RCT of Intensive Multi-Couple Therapy for PTSD Versus Relationship Education in Military Couples

Inclusion Criteria: Service member or veteran and a romantic partner willing to participate. Couple is married or cohabiting for at least 3 months. Couple can be either different or same sex. Service member/veteran diagnosis of PTSD as determined by the CAPS-5 and a CAPS-5 score of 25 or higher. Each partner is at least 18 years old. Both partners able to speak and read English. Exclusion Criteria: Either partner reports current suicidal ideation severe enough to warrant immediate attention Current homicide risk meriting crisis intervention for either partner Current and severe alcohol misuse in either partner in the past 12 weeks and/or warranting immediate intervention Recent (past month) manic episode or psychotic disorder symptoms in either partner Evidence of a moderate or severe traumatic brain injury or other cognitive impairment in either partner Couple is separated or have taken steps to dissolve their relationship Either partner is currently participating in evidence-based treatment for PTSD (e.g., Prolonged Exposure, Cognitive Processing Therapy, Present-Centered Therapy for PTSD, Eye Movement Desensitization and Reprocessing, Cognitive-Behavioral Conjoint Therapy for PTSD, or Structured Approach Therapy). Evidence or admission of severe intimate aggression as indicated by a "yes" endorsement to the one-question Screen for Conflict Question by either partner occurring within the past 6-months.