In nonrelativistic quantum mechanics and in relativistic quantum field theory, the time coordinate
t is a parameter and thus the time-reversal operator
T does not actually reverse the sign of
t. In contrast, in the five-dimensional approach to relativistic quantum mechanics introduced by Feynman, time
t is a quantum-mechanical operator. In this paper it is shown how one can use this five-dimensional approach to extend
T and
PT symmetry from nonrelativistic to relativistic quantum mechanics and implement time-reversal as an operation that effects $\mathcal{T}\text{ }t\mathcal{T}=\ensuremath{-}t$ just as
P effects $\mathcal{P}x\mathcal{P}=\ensuremath{-}x$, with
PT thus effecting $\mathcal{P}\mathcal{T}\text{ }{x}_{\ensuremath{\mu}}\mathcal{P}\mathcal{T}=\ensuremath{-}{x}_{\ensuremath{\mu}}$. Some illustrative relativistic quantum-mechanical models are constructed whose associated Hamiltonians are non-Hermitian but
PT symmetric, and it is shown that for each such Hamiltonian the energy eigenvalues are all real.