Treatment Plan
James Okafor Created: Nov 10, 2025 Last Review: Feb 16, 2026 Next Review: May 10, 2026
Diagnoses
F43.10 - PTSD, unspecifiedF32.1 - Major depressive disorder, single episode, moderate
Presenting Problems
Combat veteran presenting with PTSD symptoms including nightmares, hypervigilance, emotional numbing, and avoidance of trauma reminders. Concurrent depression with low mood and social isolation.
Strengths
Military discipline and resilienceSupportive sisterNo active substance useMotivated veteranGood therapeutic alliance
Symptom Reduction
Client will reduce PTSD symptom severity as measured by PCL-5 from 52 to below 33 within 9 months
Target: Aug 10, 2026
35%
in-progress
Reduce nightmare frequency from nightly to 2 or fewer per week
Use grounding techniques independently during 3 triggering situations per week
Interpersonal
Client will reduce avoidance behaviors and re-engage in 2 previously avoided activities
Target: Aug 10, 2026
20%
in-progress
Complete avoidance hierarchy with therapist
Attempt lowest-rated avoidance item from hierarchy
Signatures
Client
James Okafor
Nov 10, 2025
Therapist
Marcus Webb, LCSW
Nov 10, 2025
Supervisor
Dr. Rachel Morrison, PhD
Nov 11, 2025