VETERANS

Veteran suicides: 6,392 veterans died by suicide in 2021 — 17.5 per day (latest official VA report). Mental Health VA
PTSD in veterans: PTSD is common, especially among VA users (lifetime PTSD ≈ 23% in VA users vs 7% in non-VA veterans). PTSD VA
ADHD raises PTSD risk: People with ADHD are about 2.4× more likely to develop PTSD than their own siblings without ADHD (large sibling-comparison study). PMC
When ADHD and PTSD co-occur: Studies show more severe symptoms, worse functioning, and harder clinical courses than PTSD alone; comorbidity rates in adult samples often ~28–36%. PubMed+1
ADHD & suicidality: Adult ADHD is linked to elevated suicidal ideation/behaviors in clinical and population studies. Treating ADHD is associated (observationally) with lower suicidal behavior. BioMed Central+1
Rejection sensitivity matters: High rejection sensitivity (the core of RSD) is associated with suicidal ideation pathways (via thwarted belongingness) in psychiatric samples.

THE RESEARCH

Mechanics, not morality: PTSD therapies require attention, working memory, and emotion regulation. Undiagnosed ADHD undercuts those systems, so care looks “treatment-resistant” even with good clinicians. Research consistently shows worse impairment when ADHD + PTSD travel together.

Med trials alone aren’t enough: In a VA randomized trial, atomoxetine helped ADHD symptoms in veterans with ADHD+PTSD, but PTSD symptoms didn’t budge—which underscores the need for proper sequencing (stabilize ADHD + sleep to make trauma work doable).

Adult ADHD is routinely misdiagnosed—especially in veterans.
It’s commonly mislabeled as anxiety, depression, bipolar, or “personality issues,” and most assessments are subjective and childhood-centric. High-masking adults (and women) slip past checklists, so they get years of the wrong meds while the ADHD engine is untouched.

Most suicide-prevention models don’t screen for ADHD/RSD or OS—so the “high-functioning” fall through.
Programs fixate on PTSD and crisis response, but don’t gate for sleep, don’t check RSD episodes, and don’t split Plain OS vs ADHD-OS. Wrong sequence ⇒ treatment churn, “non-response,” and no change in the numbers that matter.

VETERAN COACHING

diagnostic evaluations

care coordination

SOF OS COACHING

How it works (5 steps)

Start – Quick intake + consent to share with VA.
Evaluate – PMHNP runs ADHD/RSD/OS screens + safety gates.
Plan – We build a simple weekly routine.
Hand off – We send the VA-ready plan; you keep your VA clinicians.
Follow-through – Weekly coaching + squad check-ins; we chase the VA items.

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We diagnose here. If the VA is backed up, we help you get therapy started through Community Care and coordinate with your VA team.