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A recent study from the Journal of the American Medical Association reveals that trauma-focused therapies may not be as effective as originally believed.

After 35 years wherein 900 individuals participated in dozens of studies, the data showed that roughly two-thirds of troops still had PTSD symptoms after “successful” treatment, and one in four dropped out of treatment altogether. While there was some improvement in patients receiving trauma-focused therapies in most cases, it was not enough to fully cure it.

Bret A. Moore, clinical psychologist who served two tours in Iraq, wrote, “To get better control of this condition affecting a sizable portion of our military and veterans communities, we need to explore other treatment options.”