Mr. President, the solution exists.

One directive could save
thousands of veterans' lives.

The Stellate Ganglion Block is a safe, FDA-utilized procedure with a ~70% response rate for PTSD — and many patients report rapid improvement. Directing the VA to offer SGB to every veteran with PTSD would be the single largest action any president has ever taken to end the veteran suicide crisis.

0 Veterans lost to suicide daily VA 2024 Report
0% SGB response rate for PTSD Mulvaney et al.
Scroll to learn more
"It instantly took away my anxiety." — Dakota Meyer, Medal of Honor (Joe Rogan Experience) "It's like a big weight has been lifted off my shoulders and my chest." — Sgt. Henry Coto, USMC (60 Minutes) "I felt like a brand new man. I had control of my feelings." — SFC Jonathan Zehring, U.S. Army (60 Minutes) "There's very few things in medicine that work that quickly." — Dr. Michael Alkire, Long Beach VA (60 Minutes) "Nothing has taken that anxiety, that real freezing and crippling anxiety away, as the shot has." — Joe Merritt, USMC (PenFed Documentary) "It needs to be an intervention that's part of every post-traumatic stress therapy." — BG Donald Bolduc (Ret.) (60 Minutes) "For the first time since I can remember, I did not get a massive shot of adrenaline and anxiety." — EOD/Army Ranger Veteran "We have a moral duty to remove barriers so our brave warriors can stop suffering." — Rep. Scott Perry (TREAT PTSD Act) "3 days later and he is loving life. He feels he can actually be present." — Father-in-Law of EOD Veteran "It instantly took away my anxiety." — Dakota Meyer, Medal of Honor (Joe Rogan Experience) "It's like a big weight has been lifted off my shoulders and my chest." — Sgt. Henry Coto, USMC (60 Minutes) "I felt like a brand new man. I had control of my feelings." — SFC Jonathan Zehring, U.S. Army (60 Minutes) "There's very few things in medicine that work that quickly." — Dr. Michael Alkire, Long Beach VA (60 Minutes) "Nothing has taken that anxiety, that real freezing and crippling anxiety away, as the shot has." — Joe Merritt, USMC (PenFed Documentary) "It needs to be an intervention that's part of every post-traumatic stress therapy." — BG Donald Bolduc (Ret.) (60 Minutes) "For the first time since I can remember, I did not get a massive shot of adrenaline and anxiety." — EOD/Army Ranger Veteran "We have a moral duty to remove barriers so our brave warriors can stop suffering." — Rep. Scott Perry (TREAT PTSD Act) "3 days later and he is loving life. He feels he can actually be present." — Father-in-Law of EOD Veteran

Since you opened this page

0

veterans have been lost to suicide

Based on the VA's 2024 Annual Report — approximately 17 veterans per day, roughly one every 85 minutes.

0 estimated veterans lost to suicide in 2025 so far

The Crisis

We are losing a generation
of heroes.

PTSD affects an estimated 11-20% of veterans who served in Operations Iraqi Freedom and Enduring Freedom. Traditional treatments work for some — but not enough.

0

Veterans affected by PTSD in their lives VA NCPTSD

0

Veterans die by suicide every single day in the U.S. VA 2024

0%

Of veterans with PTSD are not getting treatment CBS News

0%+

Of veterans with PTSD never seek treatment at all Medical Xpress

The status quo is failing our veterans. Medications can take weeks to work and come with significant side effects. Talk therapy requires months or years. Many veterans give up — or never seek help at all. There is a better way.

The VA's "gold standard" PTSD treatments are only 40% effective — just 8 points better than placebo (32%). And 20-40% of veterans drop out before finishing because the treatment requires reliving trauma for months.

The Foundation Is Already Laid

President Trump called for
bold action — SGB answers that call.

On March 5, 2019, President Trump signed Executive Order 13861 — the PREVENTS initiative — demanding an innovative, all-hands-on-deck approach to end the national tragedy of veteran suicide. SGB is exactly the kind of breakthrough that executive order envisioned.

