Peter is a 22 year old guy, currently in a relationship with Sarah but living with his parents and younger brother, in their family home. He was involved in an accident where he was a passenger in a friends car coming home after a night out with other mates of theirs. They were involved in a head on collision where they were both severely injured. Whilst both survived and recovered from their physical injuries, Peter was left experiencing flashbacks of the impact, particularly the noise as they were hit and he often wakes in a panic in the night. He has avoided being a passenger in a vehicle, apart from with his mum, who he describes as a “really safe driver who listens when I tell her to slow down”. He is starting to withdraw from his friendship groups and reports getting irritable with his girlfriend, particularly when she tries to cajole him into going out, even just for a meal at the local pub. He says he’d rather not think about or talk about the accident again and so if he doesn’t see people, he won’t get asked about it. He thinks he’s “pathetic” for not being able to get over the accident and would like to understand his reaction, given that he “should consider himself lucky to be alive”.