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You don't have to diagnose it as "PTSD" or whatever name WE use for it, but you can have a character call it out as a real thing: They are an expert, they have seen many soldiers with a similar collection of symptoms, perhaps as a comfort to the person suffering this (i.e. you are not alone, you are not imagining it, you are not weak or defective for experiencing it).
If it is post-apocalyptic Earth, then you can even use PTSD, somebody may still exist that has heard of it, or read of it. Post-apocalyptic doesn't have to mean everyone is stupid and illiterate, the infrastructure may have been destroyed, but parents can still teach their children to read and write. They did, in fact, for settlers in the American West, even though they were farmers with very little infrastructure, no electricity, using animals for travel and labor, etc. Post-apocalyptic doesn't have to mean knowledge of psychology and medicine are all erased, it might mean no more new knowledge is being generated, but the textbooks and papers should still exist, somewhere. I have three old psychology books on my bookshelves, from my college days. (I did not sell my books back for any class).
If you are concerned about getting dinged, just mention either a diagnosis, or alternatively, have somebody recognize it as a common condition, perhaps suggest treatment. The MC doesn't have to agree or participate, but it should satisfy you that you didn't ignore it, and if there are sticklers you can point at the paragraph saying you addressed their concern.
Personally, in the movie I immediately recognized Katniss was suffering from PTSD, I had no problem with it not being named or treated, I wouldn't expect it to be in her primitive setting. It seemed like a fair enough literary treatment of the condition to me. A story does not have to be a public service announcement.
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