Subjective Client reports continued sleep disruption (~5hrs/night) with morning anxiety persisting through breakfast. Notes improvement in workplace situations — used grounding technique twice in meetings last week. Objective Affect congruent. Eye contact maintained. Speech rate normal. No SI/HI. PHQ-9 unchanged at 11. Assessment Moderate GAD with mild depressive features. Client demonstrating skills acquisition. Sleep hygiene remains primary barrier...

Presenting concern 32yo male presenting with stress related to career transition. Sleep mostly intact. No prior therapy. Family hx of anxiety disorder (maternal). Plan Weekly sessions × 8. Begin with psychoeducation around stress response. Introduce CBT framework session 3. Reassess goals at session 6...