Crisis: 988 then press 1

Stellate ganglion block (SGB)

Emerging / mixed

What it is

A neck-level sympathetic nerve block used for hyperarousal. A procedure, not talk therapy, not TMS, not HBOT.

Evidence

Growing clinic use, including veteran programs. Evidence still mixed. Not first-line.

Access for veterans

Civilian interventional clinics and some military/veteran programs. Ask who injects and how many times.

Cautions

Procedure risk is real. Pair it with a plan, not a single shot and a plane ticket.

Evidence reviewed September 2026. Named sources are being added room by room; start with VA/DoD PTSD guideline (2023) for first-line care.

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