Orleans, Louisiana, 70119, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can cramming PTSD therapy into a few weeks help veterans cut substance use?
- Can targeting guilt ease PTSD in veterans?
- Can a silent word ease both PTSD and chronic pain? a VA trial puts mantram repetition to the test
- Smartphones and fitbits may help veterans with PTSD rethink cannabis use
- Online course aims to boost mental health for teens leaving foster care
- Brain test could match PTSD veterans to the right medication