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The Soldiers SalvationAdvice · Support · Salvation

PTSD support for veterans

Recognising PTSD, accessing Op COURAGE, and what to expect from NHS trauma-focused therapy.

6 min readLast reviewed May 2026

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You don't have to deserve help — you just have to ask

PTSD shows up differently for everyone. Sleep that won't come. Anger that arrives out of nowhere. Avoiding places, conversations, anniversaries. Feeling like the world is constantly about to go wrong.

If any of this sounds familiar, you're not weak. You're carrying something heavy, and there is help.

Op COURAGE — the NHS veterans' mental health service

Op COURAGE (operations.nhs.uk/courage) is the dedicated NHS mental health service for serving leavers, reservists, veterans, and their families. It's free, confidential, and you can self-refer — you don't need a GP letter.

It covers everything from first conversations through to trauma-focused therapy and inpatient care.

What therapy looks like

Most veterans benefit from trauma-focused CBT or EMDR. Sessions usually run weekly for 12–16 weeks. The work isn't about reliving things — it's about teaching your nervous system that the danger is in the past.

If you're in crisis right now

  • Samaritans: 116 123 (24/7)
  • Combat Stress 24/7 helpline: 0800 138 1619
  • Text SHOUT: text SHOUT to 85258 (24/7)
  • Emergency: 999

Where to go next

We can help you self-refer to Op COURAGE, explain what to expect, and stay alongside you while you wait for therapy to start. Talk to us →

Still need help?

Speak to a trained advisor. Free, confidential, and judgement-free — for anyone who has served, is serving, or is family of someone who has.