338 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The Measures for Specific Phobias (Antony) was used to assess the depth and breadth of the client's phobic responses. C. The client-report measures indicated that the client's phobic fear is extreme and severely interferes with his/her life. D. The client-report measures indicated that the client's phobic fear is moderate a nd occasionally interferes with his/her life. E. The client-report measures indicated that the client's fear is mild and rarely interferes with his/her life. F. The client declined to complete the client-report measure and the focus of treatment was changed to this resistence. 5. Differentiate Anxiety Symptoms (5) A. The client was assisted in differentiating anxiety symptoms that are a direct affect of his/her severe and persistent mental illness, as opposed to a separate diagnosis of an anxiety disord er. B. The client was provided with feedback regarding his/her differentiation of symptoms that are related to his/her severe and persistent mental illness, as opposed to a separate diagnosis. C. The client has identified a specific anxiety disorder, whi ch is freestanding from his/her severe and persistent mental illness, and this was reviewed within the session. D. The client has been unsuccessful in identifying ways in which his/her anxiety symptoms are related to his/her mental illness or a separate a nxiety disorder. 6. Acknowledge Anxiety Related to Delusional Experiences (6) A. It was acknowledged that both real and delusional experiences could cause anxiety. B. The client was provided with support regarding his/her anxieties and worries, which ar e related to both the real experiences and delusional experiences. C. The client described a decreased pattern of anxiety due to the support provided to him/her. 7. Identify Diagnostic Classification (7) A. The client was assisted in identifying a speci fic diagnostic classification for his/her anxiety symptoms. B. Utilizing a description of anxiety symptoms such as that found in Bourne's The Anxiety and Phobia Workbook, the client was taken through a detailed review of his/her anxiety symptoms, diagnosi s, and treatment needs. C. The client has failed to clearly understand and classify his/her anxiety symptoms and was given additional feedback in this area. 8. Refer to Physician (8) A. A referral to a physician was made for the purpose of evaluating th e client for a prescription of psychotropic medications. B. The client was reinforced for following through on a referral to a physician for an assessment for a prescription of psychotropic medications, but none were prescribed. C. The client has been pr escribed psychotropic medications. D. The client declined evaluation by a physician for a prescription of psychotropic medication and was redirected to cooperate with this referral. 