Executive Order 13861

PREVENTS: President's Roadmap to Empower Veterans and End a National Tragedy of Suicide

This Cabinet-level, interagency effort created the first federally coordinated national public health strategy to address veteran suicide. The executive order called for aspirational, innovative solutions — not government as usual.

📜
Cabinet-Level Priority Interagency coordination to end the veteran suicide epidemic
💡
Innovation Mandate Called for new, evidence-based approaches beyond traditional treatments
🎓
Public Health Strategy First-ever coordinated federal strategy specifically targeting veteran suicide

The PREVENTS executive order set the stage. Now it's time to deliver the solution.

Directing the VA to offer Stellate Ganglion Block to every veteran with treatment-resistant PTSD would be the single largest concrete measure any president has ever taken to solve the veteran suicide crisis. The treatment is proven. The infrastructure exists. Medicare already covers it. All that's needed is the directive.

Help Make This Happen

The Solution

What is the Stellate
Ganglion Block?

SGB is a minimally invasive procedure that has been used safely in medicine for over 100 years. Now research confirms it can dramatically reduce PTSD symptoms.

01

The Stellate Ganglion

A cluster of nerves in the neck that controls the body's "fight or flight" response. In PTSD, this system gets stuck in overdrive — keeping veterans in a constant state of hyperarousal, anxiety, and fear.

02

The Procedure

Using ultrasound guidance, a physician injects a local anesthetic near the stellate ganglion. The procedure takes about 20 minutes and is performed in an outpatient setting — no general anesthesia, no hospital stay.

03

The Reset

The anesthetic temporarily blocks the overactive nerve signals, allowing the sympathetic nervous system to "reset" to pre-trauma levels. Many veterans report rapid improvement, though individual response times vary.

04

The Results

Clinical studies show significant reduction in PTSD symptoms that can last months. Combined with therapy, SGB gives veterans the window of calm they need to process trauma and rebuild their lives.

Why SGB is different

Fast Acting

Many patients report rapid improvement — not months of waiting. (JAMA Psychiatry)

Safe & Proven

Used in medicine for 100+ years. Minimal side effects. No sedation required.

🕑

Quick Procedure

About 20 minutes. Outpatient. Most veterans return to normal activity same day.

🏆

High Success Rate

Studies show ~70% of patients experience meaningful PTSD symptom reduction.

💰

Cost-Effective

Medicare pays $146 per treatment (CPT 64510); total delivery costs are typically $2,100-$3,050 per treatment (Stella) — a one-time intervention vs. ongoing therapy and medications averaging $18,640-$25,684/year.

Already Authorized

The VA MISSION Act (2018), signed by President Trump, allows veterans to access private SGB providers when VA facilities don't offer the service. With most VA centers not offering SGB, veterans already qualify for community care access.

The Economics

A one-time investment, not a recurring cost.

Even at full delivery costs, SGB is dramatically more cost-effective than ongoing traditional care.

SGB (2 TREATMENTS)
$2K–$3K
One-time cost
Including facility, supplies & overhead
vs.
TRADITIONAL CARE
$19K–$26K
Per year, recurring
Therapy, medications & management
$300M
SGB for 100K veterans
(one-time investment)
$1.9B–$2.6B
Traditional for 100K
(annual, recurring)
~$1.6B–$2.3B
Annual savings
(year after year)

Note: Medicare physician reimbursement is $146/treatment (CPT 64510). Total delivery costs including facility fees, supplies, and overhead are typically $2,000–$3,000 per treatment (Stella). Traditional care estimates: CBO, VA Research, APA 2023.

The Evidence

Backed by real science.

Multiple peer-reviewed studies confirm what veterans already know — SGB works. The evidence is strong and growing.

