Individual Therapy

Client reports stable week with three nightmare-free nights. Used 5-4-3-2-1 grounding technique successfully at work. Reports slight improvement in mood. Continues to avoid driving on highways.

Client on time, casually dressed. Affect more relaxed than previous sessions. Good eye contact maintained. Speech normal. Discussed avoidance patterns with insight.

PTSD symptoms showing improvement with CPT approach. Avoidance behaviors remain a treatment target. Nightmare reduction is clinically significant.

Continue CPT. Begin addressing avoidance hierarchy. Monitor nightmare log. Next session: 02/17/2026.