176 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER F. The client was reinforced for displaying understanding regarding his/her partner's pain related to his/her history of infid elity. G. The client tended to be quite rejecting of the partner's feelings generated by his/her history of infidelity and was redirected in this area. 35. Manage Impulsivity ( 35) A. The client's impulsive behavior was repeatedly reviewed so as to help him/her identify this pattern and the negative consequences that result from it. B. The negative consequences of the client's self-defeating and impulsive behavior was reviewed. C. The client was given specific directives about how to manage his/her mani c or impulsive behaviors. D. The client has difficulty identifying his/her impulsive behaviors and was given additional feedback in this area 36. Develop Boundaries ( 36) A. The client and his/her intimate partner were assisted in developing a clear set of boundaries for sexual, emotional, and social contact with others. B. The client and his/her intimate partner were provided with feedback regarding the boundaries they have established for sexual, emotional, and social contact with others. C. The clien t and his/her intimate partner have not developed a clear set of boundaries for sexual, emotional, and social contact with others and were redirected to do so. 37. Teach Anger Control Techniques ( 37) A. The client was taught some specific anger control t echniques. B. The client and his/her partner were assisted in developing a clear verbal or behavioral signal to be used by either partner to terminate interaction immediately if either of them fears impending abuse. C. Role-playing and modeling were used to teach how the conflict termination signal could be used in future disagreements between the client and his/her partner. D. The client was provided with positive feedback as he/she displayed understanding regarding the anger techniques he/she has been taught. E. The client and his/her partner were provided with positive reinforcement for their use of conflict termination signals. F. The client has not used the anger control techniques and was redirected to do so. 38. Develop a Safety Plan ( 38) A. The client's partner was assisted in developing a safety plan to help manage the client and maintain his/her own safety during periods when the client is emotionally and behaviorally unstable. B. The client's partner was assisted in developing an understand ing of when to contact public safety officials. C. The client was informed about the safety plan to be implemented when he/she is not in control of his/her behavior. D. The safety plan has been used, and its effectiveness was reviewed. E. The safety pla n has not been helpful toward containing the client's anger outbursts, and additional plans were developed in this area. 