Key Research

The Landmark JAMA Psychiatry Trial

In 2019, researchers published the first multisite, randomized clinical trial of SGB for PTSD in JAMA Psychiatry — one of the world's top psychiatric journals. The results demonstrated that SGB is both safe and effective, reducing PTSD symptoms at roughly twice the rate of placebo.

SGB reduced symptoms at twice the rate of placebo (p = .01)
Durable
Symptom improvement sustained at 8-week follow-up
Safe
No serious adverse events reported across 113 service members
Landmark RCT — JAMA Psychiatry

Multisite Randomized Clinical Trial (2019)

First multisite, blinded, sham-controlled randomized clinical trial of SGB for PTSD. Conducted at 3 Army medical centers with 113 active-duty service members. SGB reduced PTSD symptoms at roughly twice the rate of placebo.

Published in JAMA Psychiatry →
Upcoming Multisite VA Trial

Hollifield et al. (Ongoing)

Dr. Michael Hollifield is leading a large-scale, multisite randomized controlled trial of SGB specifically in veterans with chronic PTSD — the largest study of its kind. Results are expected to further strengthen the evidence base.

View on ClinicalTrials.gov →
Systematic Review

Growing Body of Evidence

Multiple systematic reviews and meta-analyses have examined SGB for PTSD, consistently finding positive outcomes. The evidence base continues to grow with each new study.

Multiple peer-reviewed publications
"Within minutes of receiving a stellate ganglion block injection, several patients have said things like, 'it's like having a thousand-pound weight lifted off my chest.'"

Dr. Shauna Springer, Ph.D., Co-Founder & Chief Psychologist at Stella, Harvard Graduate

See the Proof

Watch veterans and experts
tell the story.

These are not hypotheticals. Real veterans, real stories, real results. From Medal of Honor recipients to 60 Minutes investigations — the evidence speaks for itself.

Joe Rogan Experience

Medal of Honor Recipient Dakota Meyer on SGB

Dakota Meyer describes how SGB transformed his life — instantly relieving the anxiety he'd carried for years.

TEDx Talk

A Green Beret's Lifetime Battle Through Trauma

Green Beret MSG Trevor Beaman shares 24 years of service, his battle with PTSD/TBI, and the breakthrough treatment that changed his life.

Patient Testimonial

SGB Testimonial at Joy Wellness Partners

A patient shares their first-hand experience receiving SGB treatment and the immediate impact on their anxiety and PTSD symptoms.

Before & After

"Pretty Close to a Miracle" — SGB Before & After

An incredible before-and-after SGB testimonial showing the dramatic, rapid transformation in a patient's demeanor and wellbeing.

Viral • 190K+ Likes

"You Don't Have to Live in Fight-or-Flight Forever"

This viral Facebook reel from Reset Medical and Wellness Center captures a powerful moment — a veteran realizing what life can feel like without constant anxiety.

Champions of SGB

The people leading the fight.

From Medal of Honor recipients to pioneering physicians, these are the voices demanding that SGB be made available to every veteran.

Sgt. Dakota Meyer

Medal of Honor Recipient, USMC (Ret.)

"When the needle came out of my neck, it instantly took me from downtown NYC rush hour traffic, to driving down a quiet country road with nowhere to be." Joe Rogan Experience

BG Donald Bolduc (Ret.)

Retired Army Brigadier General, Former Green Beret

"It needs to be an intervention that's part of every post-traumatic stress therapy." 60 Minutes

Dr. Sean Mulvaney

Former Navy SEAL & U.S. Army Physician

Pioneer of SGB for PTSD. Has administered thousands of treatments to veterans and active-duty service members.

MSG Trevor Beaman

U.S. Army Special Forces Green Beret, 24 Years of Service

After decades of trauma including combat deployments and three suicide attempts, SGB and DSR treatment eliminated his suicidal thoughts and transformed his life.

Col. Jim Lynch (Ret.)

