Client safety is the priority. Increased use of opioids and stating "it is not worth it" can be considered suicidal. A client who increased lorazepam intake requires follow up, but this client is not the priority. Increasing benzodiazepine will cause fatigue, so afternoon naps are expected. Increasing the frequency of visits to a therapist are encouraged; there are no immediate concerns with seeing a therapist more often. Avoiding alcohol with posttraumatic stress disorder is encouraged; however, there's nothing immediately concerning with an adult having one glass of wine with supper.