
Trauma and Hypervigilance
TK, a 29-year-old EMT, sought therapy for “not being able to shut off.” He startled easily, checked locks repeatedly, and avoided sleep because of nightmares.

TK, a 29-year-old EMT, sought therapy for “not being able to shut off.” He startled easily, checked locks repeatedly, and avoided sleep because of nightmares.

SH, a 57-year-old nurse, began therapy six months after her husband’s death. She reported feeling “stuck in a fog” and alternated between numbness and guilt.

KR, a 33-year-old project manager, presented with chronic irritability and tension at home. He described his partner as “constantly letting me down” and admitted to frequent arguments over trivial matters.

DL, a 39-year-old father of two, came in reporting severe fatigue, low motivation, and an ongoing sense of worthlessness. He spent most evenings alone in the garage, scrolling his phone and drinking.

AV presented to therapy stating she was “on edge all the time.” She described constant worry about health, work performance, and the safety of her family.