POSTTRAUMATIC STRESS DISORDER (PTSD) 265 E. The client has completed his/her homework related to self-talk and creating reality-based alternatives; he/she was provided with corrective feedback for his/her failure to identify and replace self-talk with reality-based alternatives. F. The client has not attempted his/her homework related to fearful self-talk and reality-based alternatives and was redirected to do so. 30. Construct Anxiety Stimuli Hierarchy (30) A. The client was assisted in constru cting a hierarchy of anxiety-producing situations associated with two or three spheres of worry. B. It was difficult for the client to develop a hierarchy of stimulus situations, as the causes of his/her anxiety remain 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. 31. Assign Homework on Exposures (31) A. The client was assigned homework exercises to perform exposure to feared stimuli and record his/her experience. B. The client was assigned situational exposures homework from Posttraumatic Distress Disorder (Resick and Calhoun). C. The client's use of exposure tec hniques was reviewed and reinforced. D. The client has struggled in his/her implementation of exposure techniques and was provided with corrective feedback. E. The client has not attempted to use the exposure techniques and was redirected to do so. 32. Use Imaginal Exposure (32) A. The client was asked to describe a traumatic experience at an increasing, but client-chosen, level of detail. B. The client was asked to continue to describe his/her traumatic experience at his/her own chosen level of detail until the associated anxiety reduces and stabilizes. C. The client was provided with recordings of the session and was asked to listen to it between sessions. D. The client was directed to do imaginal exposures as described in Posttraumatic Distress Diso rder (Resick and Calhoun). E. The client was reinforced for his/her progress in imaginal exposure. F. The client was assisted in problem-solving obstacles to his/her imaginal exposure. 33. Assign Reading Material on Exposure (33) A. The client was assig ned to read about exposure in books or treatment manuals on PTSD. B. The client was assigned to read information from Reclaiming Your Life After Rape (Rothbaum and Foa). C. The client was assigned to read information from Overcoming Post-Traumatic Stress Disorder (Smyth). D. The client has read the information on exposure techniques, and key points were reviewed. E. The client has not read the information on exposure techniques and was redirected to do so. 