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The Ultimate Guide for Veterans with Co-occurring PTSD and SUD

Living with both Post-Traumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) presents unique challenges for veterans. These co-occurring conditions often interact in complex ways, with each potentially intensifying the other. 

The good news is that recovery is possible, and numerous resources exist specifically to help veterans navigate this journey.

This comprehensive guide combines over 225 resources across 15 categories, providing veterans and their loved ones with a single, authoritative source for finding the support they need. 

This guide offers pathways to healing and recovery, whether you’re seeking immediate crisis assistance, treatment options, peer support, or resources for family members.

The journey may not be linear, but with the right support and resources, veterans can break the cycle of PTSD and substance use, reclaiming their lives and building a healthier future.

Ultimate Guide for Veterans with Co-occurring PTSD and SUD

Understanding Co-occurring PTSD and Substance Use Disorder

The Connection Between PTSD and Substance Use in Veterans

For many veterans, PTSD and substance use disorder develop in a cyclical relationship. Traumatic experiences during military service can lead to PTSD symptoms such as intrusive memories, nightmares, hypervigilance, and emotional numbness. 

To cope with these distressing symptoms, some veterans turn to alcohol or drugs, which may temporarily alleviate their suffering but ultimately worsen their condition.

Substance use can provide short-term relief from PTSD symptoms, but it interferes with the brain’s natural recovery process, prevents the processing of traumatic memories, and often leads to additional problems. 

As substance use increases, PTSD symptoms typically worsen, creating a cycle that becomes increasingly difficult to break without professional help.

Why Integrated Treatment Is Essential

Research consistently shows that treating PTSD and substance use disorder simultaneously yields the best outcomes. Integrated treatment addresses both conditions together, recognizing their interconnected nature. 

This approach helps veterans develop healthier coping mechanisms while processing traumatic experiences in a supported environment.

Veterans with co-occurring disorders benefit most from comprehensive care that includes evidence-based therapies, medication management when appropriate, peer support, and holistic approaches addressing the whole person—not just isolated symptoms.

Ultimate Guide for Veterans with Co-occurring PTSD and SUD

Crisis & Immediate Help Resources

If you or a veteran you know is experiencing a crisis, these resources provide immediate assistance:

Veterans Crisis Line – 24/7 crisis support line specifically for veterans, service members, and their families (Phone: 988, then press 1; Text: 838255)

SAMHSA’s National Helpline – Free, confidential, 24/7 treatment referral and information service for individuals facing mental health or substance use disorders (Phone: 1-800-662-HELP (4357))

988 Suicide & Crisis Lifeline – 24/7 support for people in distress and crisis resources (Phone: 988)

VA Medical Centers – Emergency departments at VA medical centers provide 24/7 emergency care for veterans in crisis

Vet Centers – Community-based counseling centers offering readjustment counseling and outreach services to veterans and their families

NAMI HelpLine – Information, resource referrals, and support for people living with mental health conditions (Phone: 1-800-950-NAMI (6264))

Military OneSource – 24/7 support service for military personnel and their families (Phone: 1-800-342-9647)

Vets4Warriors – 24/7 peer support network for veterans and service members (Phone: 1-855-838-8255)

Disaster Distress Helpline – Crisis counseling for people experiencing emotional distress related to disasters or traumatic events (Phone: 1-800-985-5990)

Make the Connection – Information, resources, and veteran stories about overcoming mental health challenges

VA PTSD Resources – Comprehensive information about PTSD treatment and resources available through the VA

Wounded Warrior Project – Resources and support for veterans with PTSD and other invisible wounds of war

PTSD Foundation of America – Support for veterans suffering from combat-related PTSD

DAV (Disabled American Veterans) – Resources and support for veterans with PTSD and other service-connected disabilities

VA Substance Use Resources – Information about substance use treatment options available through the VA

VA-Specific Programs & Services

The Department of Veterans Affairs offers numerous specialized programs for veterans with co-occurring PTSD and substance use disorders:

VA PTSD Treatment Programs – Specialized programs for PTSD treatment, including options for those with co-occurring substance use disorders

VA Substance Use Disorder Program – Comprehensive treatment options for veterans struggling with substance use

VA Residential Rehabilitation Treatment Programs – Intensive residential treatment for veterans with PTSD, substance use disorders, and other mental health conditions

VA Mental Health Intensive Case Management – Specialized support for veterans with serious mental illness, including those with co-occurring disorders

VA Psychosocial Rehabilitation and Recovery Centers – Recovery-oriented programs helping veterans with serious mental illness improve functioning and quality of life

VA Compensated Work Therapy – Vocational rehabilitation program helping veterans with mental health conditions return to work

