44 THE SEVERE AND PERSI STENT MENTAL ILLNESS PRO GRESS NOTES PLANNER 17. Discuss Anxiety Cycle (17) A. The client was ta ught about how anxious fears are maintained by a cycle of unwarranted fear and avoidance that precludes positive, corrective experiences with the feared object or situation. B. The client was taught about how treatment breaks the anxiety cycle by encourag ing positive, corrective experiences. C. The client was taught information from Mastery of Your Anxiety and Worry —Therapist Guide (Craske, Barlow, and O'Leary) regarding the anxiety pattern. D. The client was reinforced as he/she displayed a better under standing of the anxiety cycle of unwarranted fear and avoidance and how treatment breaks the cycle. E. The client displayed a poor understanding of the anxiety and was provided with remedial feedback in this area. 18. Discuss Target of Treatment (18) A. A discussion was held about how treatment targets worry, anxiety symptoms, and avoidance to help the client manage worry effectively. B. The reduction of overarousal and unnecessary avoidance were emphasized as treatment targets. C. The client displayed a clear understanding of the target of treatment and was provided with positive feedback in this area. D. The client struggled to understand the target of treatment and was provided with specific examples in this area. 19. Assign Reading on Anxiety (19) A. The client was assigned to read psychoeducational chapters of books or treatment manuals on anxiety. B. The client was assigned information from Mastery of Your Anxiety and Worry —Client Manual (Zinbarg, Craske, Barlow, and O'Leary). C. The client has read the assigned information on anxiety, and key points were reviewed. D. The client has not read the assigned information on anxiety and was redirected to do so. 20. Teach Relaxation Skills (20) A. The client was taught relaxation skills. B. The clie nt was taught progressive muscle relaxation, guided imagery, and slow diaphragmatic breathing. C. The client was taught how to discriminate better between relaxation and tension. D. The client was taught how to apply relaxation skills to his/her daily li fe. E. The client was taught relaxation skills as described in Progressive Relaxation Training (Bernstein and Borkovec). F. The client was taught relaxation skills as described in Treating GAD (Rygh and Sanderson). G. The client was provided with feedba ck about his/her use of relaxation skills. 21. Assign Relaxation Homework (21) A. The client was assigned to do homework exercises in which he/she practices relaxation on a daily basis. 