PTSD in Australian Veterans: Understanding Symptoms & Support
Post-Traumatic Stress Disorder (PTSD) is one of the most common mental health conditions affecting Australian veterans. Whether from combat deployments, peacekeeping missions, training incidents, or witnessing the suffering of others, military service can expose personnel to experiences that have lasting psychological impacts.
This article provides an overview of PTSD in Australian veterans — what it is, how common it is, what symptoms to look for, and what evidence-based treatments are available.
Key Statistic: Research indicates that 17.7% of ex-serving ADF members have experienced PTSD in the past 12 months, compared to 5.7% in the general Australian population. (Source: Transition and Wellbeing Research Programme, DVA 2018)
What is PTSD?
Post-Traumatic Stress Disorder is a mental health condition that can develop after exposure to a traumatic event. In the military context, trauma may include:
- Direct threats to your life or safety
- Combat and armed conflict
- Witnessing death, injury, or human suffering
- Handling human remains
- Training accidents
- Sexual assault or harassment
It’s important to understand that not everyone who experiences trauma develops PTSD. Many people recover naturally with time and support. However, when distressing symptoms persist and begin to significantly affect daily life, work, and relationships, it may indicate PTSD.
PTSD Prevalence in Australian Veterans
The Transition and Wellbeing Research Programme, commissioned by the Departments of Veterans’ Affairs and Defence, provides the most comprehensive data on veteran mental health in Australia.
Key findings include:
- Ex-serving ADF members: 17.7% experienced PTSD in the past 12 months
- Currently serving ADF members: Approximately 8% experienced PTSD in the past 12 months
- General Australian population: 5.7% experienced PTSD in the past 12 months
- Trauma exposure: 90% of ADF members have experienced at least one potentially traumatic event in their lifetime
These figures highlight that veterans are at significantly elevated risk compared to the broader population, and that the transition from military to civilian life appears to be a particularly vulnerable period.
Recognising PTSD Symptoms
PTSD symptoms generally fall into four clusters. Symptoms must persist for more than one month and cause significant distress or impairment to meet diagnostic criteria.
1. Intrusion Symptoms
- Intrusive, distressing memories of the traumatic event
- Nightmares related to the trauma
- Flashbacks — feeling as if the event is happening again
- Intense distress when reminded of the event
2. Avoidance
- Avoiding thoughts, feelings, or conversations about the trauma
- Avoiding people, places, or activities that trigger memories
3. Negative Changes in Thoughts and Mood
- Difficulty remembering important aspects of the event
- Persistent negative beliefs about oneself, others, or the world
- Feelings of guilt, shame, or blame
- Loss of interest in activities once enjoyed
- Feeling emotionally numb or detached from others
4. Hyperarousal
- Being easily startled
- Feeling constantly on edge or hypervigilant
- Difficulty sleeping
- Irritability or angry outbursts
- Difficulty concentrating
PTSD Often Occurs with Other Conditions
Research shows that up to 90% of veterans with PTSD also have another mental health condition. Common co-occurring conditions include:
- Depression
- Anxiety disorders
- Alcohol or substance use disorders
- Chronic pain conditions
Military-related trauma is also commonly associated with problematic anger, sleep disturbance, and relationship difficulties. A comprehensive psychiatric assessment can identify all relevant conditions, ensuring appropriate treatment planning.
Evidence-Based PTSD Treatments
The good news is that PTSD is treatable. Evidence-based psychological treatments have been shown to significantly reduce symptoms and help veterans recover.
The 2023 VA/DoD Clinical Practice Guidelines and Australian Guidelines for PTSD recommend the following as first-line treatments:
Prolonged Exposure (PE)
PE involves gradually confronting trauma-related memories and situations in a safe, controlled way. Research shows high effectiveness for reducing PTSD symptoms, with many veterans no longer meeting diagnostic criteria after treatment.
Cognitive Processing Therapy (CPT)
CPT focuses on changing unhelpful beliefs related to the trauma. It helps veterans challenge and modify thoughts that may be maintaining their symptoms, such as excessive self-blame or beliefs that the world is entirely dangerous.
Eye Movement Desensitisation and Reprocessing (EMDR)
EMDR involves recalling traumatic memories while engaging in bilateral stimulation (such as eye movements). It has strong research support for reducing PTSD symptoms.
Medication
When psychological treatment is not available or has not been fully effective, certain medications may be considered. SSRIs and SNRIs are the most commonly used medications for PTSD. Medication can also be used alongside psychological treatment.
Getting a PTSD Diagnosis for DVA Claims
If you’re seeking DVA compensation for PTSD, you will need a psychiatric assessment. DVA requires a formal diagnosis using DSM-5 criteria, which is provided through a comprehensive psychiatric evaluation.
A DVA psychiatric assessment typically includes:
- A 2-3 hour clinical consultation
- Mandatory psychometric testing
- Review of your service history and traumatic experiences
- Assessment of symptom severity and functional impact
No GP referral is required for DVA-requested independent psychiatric assessments. The assessment report is submitted directly to DVA to support your claim.
Support Services for Veterans with PTSD
- Open Arms — Veterans & Families Counselling: Free, confidential counselling available 24/7. Call 1800 011 046.
- DVA Health Cards: Once your condition is accepted, treatment is covered by DVA at no cost.
- At Ease Portal: Online resources and self-help tools at at-ease.dva.gov.au
- Veteran Service Organisations: RSL, Legacy, and other organisations can provide peer support and claims assistance.
Frequently Asked Questions
Can PTSD develop years after the traumatic event?
Yes. PTSD can have a delayed onset, with symptoms sometimes appearing months or even years after the trauma. Symptoms can also be episodic, coming and going over time, and may be triggered by life events or stress.
Is PTSD a sign of weakness?
Absolutely not. PTSD is a recognised medical condition that can affect anyone who has experienced trauma, regardless of their strength, training, or resilience. Seeking help is a sign of strength, not weakness.
Do I need to have been in combat to develop PTSD?
No. PTSD can develop from any traumatic experience, including training accidents, peacekeeping operations, witnessing trauma, or non-combat events. Research shows that non-deployed ADF members can experience PTSD at similar rates to those who have deployed.
Can PTSD be cured?
Many people with PTSD experience significant improvement with evidence-based treatment, and some no longer meet diagnostic criteria after completing therapy. While experiences may always be remembered, they no longer need to dominate your life.
Book with March Ahead
If you need a psychiatric assessment for a PTSD-related DVA claim, March Ahead provides comprehensive independent assessments with no waitlist. Our assessments include mandatory psychometric testing, and reports are typically completed within two weeks.
Related Resources
- Related: What is a DVA Psychiatric Assessment?
- Related: Depression in Veterans
- Service page: DVA Psychiatric Assessments