218 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. The client was reinforced for his/her appropriate use of lapse management skills. D. The client was redirected in regard to his/her poor use of lapse management skills. 26. Encourage Routine Use of Strategies (26) A. The client was instructed to routi nely use the strategies that he/she has learned in therapy (e. g., cognitive restructuring, exposure). B. The client was urged to find ways to build his/her new strategies into his/her life as much as possible. C. The client was reinforced as he/she repor ted ways in which he/she has incorporated coping strategies into his/her life and routine. D. The client was redirected about ways to incorporate his/her new strategies into his/her routine and life. 27. Schedule Maintenance Sessions (27) A. Maintenance sessions were proposed to help maintain therapeutic gains and adjust to life without anger outbursts. B. The client was reinforced for agreeing to the scheduled maintenance sessions. C. The client refused to schedule maintenance sessions, and this was pr ocessed. 28. Enlist Support System (28) A. The client's support system was enlisted in the implementation of specific stress reduction techniques. B. The client's support system was enthusiastic and supportive of the client's stress reduction techniques, and the client was encouraged to utilize this support on a regular basis. C. The client's support system has declined significant involvement in helping the client to implement specific stress reduction techniques, so alternative means of development sup port for stress reduction were developed. D. The client has declined support from his/her family, friends, and caretakers and was urged to utilize this support. 29. Explore Unresolved Conflicts (29) A. As the client's unresolved life conflicts were explo red, he/she verbalized and clarified feelings connected to those conflicts. B. The client was supported as he/she identified key life conflicts that raise his/her anxiety level and intensify the OCD symptoms. C. As the client was helped to clarify and sh are his/her feelings regarding current unresolved life conflicts, his/her level of anxiety diminished and the OCD symptoms were reduced. D. The client has been guarded about his/her feelings regarding current life conflicts and was encouraged to be more o pen in this area. 30. Encourage Feelings Sharing (30) A. The client was encouraged, supported, and assisted in identifying and expressing feelings related to key unresolved life issues. B. As the client shared his/her feelings regarding life issues, he/s he reported a decreased level of emotional intensity around these issues; he/she was reinforced for this progress. 