258 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER B. The client's depression symptoms have diminished considerably. C. The client reported that he/she is no longer experiencing symptom s of depression. 21. Alcohol/Drug Abuse (20) A. Since the traumatic experience, the client has engaged in a pattern of alcohol and/or drug abuse as a maladaptive coping mechanism. B. The client's alcohol and/or drug abuse has diminished as he/she has wor ked through the traumatic event. C. The client reported no longer engaging in any alcohol or drug abuse. 22. Suicidal Thoughts (21) A. The client reported experiencing suicidal thoughts since the onset of PTSD. B. The client's suicidal thoughts have bec ome less intense and less frequent. C. The client reported no longer experiencing any suicidal thoughts. 23. Interpersonal Conflict (22) A. The client described a pattern of interpersonal conflict, especially in regard to intimate relationships. B. As the client has worked through his/her reaction to the traumatic event, there has been less conflict within personal relationships. C. The client's partner reported that he/she is irritable, withdrawn, and preoccupied with the traumatic event. D. The clien t and his/her partner reported increased communication and satisfaction with the interpersonal relationship. 24. Violent Threat/Behavior (23) A. The client described having engaged in violent verbal threats since experiencing the traumatic event. B. The client's irritability has been magnified into physically violent behavior. C. As the client has worked through the emotions associated with the traumatic event, his/her verbal and physical violence has diminished. D. The client reported having no recent experiences with verbal or physical violence or threats of violence. 25. Employment Conflicts (24) A. The client has been unable to maintain employment due to authority/coworker conflict or anxiety symptoms. B. As the client has worked through the feelin gs associated with the traumatic event, he/she has been more reliable and responsible within the employment setting. C. The client has resumed his/her employment duties and attendance in a consistent and reliable manner. 26. Symptoms for One Month or More (25) A. The client stated that his/her symptoms of PTSD have been present for more than a month. B. The client's symptoms that have been present for more than a month have diminished. C. The client no longer experiences PTSD symptoms. 