, serious accidents, war and combat, rape and sexual assault, intimate partner violence and bullying. PTSD is a heterogeneous syndrome and, in some people, can be difficult to distinguish from anxiety and/or depression. PTSD can involve nightmares, flashbacks to traumatic events, intrusive thoughts, and avoidance of stimuli (including activities or situations) that trigger memories of trauma. Patients , and avoidance of stimuli (including activities or situations) that trigger memories of trauma. In the United States, approximately 13 million people (5% of the adult population) suffer from PTSD every year with an overall lifetime prevalence of 6.1%.2,3 PTSD is more prevalent among women, certain ethnic and racial groups, and US veterans.4 In 2018, the total economic burden beyond normal health care costs