PTSD (Post-Traumatic Stress Disorder)

Added to TX CUP: 2021

What We Know About PTSD in the CUP Context

The PTSD population evaluated under TX CUP includes veterans, first responders, survivors of interpersonal violence, and patients with other trauma histories. Clinical presentation and treatment context vary across these populations.

How TX CUP Addresses PTSD

HB 1535 (2021) added PTSD to the TX CUP qualifying-conditions list. The inclusion was clinically significant because the population of Texans with a PTSD diagnosis is large relative to other CUP-qualifying conditions.

Low-THC products under the TX CUP for PTSD patients are evaluated in the context of symptom burden — sleep disruption, hyperarousal, intrusive symptoms — typically as adjunct to established trauma-focused therapy and pharmacotherapy.

Our Experience Treating PTSD Patients Under CUP

Considerations CURT physicians evaluating PTSD patients typically address:

• Confirmation of PTSD diagnosis by a qualified mental health professional
• Coordination with the patient’s treating psychiatrist or therapist
• Drug-interaction screening against SSRIs, SNRIs, prazosin, and other PTSD-related pharmacotherapies
• Substance use history including alcohol and other cannabis use
• Suicide and self-harm risk assessment as standard of care
• Realistic outcome framing — symptom-management adjunct, not curative

What to Expect at the Evaluation

A CURT physician evaluating a PTSD patient typically reviews:

• Mental-health diagnostic documentation
• Current psychotherapy and pharmacotherapy
• Symptom severity instruments if available (PCL-5, etc.)
• Substance use history
• Treatment response history

For veterans, VA records may be relevant; patients are typically asked whether VA care coordination is desired.

Common Patient Questions About PTSD and the TX CUP

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