rTMS-augmented Written Exposure Therapy for PTSD

This study is testing whether combining repetitive transcranial magnetic stimulation (rTMS — a non-invasive brain stimulation technique) with a type of writing-based therapy (Written Exposure Therapy) can improve PTSD outcomes in military veterans. rTMS uses magnetic pulses to stimulate specific brain regions, potentially making therapy more effective. **You may be eligible if...** - You are a veteran between the ages of 18 and 60 - You have a diagnosis of PTSD - You speak English and can provide written consent **You may NOT be eligible if...** - You have a history of seizures or significant neurological conditions - You are pregnant - You have active psychosis, bipolar disorder, or schizophrenia - You have current suicidal intent with a plan - You have a current substance use disorder or used substances in the last 12 hours - You have moderate or severe traumatic brain injury (mild TBI is allowed) - You have a cognitive impairment that would affect your ability to participate - You are currently participating in another structured evidence-based therapy Talk to your doctor to see if this trial is right for you.