Personal Context
Military
Served in Afghanistan (2009-2011), 2nd Battalion
Family
Married to Rebecca, two children (Michael, 14; Sarah, 11)
Career
Recently started new job as construction project manager
Observed Patterns
Sleep
Consistent reports of middle-of-night waking (3-4am)
Stress
Increased anxiety reported before work meetings
Coping
Breathing techniques showing positive impact on sleep onset
Clinical Awareness
PTSD
Triggers: loud noises, crowded spaces, fireworks
Medication
Sleep medication used 3-4 times weekly
Support
Weekly VA group therapy, spouse is primary support
Goals & Progress
Primary
Improve sleep quality to 6+ hours uninterrupted
Secondary
Reduce reliance on sleep medication within 3 months
Interest
Exploring mindfulness for anxiety management
MEMORY INFLUENCING THIS RESPONSE
• John reported consistent middle-of-night insomnia in previous 5 sessions
• Breathing exercises were mentioned as helpful in session on Apr 17
• Sleep medication reduction is a stated treatment goal
Good morning John, how did you sleep last night? Last time we spoke, you were trying the new breathing technique before bed.
10:05 AM
Better than usual but still woke up around 3am and couldn't get back to sleep. The breathing helped though.
10:07 AM
I'm glad the breathing technique helped somewhat. Waking up at 3am is still an improvement from what you described last week with multiple wake-ups. Would you like to explore some strategies specifically for getting back to sleep after waking up in the middle of the night?
10:08 AM
Yes, that would be helpful. I was also thinking about trying the sleep app you mentioned.
10:10 AM