VA Homeless Programs – Support for homeless veterans, including those with co-occurring disorders

VA Suicide Prevention Program – Comprehensive suicide prevention services for at-risk veterans

VA Caregiver Support Program – Resources and support for family caregivers of veterans with PTSD and other conditions

VA Women’s Mental Health Services – Specialized mental health services for women veterans

VA LGBTQ+ Care – Mental health services for LGBTQ+ veterans

VA Chaplain Services – Spiritual support for veterans dealing with mental health and substance use challenges

VA Whole Health – Holistic approach to veteran care that addresses physical, mental, and spiritual well-being

VA Clinical Practice Guidelines – Evidence-based guidelines for treating substance use disorders and co-occurring conditions

VA Tobacco and Health – Resources for veterans who want to quit smoking or using tobacco products

Ultimate Guide for Veterans with Co-occurring PTSD and SUD

Non-VA Treatment Programs

Beyond the VA, numerous programs specialize in treating veterans with co-occurring disorders:

SAMHSA Treatment Locator – Comprehensive directory of treatment facilities for substance use disorders and mental health conditions

Cohen Veterans Network – High-quality, accessible mental health care for veterans and their families

Headstrong Project – Confidential, cost-free, and frictionless mental health treatment for post-9/11 veterans and their families

Warrior Care Network – Innovative partnership between the Wounded Warrior Project and academic medical centers providing intensive outpatient programs

The Refuge – A Healing Place – Trauma-informed treatment center with specialized programs for veterans

Warriors Heart – Private treatment center exclusively for veterans, military, and first responders dealing with addiction and PTSD

The Meadows – Trauma and addiction treatment center with specialized programs for veterans

Operation Resilience – Intensive retreats and ongoing support for veterans with PTSD and substance use issues

Hazelden Betty Ford Foundation – Addiction treatment programs with specialized tracks for veterans

Banyan Treatment Centers Military and Veterans in Recovery – Specialized addiction and mental health treatment for veterans

Heroes’ Mile – Veteran recovery center treating substance abuse and co-occurring disorders

The Refuge – A Healing Place – Trauma-informed treatment center with specialized programs for veterans

Boulder Crest Foundation – Posttraumatic growth programs for combat veterans and their families

Vets to Warriors – Peer-led recovery support services for veterans with substance use disorders

Centerstone Military Services – Specialized mental health care and addiction treatment for veterans and military families

Telehealth & Remote Services

Telehealth options make treatment more accessible, especially for veterans in rural areas or those with mobility challenges:

VA Video Connect – Secure video conferencing app connecting veterans with their VA healthcare providers

VA Telemental Health – Remote mental health services are available through the VA healthcare system

Talkspace for Veterans – Online therapy platform with therapists specializing in veteran issues

BetterHelp Military Discount – Online counseling platform offering discounts for military personnel and veterans

Telemynd – Virtual behavioral health services for veterans

Mindstrong – Virtual mental health care and digital biomarker technology

Brightside – Online therapy and medication management for depression and anxiety

PTSD Coach App – Mobile app providing education, self-assessment, and coping skills for PTSD

COVID Coach App – Self-care and mental health support for pandemic-related stress

Mindfulness Coach App – Mindfulness practices to help reduce stress and promote well-being

VetChange App – Mobile app helping veterans build skills to reduce problem drinking

CBT-i Coach – App for insomnia management using cognitive behavioral therapy techniques

Moving Forward App – Problem-solving skills to overcome life’s challenges

RxRefill App – Mobile prescription refill service for VA medications

Annie App for Veterans – Text messaging service helping veterans track and manage their health

Treatment Options for Co-occurring PTSD and SUD

Peer Support Programs

Peer support from fellow veterans who understand the unique challenges of military service can be invaluable:

Vet Centers – Community-based counseling centers offering peer support groups for veterans

Vets4Warriors – Peer support network providing 24/7 confidential peer support for veterans

Veteran Peer Support Specialists – VA program employing veterans to provide support to fellow veterans

Make the Connection – Veteran stories and connections to support resources

Team Red, White & Blue – Organization connecting veterans to their community through physical and social activity

Team Rubicon – Disaster response organization providing veterans with purpose, community, and identity

The Mission Continues – Organization empowering veterans to continue their service through community impact

Wounded Warrior Project Peer Support – Connecting warriors to build relationships and provide support

Alcoholics Anonymous for Veterans – AA meetings specifically for veterans dealing with alcohol use disorder

Narcotics Anonymous – 12-step program for people recovering from drug addiction, with many veteran participants

SMART Recovery – Science-based addiction recovery support program, alternative to 12-step programs

