This article describes a randomized, controlled trial (N = 38) that compared art therapy in conjunction with cognitive processing therapy (CPT) to CPT alone for veterans with combat-related posttraumatic stress disorder. Participants were randomized to either the experimental condition of 8 sessions of CPT and 8 sessions of individual art therapy or to the control condition of 8 sessions of CPT and 8 individual sessions of supportive psychotherapy. Outcome measures included the Beck Depression Inventory--II (BDI-II), PTSD Checklist--Military (PCL-M), and self-ratings of perceived treatment benefits. Experimental group participants had statistically significantly greater reduction in PCL-M and BDI-II scores compared to the control group and the perceived benefit of treatment was greater for art therapy as compared to CPT.