Key takeaways:
Post-traumatic stress disorder (PTSD) can be treated with therapy, medication, and support groups.
Free and low-cost treatment options are available, regardless of whether you have health insurance.
Community-based programs, online support groups, and mobile apps are popular inexpensive methods of managing PTSD.
Cost is a major obstacle to treatment for many people who need mental healthcare. In 2022, 7.6 million American adults reported that, in the past year, they needed mental health services but were unable to access them. Nearly 59% of these people said they thought treatment would cost too much.
One mental health condition some people struggle to get treatment for is post-traumatic stress disorder (PTSD). An estimated 5% of Americans, or 13 million based on the latest data, are living with PTSD in a given year. Veterans and active-duty members of the military whose condition is connected to their service can get care through the U.S. Department of Veterans Affairs (VA). But others with the disorder, even those with health insurance, often face high out-of-pocket costs for their therapy and medication.
“The VA has worked very hard to increase access to PTSD treatment for our veterans,” Debra Kaysen, PhD, ABPP, who is the past president of the International Society for Traumatic Stress Studies, told GoodRx Health. “However, in the civilian world, there are far fewer resources and many may not be so easy to access.”
This article explains what PTSD is, and covers the various inexpensive tools and services available to help people living with PTSD. There are also suggestions about ways to find additional resources.
PTSD is a reaction to experiencing a traumatic event, such as a serious accident, natural disaster, war, sexual assault, or abuse. Sometimes, PTSD occurs after a person experiences an indirect trauma, such as witnessing violence or working as a first responder. The condition can impact a person’s mental and physical health.
Symptoms of PTSD include:
Nightmares
Flashbacks
Insomnia
Loss of interest in your favorite activities
Intrusive thoughts
As mentioned, stressful events can trigger PTSD. This is especially true of situations in which you feel your life is in danger, such as:
Sexual trauma or domestic violence
Mass conflict or displacement
Exposure to a war zone, military combat, or community violence
A traumatic injury, such as a motor vehicle accident
Medical trauma like a heart attack or stroke
Trauma in childhood, such as physical or sexual abuse
Time as a first responder or healthcare professional
Treatment for PTSD generally consists of mental health therapy, medication, or both. (The VA provides a treatment comparison chart that shows how each form of treatment works.) Although cost is a common barrier to accessing mental healthcare, there are some low-cost or free treatment options for PTSD.
To find them, “be active in your communities and ask for help. Seek out people who live around you to ask for resources, and also search online for organizations and nonprofits,”Davia Roberts, LPC, a Washington, D.C., counselor who has worked with people dealing with PTSD, told GoodRx Health.
Here are seven places to look for free or low-cost PTSD treatment.
Some therapists are willing to lower the rate for their services based on income or need. The Open Path Psychotherapy Collective maintains a national directory of therapists who do this. Whether you find a therapist through Open Path or elsewhere, you’ll likely have to pay sliding-scale fees out of pocket.
“Ask how much treatment is going to cost, not per session but by how many sessions they estimate [you’ll] need,” Kaysen recommended.
You may be able to find a nearby college that has a clinic that’s open to the general public. Supervised master’s-level and doctoral students who are pursuing degrees in counseling sometimes provide services at these types of clinics for as little as $5 per session.
An online search using phrases like “community mental health centers” may lead you to nonprofit clinics in your area. Many of these facilities provide therapy along with supportive health and wellness services, such as therapeutic yoga.
Reach out to community organizations like the YWCA or YMCA to see if they offer therapy or support groups. You can find local, community-based organizations through FindTreatment.gov or the website of your local behavioral health department.
Roberts recommends not getting discouraged if a group at one organization has a waitlist. “Ask for a referral for another organization,” he said.
Sites like Talkspace, BetterHelp, and Thriveworks connect you with therapists who may offer sessions at below-market prices. In some cases, they can also provide prescriptions. Not all of the therapists affiliated with these sites accept insurance, so be sure to ask about payment options up front.
To find more sites and apps that offer these services, use search terms such as “affordable PTSD therapy,” plus specific words that describe your needs and preferences.
These employer-sponsored programs exist specifically to help employees resolve personal problems, including mental health issues. Check with your HR department or consult your benefits documentation to see if your employer offers one of these programs.
The VA offers abundant resources to vets and their families to support their road to recovery. All VA medical centers and, some VA clinics, treat PTSD. Community-based Vet Centers also offer free counseling and other services to vets and their families.
