Individual Therapy

Client reports moderate week with manageable PTSD symptoms. Nightmares occurred twice. Reports successful use of grounding techniques in grocery store when triggered by loud noise. States 'I am getting better at catching it before it takes over.'

Client dressed casually, appeared rested. Affect appropriate to content. Good eye contact. No hyperstartle response during session. Client articulated coping strategies clearly.

PTSD symptoms in gradual remission. Client ability to recognize and intervene on trigger-response cycle in real-world settings is a key indicator of treatment progress.

Continue weekly CPT therapy. Introduce stuck point log. Monitor nightmare frequency. Next session: 02/24/2026.