I haven’t slept in months
Sleep can be treated on its own. Nightmares are a separate door from “do more PTSD therapy.”
Veterans first · Not a diagnosis
If you have not slept, if talk therapy bounced off, if you are trying to help someone else — start here. We name doors. We do not pick one for you.
Not a test. Each line opens a few doors worth looking at — plus crisis if tonight is unsafe.
Sleep can be treated on its own. Nightmares are a separate door from “do more PTSD therapy.”
Trauma and substances often travel together. You do not have to “get sober first, then deal with PTSD.”
First-line care is specific protocols (CPT, PE, EMDR, WET) — not “we talked about my week.” If those were never offered, that is a door. If they were, look at intensives or another lane.
Horses, water, trails, peer weeks. Useful doors. Not the same thing as a trauma protocol — and that is fine as a start.
That can be PTSD, moral injury, TBI, or all three. People and meaning (peer, chaplain, PATHH) sit next to clinic care — not instead of 988 if you are unsafe.
Ketamine clinics, trials, grants, overseas ceremony work. Different laws, different evidence. Read the brief before you book a flight.
Vestibular, vision, headache, and sleep rehab is a medical stack. It is not the same appointment as PTSD talk therapy.
Do not use this site as the plan for the next hour.