The Veterans returning with PTSD are having multiple related problems. These other symptoms include, but are no limited to, DUI, Assault and Domestic Abuse. It is very difficult for a person with PTSD to talk about their experiences and feelings. The problems noted above end up being the focus of treatment. By treating these underlying symptoms the primary problem is not being addressed. This will not be effective in treating the primary diagnosis, nor will it be nearly as positive in transitioning the Veteran back in to Civilian life. Veterans are ending up court ordered to domestic abuse counseling, drug and/or alcohol treatment, etc.. A dramatic increase in suicide has been reported. While treating these problems is important, without any focus on the underlying cause, the prognosis for recovery, and return to normal life decreases dramatically.One example is a Veteran who got a DUI shortly after returning from Iraq. He has no history of substance abuse problems or diagnosis. He is court ordered for alcohol treatment per law due to the DUI. However, he is not an alcoholic. I am quite certain the alcohol treatment will not be detrimental, but it is not addressing his primary diagnosis of PTSD. Veterans are very reluctant to discuss any of this. If they can divert to another symptom, it makes it much easier to avoid the primary underlying problem. This allows the symptoms to actually increase. Family members need to be aware and persistent. Family and friends are crucial in directing the Veteran to the treatment and support they need for PTSD. Despite the reluctance they may encounter, persistence makes a difference in timely treatment and positive outcome. Efficacy of treatment is diminished when this issue is not addressed immediately.