310 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client and his/her partner have not followed through on the referral for marital therapy and were redirected to do so. 29. Review Sexual Needs and Dy sfunction ( 29) A. The client's typical sexual needs that may have been neglected due to his/her mental illness symptoms were reviewed. B. The client was supported as he/she acknowledged his/her own typical sexual needs that he/she has neglected due to hi s/her mental illness symptoms. C. The client was supported as he/she acknowledged his/her partner's sexual needs that have been neglected due to his/her mental illness symptoms. D. The client denied any pattern of sexual needs that have been neglected du e to his/her mental illness symptoms and was provided with feedback in this area. E. The client was asked about sexual dysfunction symptoms. F. The client identified specific sexual dysfunction symptoms and was provided with information about how to addr ess these problems. G. The client denied any sexual dysfunction symptoms, and this was accepted. 30. Review Side Effects of Medications ( 30) A. The client was taught about the sexual side effects of prescribed medications so that he/she can make an inf ormed decision about whether to use them. B. The client's decision against using medications due to their sexual side effects was processed. C. The client is aware of the sexual side effects of the medications but was supported in his/her decision to use them despite these problems. D. As the client continues to have a poor understanding of side effects of his/her medications, he/she was provided with additional information. E. The client identified significant side effects, and these were reported to t he medical staff. F. Possible side effects of the client's medications were reviewed, but he/she denied experiencing any side effects. 31. Refer for a Physical Evaluation of Sexual Dysfunction ( 31) A. The client was referred to a physician for a complet e physical to rule out any organic basis for his/her sexual dysfunction. B. The client was reinforced for cooperating with the referral for a physical evaluation to rule out any organic basis for his/her sexual dysfunction. C. The client's physical did i dentify medical conditions or medications that may have a harmful effect on his/her sexual functioning, and this finding was processed. D. An evaluation by a physician found no organic basis for the client's sexual dysfunction, and this conclusion was pro cessed. E. The client was supported in following up on the recommendations from the medical evaluation. F. The client has been following up on the recommendations from the medical evaluation, and he/she was encouraged for this. G. The client has not reg ularly followed up on his/her medical evaluation recommendations and was redirected to do so. 