Case Example: Trauma and Stress-Related Disorder and Sleep Disorder (Follow-Up)

A 40-year-old Hispanic female with Post-Traumatic Stress Disorder (PTSD) and Insomnia returned for follow-up. She reports frequent nightmares and difficulty falling asleep due to hypervigilance and intrusive memories related to a past traumatic event. She describes feeling constantly on edge, with racing thoughts and an inability to relax, which worsens her sleep difficulties and increases daytime fatigue.
Preceptor Plans include continuing trauma-focused cognitive-behavioral therapy (CBT) to address PTSD symptoms, introducing cognitive-behavioral therapy for insomnia (CBT-I), and practicing mindfulness and relaxation techniques before bed. Follow-up is scheduled in three weeks to assess progress and adjust the treatment plan as needed.