Refuge Recovery – Buddhist-inspired approach to recovery from addiction

LifeRing Secular Recovery – Abstinence-based, secular, and self-directed support for sobriety

Strive Health – Specialized outpatient addiction treatment with veteran-specific programs

Rally Point – Peer support network for veterans in recovery from substance use disorders

Substance Use Disorder Resources

These resources focus specifically on substance use disorder treatment and recovery:

VA Substance Use Disorder Program – Comprehensive treatment options for veterans struggling with substance use

SAMHSA’s National Helpline – Treatment referral and information service for individuals facing substance use disorders

NIAAA Alcohol Treatment Navigator – Tool to help find quality treatment for alcohol use disorder

CDC Alcohol and Public Health – Information about alcohol use and its health effects

Alcoholics Anonymous – Fellowship of people who share their experience, strength, and hope to solve their common problem of alcoholism

Narcotics Anonymous – 12-step program for people recovering from drug addiction

SMART Recovery – Science-based addiction recovery support program

Faces & Voices of Recovery – National advocacy organization for people in recovery from addiction

Shatterproof – National nonprofit organization dedicated to ending the addiction crisis in America

Partnership to End Addiction – Resources for families dealing with substance use and addiction

Smokefree.gov Veterans – Resources to help veterans quit smoking

American Society of Addiction Medicine – Directory of addiction medicine specialists

Recovery Research Institute – Research-based resources on addiction recovery

Addiction Center Veterans – Information about substance abuse among veterans

Heroes in Recovery – Community of people sharing their recovery stories to break the stigma of addiction

PTSD-Specific Resources

These resources focus specifically on PTSD treatment and recovery:

National Center for PTSD – VA’s center of excellence for research and education on PTSD

PTSD: Understanding Treatment – Comprehensive information about PTSD treatment options

PTSD Treatment Decision Aid – Interactive tool to help veterans learn about and choose PTSD treatments

AboutFace – Videos of veterans sharing their experiences with PTSD and treatment

PTSD Coach Online – Web-based tools to help manage PTSD symptoms

PTSD Foundation of America – Support for veterans suffering from combat-related PTSD

Wounded Warrior Project PTSD Resources – Resources and support for veterans with PTSD

Anxiety and Depression Association of America – Information and resources about PTSD

International Society for Traumatic Stress Studies – Resources for understanding and treating traumatic stress

EMDR International Association – Directory of therapists trained in Eye Movement Desensitization and Reprocessing therapy

Center for Deployment Psychology – Training and resources for providers treating military personnel with PTSD

Trauma Recovery Network – Pro bono EMDR therapy for veterans and first responders

Sidran Institute – Information and resources for trauma survivors

Gift From Within – PTSD resources for survivors and caregivers

Anxiety and Depression Association of America – Information about PTSD treatment options

Family & Caregiver Support

Family members and caregivers play a crucial role in supporting veterans with co-occurring disorders:

VA Caregiver Support Program – Resources and support for family caregivers of veterans

Coaching Into Care – VA telephone service providing guidance to family members who want to encourage their veteran to seek care

NAMI Family Support Groups – Support groups for family members of people with mental health conditions

Al-Anon Family Groups – Support for families and friends of alcoholics

Nar-Anon Family Groups – Support for those affected by someone else’s addiction

Military OneSource – Resources for military families dealing with mental health and substance use issues

Give an Hour – Free mental health services for military personnel, veterans, and their families

PsychArmor Institute – Free education and resources for those who live with, care for, and work with veterans

Elizabeth Dole Foundation – Support for military caregivers

Operation Family Caregiver – Coaching for families of returning service members and veterans

Military and Veteran Caregiver Network – Peer support network for caregivers of veterans

Blue Star Families – Support for military families

National Military Family Association – Resources and support for military families

American Red Cross Military and Veteran Caregiver Network – Support for caregivers of wounded, ill, or injured service members and veterans

Hidden Heroes – Resources and support for military caregivers

Supporting Your Veteran: A Guide for Family Members

Holistic & Complementary Approaches

Many veterans benefit from complementary approaches alongside traditional treatment:

VA Whole Health – Holistic approach to veteran care that addresses physical, mental, and spiritual well-being

Mindfulness-Based Stress Reduction for Veterans – Programs teaching mindfulness practices to reduce stress and improve well-being

VA Recreational Therapy – Using recreational activities as treatment interventions to improve health and well-being

Yoga for Veterans – Adaptive yoga programs for veterans with PTSD and other conditions

Veterans Yoga Project – Supporting recovery and resilience through yoga

Warrior Expeditions – Outdoor therapy programs helping veterans process combat experiences through long-distance outdoor expeditions

