1.A 45 year old female with Trauma and Stressor-Related Disorder and Mood Disorder presented for a psychotherapy follow-up.
She reported recurrent nightmares, hypervigilance, and emotional numbness related to past domestic abuse. The patient displayed tearfulness, avoidance of trauma reminders, and difficulty trusting others. Mental status revealed anxious and depressed mood, restricted affect, and fair insight. The session focused on grounding techniques, cognitive reframing of guilt, and building safety within the therapeutic alliance. The treatment plan included continued trauma-focused therapy and close monitoring for depressive symptoms impacting daily functioning.
