A sentencing judge cannot dismiss expert evidence of PTSD as making custody more onerous by equating the offender's symptoms with those inevitably produced by imprisonment, where the PTSD predated incarceration and was corroborated by contemporaneous documents. The symptoms of PTSD — including hypervigilance, nightmares, and distress when exposed to triggering cues — would inevitably be more likely to be triggered in a violent custodial setting than in the community. The mere availability of treatment does not negate the finding of additional hardship.
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