U.S. Army Physician, JAMA Psychiatry Co-Author

Called the SGB research findings "a monumental day for the countless victims of PTSD." CBS News

Dr. Michael Alkire

Researcher, Long Beach VA Medical Center

"There's very few things in medicine that work that quickly." Found 80% of SGB patients had relief from depression and suicidal thoughts. 60 Minutes

Dr. Eugene Lipov

Anesthesiologist, Pioneer of SGB for PTSD, Founder of Stella

"PTSD is an injury. We can treat it as such. And most importantly, we can take the stigma out of suffering from trauma." People

Dr. Shauna Springer, Ph.D.

Co-Founder & Chief Psychologist at Stella, Harvard Graduate, Bestselling Author

"Within minutes of receiving SGB, several patients have said things like, 'it's like having a thousand-pound weight lifted off my chest.'" Stella

A Family's Story

"It's a miracle. I am eternally grateful."

The following testimonial is from the father-in-law of an SGB scholarship recipient — a veteran who served 14 years as an Air Force EOD technician (the role portrayed by Jeremy Renner in The Hurt Locker) across multiple deployments. He was also the only Air Force EOD tech to become an Army Ranger, finishing first in his Ranger class.

"About 1 minute after meeting up with him in the recovery room, one of the staff came to check on him. Then she left. He looks at me and said loudly and with a look of bewilderment, 'For the first time since I can remember, I did not get a massive shot of adrenaline and anxiety from talking to her.' He said it always felt like he was literally drowning and he couldn't get air. Basically it was horrible... with every encounter."

"He went on to say this happens with every single human encounter, even with his kids and my daughter. He had a ton of trouble processing that the adrenaline and anxiety was absent. He could not make sense of the 'normal' feeling. This goes back to when his Mom committed suicide over 20 years ago when he was 14."

"Toss in the multitude of concussive forces he endured in EOD while deactivating various bombs, and he has serious TBI from hundreds of concussive forces."

"3 days later and he is loving life. He feels he can actually be present. He now has incredible optimism about his life. He is now applying for a better engineering position with a different defense contractor at about a $100K raise."

"He just finished his master's in engineering and business from Purdue, but his TBI affects him quite a bit. His undergrad was in physics and math. 4.0."

"I thought you should know how life changing this is for him and his family. It's a miracle. I am eternally grateful. He never would have spent his own money, feeling himself not worthy of the expenditure."

— Father-in-law of SGB scholarship recipient, U.S. Air Force EOD / Army Ranger veteran with full TBI disability

More Voices

Real veterans. Real names.
Real results.

These are not anonymous testimonials. These are named veterans who have spoken publicly about how SGB changed their lives.

"I felt like a brand new man. And when I say brand new man, what I mean was I had a control of my feelings. And it was like I was my old self, I was John Zehring, pre-combat again."
"I've lost a couple friends to suicide... just thinking that this treatment, if it was widely available, those guys could've been around."
"If I hadn't gotten the shot, I probably wouldn't be talking to you today. It's livable now."
"Nothing has taken that anxiety, that real freezing and crippling anxiety away, as the shot has."
"After the shot, I don't feel like my life is so short. I spent 35 years of my life living like I wasn't gonna make it to 40."
"My thoughts feel like they're more clear, and I'm able to focus on things one at a time instead of everything racing through my head."

Not Experimental

A century of safe use.
A decade of PTSD research.

SGB isn't some untested idea. It has over 100 years of medical history and a growing body of rigorous clinical evidence.

1920s

First Medical Use

SGB first used for pain management and vascular conditions. Becomes a standard procedure in anesthesiology.

2008

SGB for PTSD Discovered

Dr. Eugene Lipov publishes the first case reports showing SGB can dramatically reduce PTSD symptoms.

2014-16

Military Studies Begin

Dr. Sean Mulvaney begins treating active-duty Special Forces with SGB. Early clinical studies show remarkable promise.

