Abstract:Challenges among all veterans in being diagnosed, accessing, and navigating post-traumatic stress disorder (PTSD) during and after military service have been extensively documented. However, literature remains scarce regarding disparities in healthcare and disability resource access specifically for Black male military veterans with PTSD, as noted by the Government Accountability Office (GAO) and other sources. This qualitative narrative inquiry study addresses this gap by exploring the lived experiences of a Black male veteran with PTSD as he navigated PTSD both during military service and through the U.S. Department of Veterans Affairs (VA) healthcare and disability processes. The study identifies the impact of racial trauma, discrimination, and stigma within the military and VA healthcare system on Black male veterans with PTSD. Findings reveal significant disparities in both military service and VA healthcare, with Black male veterans receiving little to no mental health support while enduring severe PTSD symptoms. Participants reported experiencing both interpersonal and intrapersonal distress, which affected their daily functioning. Recommendations for equitable changes in military and VA healthcare processes are presented, alongside exploring barriers to implementing these changes. Clinicians and policymakers are provided with guidance on delivering culturally competent care to support Black male veterans in managing and recovering from PTSD through the VA healthcare system.