228 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER D. The client has read the assigned information on the sensation exposure techniques and was reinforced for his/her understanding of these concepts. E. The client does not display an understanding of the sensation exposure technique and was provided with remedial feedback in this area. 30. Assign Homework on Sensation Exposure (30) A. The client was assigned homework exercises to perform sensation exposure and record his/her experiences. B. The client was assigned sensation exposure homework from Mastery of Your Anxiety and Panic (Barlow and Craske). C. The client was assigned sensation exposure homework from 10 Simple Solutions to Panic (Antony a nd Mc Cabe). D. The “Panic Attack Rating Form” from the Adolescent Psychotherapy Homework Planner, 2nd ed. (Jongsma, Peterson, and Mc Innis) was used to help the client's experiences of anxiety during sensation exposure. E. The client's use of sensation ex posure techniques was reviewed and reinforced. F. The client has struggled in his/her implementation of sensation exposure techniques and was provided with corrective feedback. G. The client has not attempted to use the sensation exposure techniques and was redirected to do so. 31. Construct Anxiety Stimuli Hierarchy (31) A. The client was assisted in constructing a hierarchy of anxiety-producing situations associated with two or three spheres of worry. B. It was difficult for the client to develop a h ierarchy of stimulus situations, as the causes of his/her anxiety remains quite vague; he/she was assisted in completing the hierarchy. C. The client was successful at creating a focused hierarchy of specific stimulus situations that provoke anxiety in a gradually increasing manner; this hierarchy was reviewed. 32. Select Initial Exposures (32) A. Initial exposures were selected from the hierarchy of anxiety-producing situations, with a bias toward likelihood of being successful. B. A plan was developed with the client for managing the symptoms that may occur during the initial exposure. C. The client was assisted in rehearsing the plan for managing the exposure-related symptoms within his/her imagination. D. Positive feedback was provided for the clien t's helpful use of Symptom management techniques. E. The client was redirected for ways to improve his/her symptom management techniques. 33. Assign Information on Situational Exposure (33) A. The client was assigned to read information about situational (exteroceptive) exposure in books or treatment manuals on Panic Disorder and Agoraphobia. B. The client was assigned to read Mastery of Your Anxiety and Panic (Barlow and Craske). C. The client was assigned to read Living with Fear (Marks). 