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Summary Keywords kava, naturalistic use, PTSD, trauma, cultural-based therapy, psychology, talanoa , products containing Piper methysticum Citation Aporosa SA, Itoga D, Ioane J, Prosser J, Vaka S, Grout E, Atkins MJ, Head MA, Baker JD, Blue T, Sanday DH, Owen MW, Murray C, Sivanathan K, Cuthers TW, Mesui-Henry A, McCarthy M-J, Bunn J, Waqainabete I and Turner H (2025) Innovating through tradition: kava- talanoa as a culturally aligned medico-behavioral therapeutic approach to amelioration of PTSD symptoms