Individual Therapy

Client reports 5 days alcohol-free. Attended one AA meeting. Admits to strong cravings on weekend but did not drink. PTSD nightmares occurring nightly. Reports flashback episode at gas station when car backfired.

Client appeared alert, no signs of intoxication. Mild psychomotor agitation. Affect constricted. Hypervigilant to environmental sounds during session. Reported last drink 5 days ago, denies withdrawal symptoms.

Early sobriety with active PTSD symptomatology. Client demonstrating commitment to recovery despite significant symptom burden. Concurrent treatment approach remains appropriate.

Continue integrated therapy. Increase grounding skills practice. Encourage daily AA attendance during early sobriety. Begin trauma narrative work when 2 weeks sober. Next session: 02/24/2026.