Project Healing Waters Fly Fishing – Fly fishing programs supporting the physical and emotional rehabilitation of disabled veterans

Horses for Heroes – Equine therapy programs for veterans

Warrior Canine Connection – Service dog training therapy for veterans with PTSD and TBI

Veterans Acupuncture Care – Free and low-cost acupuncture services for veterans

Transcendental Meditation for Veterans – Meditation program to reduce PTSD symptoms and stress

Tai Chi for Veterans – Gentle martial arts practice promoting relaxation and balance

Art Therapy for Veterans – Using art creation as therapy for PTSD and other conditions

Music Therapy for Veterans – Using music to address physical, emotional, cognitive, and social needs

Outdoor Recreation Therapy – Therapeutic use of outdoor activities to improve health and well-being

Financial & Housing Assistance

Financial stability and secure housing are essential foundations for recovery:

VA Disability Compensation – Monthly tax-free payment for veterans with service-connected disabilities

VA Pension – Needs-based benefit for wartime veterans with limited income

VA Home Loans – Helping veterans become homeowners with favorable loan terms

VA Homeless Programs – Comprehensive services for homeless veterans and those at risk of homelessness

Supportive Services for Veteran Families (SSVF) – Services to prevent veteran homelessness and rapidly re-house homeless veterans

HUD-VASH – Housing vouchers and supportive services for homeless veterans

Grant and Per Diem Program – Funding for community agencies providing transitional housing for homeless veterans

Volunteers of America Veterans Services – Housing and supportive services for veterans

National Coalition for Homeless Veterans – Resources and support for homeless veterans

Operation Homefront – Emergency financial assistance for military families

USA Cares – Financial assistance for post-9/11 veterans

Disabled American Veterans (DAV) Charitable Service Trust – Financial assistance for disabled veterans

Veterans Inc. – Housing and supportive services for veterans and their families

American Legion Temporary Financial Assistance – Cash grants for minor children of eligible veterans

VFW Unmet Needs Program – Financial assistance for military families experiencing financial hardship

Ultimate Guide for Veterans with Co-occurring PTSD and SUD

Educational Resources

Education about PTSD and substance use disorders can empower veterans and their families:

VA PTSD 101 Courses – Educational courses about PTSD and its treatment

Make the Connection – Information and veteran stories about PTSD and substance use

PTSD: National Center for PTSD – Comprehensive information about PTSD

Understanding PTSD and PTSD Treatment – Booklet explaining PTSD and treatment options

Understanding Substance Use Disorders in Veterans – Information about substance use disorders and treatment

SAMHSA Publications – Free publications about mental health and substance use disorders

National Institute on Drug Abuse – Research-based information about drug use and addiction

National Institute on Alcohol Abuse and Alcoholism – Research-based information about alcohol use and alcoholism

PsychArmor Institute – Free online education for those who work with, live with, or care for veterans

Military Culture: Core Competencies for Healthcare Professionals – Free online course about military culture

Community Provider Toolkit – Resources for providers working with veterans

VA/DoD Clinical Practice Guidelines – Evidence-based guidelines for treating various conditions

PTSD Research Quarterly – Newsletter featuring scholarly articles about PTSD

Substance Abuse and Mental Health Library – Evidence-based resources on substance use and mental health

Military Families Learning Network – Professional development resources for those working with military families

Success Stories & Recovery Narratives

Hearing from veterans who have successfully navigated recovery can provide hope and inspiration:

Make the Connection Videos – Videos of veterans sharing their experiences with PTSD, substance use, and recovery

AboutFace – Videos of veterans talking about how PTSD treatment helped them

Vets Prevail Success Stories – Stories from veterans who have overcome mental health challenges

Team Rubicon Stories – Stories of veterans finding purpose through disaster response

Wounded Warrior Project Success Stories – Stories of wounded veterans overcoming challenges

Veterans Coming Home – PBS series featuring veterans’ stories of reintegration

StoryCorps Military Voices Initiative – Recordings of veterans and their families sharing their stories

The War Horse – Nonprofit newsroom sharing veterans’ stories

Voices of Recovery – Stories of recovery from substance use disorders

I Am Not Alone – SAMHSA’s platform for sharing recovery stories

Heroes in Recovery – Stories of recovery from addiction and mental health conditions

Veterans Writing Project – Helping veterans tell their stories through writing

The Telling Project – Performance project, where veterans share their stories

American Veterans Center Oral Histories – Recorded interviews with veterans

Veterans History Project – Library of Congress collection of veterans’ accounts

The Recovery Journey: Milestones and Warning Signs

Research & Clinical Trials

For veterans interested in contributing to research or accessing cutting-edge treatments:

