Psychotherapy Effects on Reward Processing in PTSD

This study is using brain imaging (fMRI) to examine how different psychotherapies affect the brain's reward processing in people with PTSD. Many people with PTSD struggle to feel pleasure or motivation, and researchers want to understand how therapy changes these brain patterns to develop more effective treatments. **You may be eligible if...** - You have a confirmed, current PTSD diagnosis (present for at least 3 months) based on clinical interview - English is your primary language - You are able and willing to undergo fMRI brain scans - You are willing to participate in multiple assessments and potentially be in a delayed treatment group **You may NOT be eligible if...** - You have a history of psychosis or bipolar disorder - You have had active substance dependence in the past 6 months - You are currently taking regular psychiatric medications that could affect brain imaging results - You have metal implants or other contraindications to MRI Talk to your doctor to see if this trial is right for you.