2019

PREVENTS Executive Order

President Trump signs EO 13861, calling for innovative solutions to end veteran suicide — the very mandate SGB fulfills.

2019

60 Minutes Investigation

CBS 60 Minutes airs a major segment on SGB for PTSD, bringing the treatment to mainstream national attention.

2019

JAMA Psychiatry RCT Published

Mulvaney et al. publish the first multisite randomized clinical trial of SGB for PTSD, showing symptom reduction at twice the rate of placebo.

2023

TREAT PTSD Act Introduced

Bipartisan legislation (H.R. 3023) introduced in Congress to expand SGB access for veterans through the VA.

2025

TREAT PTSD Act Re-Introduced

Rep. Scott Perry re-introduces the TREAT PTSD Act as H.R. 1947 in the 119th Congress, directing the VA and DoD to offer SGB to veterans and service members with PTSD.

NOW

Waiting for the Directive

The science is clear. The precedent is set. All that's needed is a presidential directive to make SGB available through the VA.

Help Make It Happen →

Bipartisan Support

Congress is already on board.

The TREAT PTSD Act (H.R. 1947) has bipartisan support from combat veterans in Congress who know firsthand what PTSD does to service members.

Rep. Scott Perry (R-PA)

Retired Army Brigadier General • OIF Combat Veteran

Lead Sponsor, TREAT PTSD Act

"One of the best treatments to stop veteran suicide is SGB, and we have a moral duty as legislators to remove barriers so our brave warriors can stop suffering and dying needlessly." Press Release

Rep. Dan Crenshaw (R-TX)

Former Navy SEAL • Combat Veteran

Co-Sponsor, TREAT PTSD Act

"PTSD does not discriminate. It debilitates some of America's strongest men and women. SGB therapy has proven to be an effective treatment for PTSD." Press Release

Sen. Garlan Gudger (R-AL)

Alabama State Senator

Secured $200K for Alabama SGB Pilot Program

"It allows you to keep the memories that you have had in the past but you do not feel the anxiety, the anger, the depression." Yellowhammer News

Take Action

Help us reach the White House.

President Trump has already shown he wants to solve this crisis. Help us put the solution on his desk. Share this page, contact your representatives, and demand that the VA make SGB available to every veteran.

🏛

Contact the White House & Congress

Tell President Trump and your representatives: the PREVENTS executive order called for innovation — SGB is that innovation. It takes less than 2 minutes to make your voice heard.

Dear Mr. President / [Senator/Representative],

I am writing in support of your PREVENTS Executive Order (EO 13861) and to urge you to take the next bold step: direct the VA to offer Stellate Ganglion Block (SGB) treatment to every veteran suffering from PTSD.

Peer-reviewed research, including randomized controlled trials and studies published in JAMA Psychiatry, has demonstrated that SGB is a safe and effective treatment for PTSD. This minimally invasive, 20-minute procedure uses an FDA-approved anesthetic to provide rapid relief for veterans who have not responded to traditional treatments.

The infrastructure exists. The science is clear. With 17 veterans dying by suicide every day, this single directive would be the largest concrete measure any president has ever taken to end the veteran suicide crisis.

Your PREVENTS initiative called for aspirational, innovative solutions — not government as usual. SGB is exactly that solution. Please act now.

Respectfully,
[Your Name]

📣

Share This Campaign

The more people who see this, the harder it is to ignore. Share this page with everyone you know — on social media, in group chats, with your local veteran organizations. Every share gets us closer to the White House.

📍

Find an SGB Provider

If you or a veteran you know is suffering from PTSD, an SGB provider may be able to help. Use these resources to find qualified physicians offering the procedure.

Are you a provider offering SGB for PTSD? Contact us to be listed as a resource on this site.

Mr. President, this is the moment to finish what PREVENTS started.

The science is clear. The treatment is safe. The time is now.

Help Us Reach the White House

Transparency

Our sources.

Veteran Suicide Data

Clinical Research