340 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER E. The client has read the assigned information on phobias, and key points were reviewed. F. The client has not read the assigned information on phobias and was redirected to do so. 13. Discuss Unrealistic Threats, Physical Fear, and Avoidance (13) A. A discussion was held about how phobias involve perceiving unrealistic threats, bodily expressions of fear, and avoidance of what is threatening that interact to maintain the problem. B. The client was taught about factors that interact to maintain the problem phobia from information in Mastery of Your Specific Phobia —Therapist Guide (Craske, Antony, and Barlow). C. The client was taught about factors that intera ct to maintain the problem phobia from information in Specific Phobias (Bruce and Sanderson). D. The client displayed a clear understanding of how unrealistic threats, bodily expression of fear, and avoidance combine to maintain the phobic problem; his/he r insight was reinforced. E. Despite specific information about factors that interact to maintain the problem, the client displayed a poor understanding of these issues; he/she was provided with remedial information in this area. 14. Discuss Benefits of E xposure (14) A. A discussion was held about how exposure serves as an arena to desensitize learned fear, build confidence, and make one feel safer by building a new history of success experiences. B. The client was taught about the benefits of exposure a s described in Mastery of Your Specific Phobia —Therapist Guide (Craske, Antony, and Barlow). C. The client was taught about the benefits of exposure as described in Specific Phobias (Bruce and Sanderson). D. The client displayed a clear understanding of how exposure serves to desensitize learned fear, build confidence, and make one feel safer by building a new history of success experiences; his/her insight was reinforced. E. Despite specific information about how exposure serves to desensitize learned f ear, build confidence, and make one feel safer by building a new history of success experiences, the client displayed a poor understanding of these issues; he/she was provided with remedial information in this area. 15. Teach Anxiety Management Skills (15) A. The client was taught anxiety management skills. B. The client was taught about staying focused on behavioral goals and positive self-talk. C. Techniques for muscular relaxation and paced diaphragmatic breathing were taught to the client. D. The cl ient was reinforced for his/her clear understanding and use of anxiety management skills. E. The client has not used new anxiety management skills and was redirected to do so. 16. Assign Reading about Calming Strategies (16) A. The client was assigned t o read psychoeducational chapters of books or treatment manuals describing calming strategies. 