A Review of PTSD Augmentation Strategies for Older Adults and Case of rTMS-Augmented Prolonged Exposure

•What are the best approaches to enhance engagement and improve outcomes in evidence-based psychotherapies for post-traumatic stress disorder (PTSD) in older adults, particularly for low or nonresponders?•This paper reviews the current state of the research on augmentations to first-line treatments for PTSD, including medications, neuromodulation, and changes to the structure of treatment. A case illustration of an older adult with PTSD who received prolonged exposure with multiple augmentations is reviewed.•Older adults with PTSD may benefit from augmentations to evidence-based psychotherapy to enhance response.