ANXIETY 45 B. The client has regularly used relaxation exercises, and the helpf ul benefits of these exercises were reviewed. C. The client has not regularly used relaxation exercises and was provided with corrective feedback in this area. D. The client has used some relaxation exercises, but does not find these to be helpful; he/sh e was assisted in brainstorming how to modify these exercises to be more helpful. 22. Assign Reading on Relaxation Calming Strategies (22) A. The client was assigned to read about progressive muscle relaxation and other calming strategies in relevant book s and treatment manuals. B. The client was directed to read about muscle relaxation and other calming strategies in Progressive Relaxation Training (Bernstein and Borkovec). C. The client was directed to read about muscle relaxation and other calming str ategies in Mastery of Your Anxiety and Worry —Client Guide (Zinbarg, Craske, Barlow, and O'Leary). D. The client has read the assigned information on progressive muscle relaxation, and key points were reviewed. E. The client has not read the assigned info rmation on progressive muscle relaxation and was redirected to do so. 23. Utilize Biofeedback (23) A. Electromyograph (EMG) biofeedback techniques were used to facilitate the client learning relaxation skills. B. The client reported that he/she has imple mented his/her use of relaxation skills in daily life to reduce levels of muscle tension and the experience of anxiety; the benefits of this technique were reviewed. C. The client reported that his/her level of anxiety has decreased since relaxation techn iques were implemented; he/she was encouraged to continue this technique. D. The client has not followed through on implementation of relaxation skills to reduce anxiety symptoms; he/she was redirected to do so. 24. Identify Distorted Thoughts (24) A. The client was assisted in identifying the distorted schemas and related automatic thoughts that mediate anxiety responses. B. The client was taught the role of distorted thinking in precipitating emotional responses. C. The client was reinforced as he/she verbalized an understanding of the cognitive beliefs and messages that mediate his/her anxiety responses. D. The client was assisted in replacing distorted messages with positive, realistic cognitions. E. The client failed to identify his/her distorted thoughts and cognitions and was provided with tentative examples in this area. 25. Assign Exercises on Self-Talk (25) A. The client was assigned homework exercises in which he/she identifies fearful self-talk and creates reality-based alternatives. B. The client's replacement of fearful self-talk with reality-based alternatives was critiqued. C. The client was reinforced for his/her successes at replacing fearful self-talk with reality-based alternatives. 