322 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER F. The client has struggled in his/her implementation of se nsation exposure techniques and was provided with corrective feedback. G. The client has not attempted to use the sensation exposure techniques and was redirected to do so. 24. Build Social and Communication Skills (24) A. Instruction, modeling, and rol e-playing were used to build the client's general social and communication skills. B. Techniques from Social Effectiveness Therapy (Turner, Beidel, and Cooley) were used to teach social and communication skills. C. Positive feedback was provided to the c lient for his/her use of increased use of social and communication skills. D. Despite the instruction, modeling, and role-playing about social and communication skills, the client continues to struggle with these techniques and was provided with additiona l feedback in this area. 25. Assign Information on Social and Communication Skills (25) A. The client was assigned to read about general social and/or communication skills in books or treatment manuals on building social skills. B. The client was assigne d to read Your Perfect Right (Alberti and Emmons). C. The client was assigned to read Conversationally Speaking (Garner). D. The client has read the assigned information on social and communication skills, and key points were reviewed. E. The client has not read the information on social and communication skills and was redirected to do so. 26. Differentiate between Lapse and Relapse (26) A. A discussion was held with the client regarding the distinction between a lapse and a relapse. B. A lapse was as sociated with an initial and reversible return of symptoms, fear, or urges to avoid. C. A relapse was associated with the decision to return to fearful and avoidant patterns. D. The client was provided with support and encouragement as he/she displayed a n understanding of the difference between a lapse and a relapse. E. The client struggled to understand the difference between a lapse and a relapse, and he/she was provided with remedial feedback in this area. 27. Discuss Management of Lapse Risk Situatio ns (27) A. The client was assisted in identifying future situations or circumstances in which lapses could occur. B. The session focused on rehearsing the management of future situations or circumstances in which lapses could occur. C. The client was re inforced 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. 