A 34-year-old male combat veteran with two deployments to Afghanistan presents to the PMHNP at a VA clinic after his wife insisted he seek help. He reports nightmares, hypervigilance, emotional numbness, and difficulty reintegrating into civilian life since his discharge three years ago. He minimizes his symptoms, stating, "I've seen guys who had it way worse — I shouldn't be here." He has avoided seeking treatment previously because he believes it would mean he is "weak" and fears it could affect his security clearance. He describes difficulty trusting civilian providers and states he only agreed to come because the PMHNP at this clinic is listed as having military cultural competency. The PMHNP considers the cultural factors influencing this veteran's engagement with treatment. Which of the following most accurately reflects evidence-based understanding of military cultural considerations in PTSD treatment?