266 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER 34. Teach Thought Stopping (34) A. The client was taught a thought-stopping technique. B. The client was taught to internally voice the word STOP immediately upon noticing unwanted trauma or otherwise negative unwanted thoughts. C. The client was taught to imagine something representing the concept of stopping (e. g., a stop sign or stoplight) immediately upon noticing unwanted trauma or otherwise negative unwanted thoughts. D. The client was assisted in reviewing his/her use of thought-stopping techniques and was provided with positive feedback for his/her appropriate use of this technique. E. Redirection was provided, as the client has not learned to use the thought-stopping technique. 35. Teach Self-Dialogue Procedure (35) A. The client was taught self-dialogue procedures as described in Posttrau matic Distress Disorder (Resick and Calhoun). B. The client was taught self-dialogue techniques to learn to recognize maladaptive self-talk, challenge its bias, cope with engendered feelings, overcome avoidance, and reinforce accomplishments. C. The clie nt was reinforced for his/her use of self-dialogue procedures. D. The client has found significant obstacles to using self-dialogue procedures and was assisted in problem-solving these concerns. 36. Employ EMDR Techniques (36) A. The client was trained i n the use of the eye movement desensitization and reprocessing (EMDR) technique to reduce his/her emotional reactivity to the traumatic event. B. The client reported that the EMDR technique has been helpful in reducing his/her emotional reactivity to the traumatic event. C. The client reported partial success with the use of the EMDR technique to reduce emotional distress. D. The client reported little to no improvement with the use of the EMDR technique to decrease his/her emotional reactivity to the tr aumatic event. 37. Discuss Lapse versus Relapse (37) A. The client was assisted in differentiating between a lapse and a relapse. B. A lapse was associated with the initial and reversible return of symptoms, fear, or urges to avoid. C. A relapse was ass ociated with the decision to return to fearful and avoidant patterns. D. The client was reinforced for his/her ability to respond to a lapse without relapsing. 38. Identify and Rehearse Response to Lapse Situations (38) A. The client was asked to identif y the future situations or circumstances in which lapses could occur. B. The client was asked to rehearse the management of his/her potential lapse situations. C. The client was reinforced as he/she identified and rehearsed how to cope with potential lap se situations. 