 336 SPECIFIC FEARS AND A VOIDANCE CLIENT PRESENTATION 1. Unreasonable Fear of Object/Situation (1) * A. The client described a pattern of persistent and unreasonable phobic fear that promotes avoidance behaviors because an encounter with the phobic stimulus pr ovokes an immediate anxiety response. B. The client has shown a willingness to begin to encounter the phobic stimulus and endure some of the anxiety response that is precipitated. C. The client has been able to tolerate the previously phobic stimulus wit hout debilitating anxiety. D. The client verbalized that he/she no longer holds fearful beliefs or experiences anxiety during an encounter with the phobic stimulus. 2. Interference with Normal Routines (2) A. The client's avoidance of phobic stimulus si tuations is so severe as to interfere with normal functioning. B. The degree of the client's distrust associated with avoidance behaviors related to phobic experiences is such that he/she is not able to function normally. C. The client is beginning to ta ke on normal responsibilities and function with limited distress. D. The client has returned to normal functioning and reported that he/she is no longer troubled by avoidance behaviors and phobic fears. 3. Recognition That Fear Is Unreasonable (3) A. The client's phobic fear has persisted in spite of the fact that he/she acknowledges that the fear is unreasonable. B. The client has made many attempts to ignore or overcome his/her unreasonable fear, but has been unsuccessful. 4. Phobia without Panic (4) A. The client does not display panic attacks. B. Although the client feels anxious whenever leaving his/her constricted safety zone, he/she does not experience panic symptoms apart from the agoraphobia symptoms. * The numbers in parentheses correlate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persist ent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 