Treatment Plan
Thomas Reeves Created: Oct 21, 2025 Last Review: Mar 2, 2026 Next Review: Apr 21, 2026
Diagnoses
F43.10 - PTSD, unspecifiedF10.20 - Alcohol use disorder, moderate
Presenting Problems
Vietnam-era veteran with chronic PTSD and co-occurring alcohol use disorder. Uses alcohol to manage PTSD symptoms including hypervigilance, nightmares, and emotional numbing. History of multiple treatment attempts.
Strengths
Long-term marriage providing stabilityPrior AA experienceMotivated by wife's supportMilitary service record demonstrates discipline
Substance Use
Client will achieve and maintain 90 consecutive days of sobriety
Target: Jun 21, 2026
15%
in-progress
Attend 3+ AA meetings per week for first 30 days
Identify and document 5 high-risk drinking situations with alternative responses
Symptom Reduction
Client will reduce PTSD symptom severity sufficient to begin trauma processing (EMDR/CPT)
Target: Jun 21, 2026
30%
in-progress
Master 3 grounding techniques and use independently
Implement sleep hygiene protocol with therapist guidance
Signatures
Client
Thomas Reeves
Oct 21, 2025
Therapist
Dr. Rachel Morrison, PhD
Oct 21, 2025