PANIC/AGORAPHOBIA 229 D. The clie nt has read the assigned information on situational exposure and his/her key learnings were reviewed. E. The client has not read the assigned information on situational exposure and was redirected to do so. 34. Assign Homework on Situational Exposures (34 ) A. The client was assigned homework exercises to perform situational exposures and record his/her experiences. B. The client was assigned “Gradually Facing a Phobic Fear” from the Adolescent Psychotherapy Homework Planner, 2nd ed. (Jongsma, Peterson, a nd Mc Innis). C. The client was assigned situational exposures homework from Mastery of Your Anxiety and Panic (Barlow and Craske). D. The client was assigned situational exposures homework from 10 Simple Solutions to Panic (Antony and Mc Cabe). E. The cl ient's use of situational exposure techniques was reviewed and reinforced. F. The client has struggled in his/her implementation of situational exposure techniques and was provided with corrective feedback. G. The client has not attempted to use the situ ational exposure techniques and was redirected to do so. 35. Differentiate between Lapse and Relapse (35) A. A discussion was held with the client regarding the distinction between a lapse and a relapse. B. A lapse was associated with an initial and reve rsible 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 an 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 was provided with remedial feedback in this area. 36. Discuss Management of Lapse Risk Situations (36) A. The client was assisted in id entifying 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 reinforced for his/her appropriate us of la pse management skills. D. The client was redirected in regard to his/her poor use of lapse management skills. 37. Encourage Routine Use of Strategies (37) A. The client was instructed to routinely use the strategies that he/she has learned in therapy (e. g., cognitive restructuring, exposure). B. The client was urged to find ways to build his/her new strategies into his/her life as much as possible. C. The client was reinforced as he/she reported ways in which he/she has incorporated coping strategies in to his/her life and routine. 