318 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 6. Acknowledge Anxiety Related to Delusional Experiences (6) A. It was acknowledged that both real and delusional experiences could cause anxiety. B. The client was provided with support regarding his/her anxieties and worries, wh ich are related to both the real experiences and delusional experiences. C. The client described a decreased pattern of anxiety due to the support provided to him/her. 7. Identify Diagnostic Classification (7) A. The client was assisted in identifying a specific diagnostic classification for his/her anxiety symptoms. B. Utilizing a description of anxiety symptoms such as that found in Bourne's The Anxiety and Phobia Workbook, the client was taken through a detailed review of his/her anxiety symptoms, diagnosis, and treatment needs. C. The client has failed to clearly understand and classify his/her anxiety symptoms and was given additional feedback in this area. 8. Refer for Medication Evaluation (8) A. Arrangements were made for the client to have a physician evaluation for the purpose of considering psychotropic medication to alleviate social discomfort symptoms. B. The client has followed through with seeing a physician for an evaluation of any organic causes for the anxiety and the need for psycho tropic medication to control the anxiety response. C. The client has not cooperated with the referral to a physician for a medication evaluation and was encouraged to do so. 9. Monitor Medication Compliance (9) A. The client reported that he/she has tak en the prescribed medication consistently and that it has helped to control the anxiety; this was relayed to the prescribing clinician. B. The client reported that he/she has not take the prescribed medication consistently and was encouraged to do so. C. The client reported taking the prescribed medication and stated that he/she has not noted any beneficial effect from it; this was reflected to the prescribing clinician. D. The client was evaluated but was not prescribed any psychotropic medication by th e physician. 10. Refer to Group Therapy (10) A. The client was referred to a small (closed enrollment) group for social anxiety. B. The client was enrolled in a social anxiety group as defined in The Group Therapy Treatment Planner, 2nd ed. (Paleg and Jo ngsma). C. The client was enrolled in a social anxiety group as defined in Social Anxiety Disorder (Turk, Heimberg, and Hope) and Clinical Handbook of Psychological Disorders (Barlow). D. The client has participated in the group therapy for social anxiet y; his/her experience was reviewed and processed. E. The client has not been involved in group therapy for social anxiety concerns and was redirected to do so. 