A 34-year-old African American female with Panic Disorder and Chronic Insomnia returned for follow-up. She reports waking up multiple times during the night due to panic attacks characterized by a racing heart and shortness of breath. She describes feeling constantly on edge during the day, with difficulty focusing and irritability. She denies recent changes in diet, substance use, or significant life stressors.
Plans include continuing psychotherapy focused on panic management, introducing diaphragmatic breathing exercises for nighttime anxiety, and discussing the potential use of a low-dose sedative for acute sleep disruptions. Follow-up is scheduled in four weeks to reassess symptoms and evaluate the need for additional interventions.

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