72 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 45. Rehearse Replacement of Negative Self-Talk (45) A. The client was assisted in identifying situations in which his/her negative self-talk occurs. B. The client was assis ted in generating empowering alternatives to his/her negative self-talk. C. The client was assigned “Negative Thoughts Trigger Negative Feelings” from the Adult Psychotherapy Homework Planner, 2nd ed. (Jongsma). D. The client's success in rehearsing the response to negative self-talk was reviewed and reinforced. 46. Develop Hierarchy of Urge-Producing Cues (46) A. The client was directed to construct a hierarchy of urge-producing cues to use substances. B. The client was assisted in developing a hierar chy of urge-producing cues to use substances. C. The client was helped to identify a variety of cues that prompt his/her use of substances. 47. Practice Response to Urge-Producing Cues (47) A. The client was assisted in selecting urge-producing cues with which to practice, with a bias toward cues that are likely to result in a successful experience. B. Behavioral techniques were used to help the client cognitively restructure his/her urge-producing cues. C. The client's use of cognitive-restructuring st rategies was reviewed and processed. 48. Assess Stress-Management Skills (48) A. The client's current level of skill in managing everyday stressors was assessed. B. The client was assessed in regard to his/her ability to meet role demands for work, socia l, and family expectations. C. Behavioral and cognitive-restructuring techniques were used to help build social and communication skills to manage everyday challenges. D. The client was provided with positive feedback regarding his/her ability to manage common everyday stressors. E. The client continues to struggle with common everyday stressors and was provided with remedial feedback in this area. 49. Assign Social and Communication Information (49) A. The client was assigned to read about social skill s. B. The client was assigned to read about communication skills. C. The client was assigned to read Your Perfect Right (Alberti and Emmons). D. The client was assigned to read Conversationally Speaking (Garner). E. The client has read the assigned inf ormation about social and communication skills and key points were reviewed. F. The client has not read the assigned information on social and communication skills and was redirected to do so. 