PANIC/AGORAPHOBIA 221 5. Avoids Public Places and Large Groups (5) A. The client avoids public places, such as malls or large stores. B. The client avoids large groups of people. C. The client has constricted his/her involvement with others in order to avoid social situations. D. The client has b egun to reach out socially and feels more comfortable in public places or with large groups of people. E. The client reported enjoying involvement with large groups of people and feels comfortable going to public places. 6. Panic without Agoraphobia (6) A. The client does not display evidence of Agoraphobia. B. Although the client experiences symptoms of panic, he/she still feels capable of leaving home. INTERVENTIONS IMPLEM ENTED 1. Develop Trust (1) * A. Today's clinical contact focused on building th e level of trust with the client through consistent eye contact, active listening, unconditional positive regard, and warm acceptance. B. Empathy and support were provided for the client's expression of thoughts and feelings during today's clinical contac t. C. The client was provided with support and feedback as he/she described his/her maladaptive pattern of anxiety. D. As the client has remained mistrustful and reluctant to share his/her underlying thoughts and feelings, he/she was provided with additi onal reassurance. E. The client verbally recognized that he/she has difficulty establishing trust because he/she has often felt let down by others in the past and was accepted for this insight. 2. Assess Nature of Panic Symptoms (2) A. The client was as ked about the frequency, intensity, duration, and history of his/her panic symptoms, fear, and avoidance. B. The Anxiety Disorder's Interview Schedule for DSM-IV (Di Nardo, Brown, and Barlow) was used to assess the client's panic symptoms. C. The assessme nt of the client's panic symptoms indicated that his/her symptoms are extreme and severely interfere with his/her life. D. The assessment of the client's panic symptoms indicates that these symptoms are moderate and occasionally interfere with his/her dai ly functioning. E. The results of the assessment of the client's panic symptoms indicate that these symptoms are mild and rarely interfere with his/her daily functioning. F. The results of the assessment of the client's panic symptoms were reviewed with the client. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Trea tment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 