Sleep improved to 5–6 hrs/night. Reports lower mood in the mornings, easing by midday. No SI/HI.
Engaged, congruent affect. Adherent to medication. PHQ-9 9 · GAD-7 6
MDD, recurrent, moderate — partial response with persistent diurnal variation. F33.1
- Continue weekly CBT.
- Sleep hygiene plan reinforced.
- Re-screen PHQ-9 next visit; review in 2 weeks.




