1. Established chief Reports sleep problems
complaint
2. Asked about on- Reports sleep problems for the past 10+ years
set and frequen- Reports having problems sleeping most nights of the week
cy of sleep prob-
lems
3. Asked about Reports recent sleep problems include nightmares.
sleep quality and Reports falling asleep often takes more than an hour.
characteristics Reports waking up two or three times during the night for
"at least ten minutes"
Reports waking in the morning feeling "out of it" and not
rested.
Reports frequent snoring.
4. Asked about Reports going to be "around midnight", but feeling "too
sleep habits nervous" to sleep.
Reports actually falling asleep around 2 or 3am
Reports checking her windows and doors twice before
going to bed.
Reports no screen use (tv or computer) before bed.
Reports average wake up time of 7am.
Reports sleeping an average of 4 or 5 hours a night.
Reports sleeping alone in a quiet room.
5. Asked about pat- Reports that stress and anxiety exacerbate sleep prob-
terns for sleep lems.
problems.
6. Asked about ex- Reports hypertension diagnosis
isting health con-
ditions
7. Followed up on Diagnosed at age 45
hypertension di-
agnosis
8. Reports PTSD diagnosis
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Asked about his-
tory of mental
health
9. Followed up Reports depression accompanies PTSD diagnosis.
about symptoms Reports anxiety as a symptom of PTSD.
of PTSD diagno- Reports sleep problems are a symptom of PTSD diagno-
sis sis.
10. Followed up on Reports diagnosed at age 35.
onset of PTSD Reports PTSD cause is military sexual assault.
Reports MST was at age 23.
Reports even involved commanding officer and ostraciza-
tion from unit.
Reports left military at 28, but did not seek immediate care.
11. Followed up on Reports stress triggers PTSD symptoms.
aggravating fac- Reports avoiding crowds or most social situations.
tors for PTSD. Reports fear of "losing control" of a situation.
Reports discussing event is triggering.
Reports difficulties with relationships and emotional/phys-
ical intimacy.
12. Asked about Reveals belief that she has a moderate level of self-care.
non-medication Reports therapy dog helps.
coping strategies Reports smoking helps.
Reports avoiding stimulating environments when anxious
or stressed.
13. Asked about sui- Reports occasional feelings that "sometimes I feel like like
cidal ideation is not worth living"
and self-harm. Denies active suicidal ideation or self-harm.
14. Followed up on Denies suicide planning.
suicide planning. Reports suicidal ideation is a symptom of depression.
15. Asked about past Denies past suicide attempts.
suicide attempts
16. Denies homicidal ideation.
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