222 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 3. Explore Panic Stimulus Situations (3) A. The client was assisted in identifying specific stimulus situations that precipitate panic symptoms. B. The client could not describe any specific stimulus situations that produce panic; he/she was helped to identify that they occur unexpectedly and without any pattern. C. The client was helped to identify that his/her panic symptoms occur when he/she leaves the confines of his/her home environment and enters public situations where there are many people. 4. Administer Assessments for Agoraphobia Symptoms (4) A. The client was administered psychological instruments designed to objectively assess his/her level of Agoraphobia symptoms. B. The client administered The Mobility Inventory for Agoraphob ia (Chambless, Coputo, and Gracely). C. The client was provided with feedback regarding the results of the assessment of his/her level of Agoraphobia symptoms. D. The client declined to participate in the objective assessment of his/her level of Agorapho bia symptoms, and this resistance was processed. 5. Administer Assessments for Anxiety Symptoms (5) A. The client was administered psychological instruments designed to objectively assess his/her level of anxiety symptoms. B. The client was administered The Anxiety Sensitivity Index (Reiss, Peterson, and Grusky). C. The client was provided with feedback regarding the results of the assessment of his/her level of anxiety symptoms. D. The client declined to participate in the objective assessment of his/ her level of anxiety symptoms, and this resistance was processed. 6. Refer for Physical Evaluation (6) A. The client was referred to a physician to undergo a thorough examination to rule out any medical etiologies for his/her anxiety symptoms and to rece ive recommendations for further treatment options. B. The client has followed through on the physician evaluation referral and specific medical etiologies for anxiety symptoms were reviewed. C. The client was supported as he/she is seeking out medical tr eatment that may decrease his/her anxiety symptoms. D. The client has followed through on the physician evaluation referral but no specific medical etiologies for anxiety symptoms have been identified. E. The client declined evaluation by a physician for a prescription of psychotropic medication and was redirected to cooperate with this referral. 7. Follow Up on Physical Evaluation Recommendations (7) A. The client was supported in following up on the recommendations from the medical evaluation. B. The client's follow-up on the recommendations from the medical evaluation has been monitored. 