Insurance plans that comply with the Affordable Care Act are required to include certain basic mental health benefits. Most private health insurance plans also offer mental health benefits. According to Kaysen, most private plans typically cover PTSD treatments like medications and psychotherapy.
For information about your plan’s coverage, review the policy’s summary of benefits or contact your health insurer directly to answer key questions, such as:
Do I have a health maintenance organization (HMO) or a preferred provider organization (PPO) plan?
Will I need a referral for psychotherapy?
What is my copay for PTSD treatment?
Does the cost of treatment apply to my deductible?
Are prior authorizations required for medications?
Are there annual limits on the number of covered psychotherapy visits?
Also, keep in mind that getting coverage for PTSD treatment will likely require a formal diagnosis that becomes part of your insurance record. “Most insurance providers are going to expect a diagnosis in order for them to continue providing coverage,” Roberts said.
Sharing your concerns with an online support group and using an app to help you manage symptoms are daily actions that can help you get through rough patches. Here are some convenient online options to consider.
Online groups enable people to conveniently connect and share experiences of trauma, so they can strengthen their coping skills. You can search for online PTSD support groups through the following organizations:
The National Alliance on Mental Illness (NAMI) offers free programs, virtual support groups, and educational resources for individuals and families of people living with PTSD.
The CPTSD Foundation provides daily and ongoing support through private virtual groups, which can be accessed online at a nominal cost.
The Anxiety & Depression Association of America (ADAA) has a directory of free, online peer-to-peer groups for people with anxiety-related disorders.
Mental Health America provides resources to connect individuals with mental health conditions with online and in-person support.
While not a replacement for professional treatment, apps can be helpful tools to accompany talk therapy or manage PTSD symptoms. According to the National Center for PTSD, some apps are useful as treatment “companions,” while others emphasize self-help strategies for those living with PTSD. Studies continue to examine these types of apps’ effectiveness as stand-alone interventions for PTSD.
Here are some free apps to consider:
PTSD Coach offers self-care tools and information about professional treatment.
STAIR Coach provides skill-building to help you manage emotions related to and relationships that can be affected by PTSD.
ACT Coach aims to help improve coping skills through mind-body exercises, education about acceptance and commitment therapy (ACT), and assessment tools on value systems.
Mindfulness Coach focuses on mindfulness exercises to reduce stress, improve mental health, and cope with emotional and physical pain related to trauma.
PTSD Family Coach provides tools and information to support family members of individuals living with PTSD.
If you are in experiencing PTSD, here is one way to find nearby treatment options:
Go to www.findtreatment.gov.
Scroll down to “Find a Treatment Facility.”
Type in your address, a facility name, or other search criteria.
Click the search button for results.
Narrow search results by state, county, or distance.
Review the listings of mental health or other types of facilities.
Filter results by therapy type, service setting, and other needs.
You can then contact the clinics, health centers, or treatment facilities directly. Or click “More info” for details about services, therapies, and payment or types of insurance accepted.
Treatment is key for recovery from post-traumatic stress disorder (PTSD), but the cost can be a deterrent. Fortunately, there are free and low-cost options available. These options range from free online apps and support groups to lower-cost therapy resources that may be covered by insurance.
Corthésy-Blondin, L., et al. (2023). Mobile applications for individuals affected by a traumatic event: A systematic review of qualitative findings. Technology, Mind, and Behavior.
Goreis, A., et al. (2020). Efficacy of self-management smartphone-based apps for post-traumatic stress disorder symptoms: A systematic review and meta-analysis. Frontiers in Neuroscience.
HealthCare.gov. (n.d.). Mental health & substance abuse coverage.
Marshall, J. M., et al. (2021). Smartphone psychological therapy turing COVID-19: A study on the effectiveness of five popular mental health apps for anxiety and depression. Frontiers in Psychology.
Substance Abuse and Mental Health Services Administration. (2023). Key substance use and mental health indicators in the United States: Results from the 2022 national survey on drug use and health.
U.S. Department of Veterans Affairs. (2023). How common Is PTSD in adults?
Voth, M., et al. (2022). Efficacy, effectiveness, and quality of resilience-building mobile health apps for military, veteran, and public safety personnel populations: Scoping literature review and app evaluation. JMIR Mhealth Uhealth.
For additional resources or to connect with mental health services in your area, call SAMHSA’s National Helpline at 1-800-662-4357. For immediate assistance, call the National Suicide Prevention Lifeline at 988, or text HOME to 741-741 to reach the Crisis Text Line.