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Post-traumatic stress disorder (PTSD) is a mental health condition that is triggered by a terrifying event —either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, aswell as uncontrollable thoughts about the event. Most people who go through traumatic events may havetemporary difficulty adjusting and coping, but with time and good self-care, they usually get better. If thesymptoms get worse, last for months or even years, and interfere with your day-to-day functioning, you mayhave PTSD. Getting effective treatment after PTSD symptoms develop can be critical to reduce symptomsand improve function. This stress prevalent among civilian and military personnel. Current psychotherapiesmay place high emotional demands and lengthy treatment commitment that may hinder successful treatmentcompletion for some patients. This article extends previous research in the field of psychotherapeutic changeby providing results from the analysis of change trajectories in psychotherapeutic treatments.