VA Research on PTSD – Information about VA research on PTSD

VA Research on Substance Use Disorders – Information about VA research on substance use disorders

VA Cooperative Studies Program – VA’s program for conducting large clinical trials and epidemiological studies

NIH Clinical Trials – Database of clinical studies around the world

PTSD Clinical Trials – Information about clinical trials for PTSD

National Center for PTSD Research – Research on PTSD prevention, assessment, and treatment

Center for Integrated Healthcare – Research on integrating mental health and primary care services

Center of Excellence for Stress and Mental Health – Research on stress, trauma, and resilience

National Institute on Drug Abuse Clinical Trials – Information about clinical trials for substance use disorders

NIAAA Clinical Trials – Information about clinical trials for alcohol use disorder

Cohen Veterans Bioscience – Research organization advancing brain health solutions for veterans

Traumatic Brain Injury Research – Research on traumatic brain injury, which often co-occurs with PTSD

Military Suicide Research Consortium – Research on suicide prevention for military personnel and veterans

Center for Deployment Psychology Research – Research on psychological health in military populations

STRONG STAR Consortium – Research on prevention and treatment of combat-related PTSD

Ultimate Guide for Veterans with Co-occurring PTSD and SUD

Mobile Apps & Technology Tools

Technology offers innovative ways to support recovery and manage symptoms:

PTSD Coach – Mobile app providing education, self-assessment, and coping skills for PTSD

VetChange – Mobile app helping veterans build skills to reduce problem drinking

Mindfulness Coach – App teaching mindfulness practices to reduce stress

CBT-i Coach – App for insomnia management using cognitive behavioral therapy techniques

COVID Coach – Self-care and mental health support for pandemic-related stress

Moving Forward – Problem-solving skills to overcome life’s challenges

PE Coach – Support for Prolonged Exposure therapy for PTSD

CPT Coach – Support for Cognitive Processing Therapy for PTSD

Stay Quit Coach – App helping veterans quit smoking

Virtual Hope Box – Tools to help with emotional regulation and coping with stress

Mood Coach – App teaching behavioral activation for depression

Breathe2Relax – Stress management tool teaching diaphragmatic breathing

AIMS for Anger Management – App helping veterans manage anger

Insomnia Coach – App providing evidence-based tools to improve sleep

My3 Support Network – Suicide prevention app helping users define their network and plan to stay safe

Community Reintegration Resources

Successful reintegration into civilian life is a key part of long-term recovery:

VA Vocational Rehabilitation and Employment – Services to help veterans with service-connected disabilities prepare for and find suitable employment

Compensated Work Therapy – VA vocational rehabilitation program helping veterans return to work

Helmets to Hardhats – Program connecting veterans to career opportunities in the construction industry

Hire Heroes USA – Free job search assistance for veterans and military spouses

Veterans Employment Center – Resources to help veterans find jobs

American Corporate Partners – Mentoring program connecting veterans with business professionals

Team Red, White & Blue – Organization connecting veterans to their community through physical and social activity

The Mission Continues – Empowering veterans to continue their service through community impact

Team Rubicon – Disaster response organization providing veterans with purpose, community, and identity

Student Veterans of America – Support for veterans in higher education

Veterans of Foreign Wars (VFW) – Organization supporting veterans and their communities

American Legion – Organization supporting veterans, military personnel, and communities

Disabled American Veterans (DAV) – Organization providing support for veterans with disabilities

Iraq and Afghanistan Veterans of America (IAVA) – Organization supporting post-9/11 veterans

Wounded Warrior Project – Organization supporting wounded veterans and their families

Ultimate Guide for Veterans with Co-occurring PTSD and SUD

Supporting Veterans: Overcoming PTSD and Substance Use Challenges

Recovery from co-occurring PTSD and substance use disorder is possible. While the journey may not be linear, with the right resources and support, veterans can break the cycle of PTSD and substance use, reclaiming their lives and building a healthier future.

Remember that seeking help is a sign of strength, not weakness. The resources in this guide represent pathways to healing that have helped countless veterans overcome these challenges.

If you or a veteran you know is in crisis, don’t wait—call the Veterans Crisis Line at 988 (Press 1), text 838255, or chat online at VeteransCrisisLine.net.

Your support makes a difference for family members and friends. By understanding these conditions and learning how to provide effective support, you can play a vital role in your veteran’s recovery journey.

The road to recovery may have challenges, but no veteran needs to walk it alone. Help is available, recovery is possible, and hope is real.

Reach out to experience an unbridled approach to freedom.

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