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Post-traumatic stress disorder (PTSD) is a stress-related disorder associated with trauma that may cause intense distress and physiological reactions for military veterans. One of the treatment options available, the Outward Bound Veterans (OBV), offers several outdoor courses designed for returning military. In addition to the course design heart rate variability (HRV), a measure of autonomic regulation, may be a useful tool for individuals to regain control of their stress responses. The purpose of this article is to outline a potential treatment approach utilizing HRV in the context of OBVP and other outdoor expeditionary programs.