POSTTRAUMATIC STRESS DISORDER (PTSD) 263 E. The client has not read the assigned information on PTSD and was redirected to do so. 21. Teach Stress Inoculation Training (21) A. The client was taught strategies from stress inoculation training, such as relaxation, breathing, covert modeling, and role-play. B. The client was taught stress inoculation techniques for managing fears until a sense of mastery is evident from A Clinical Handbook for Treating PTSD (Meichenbaum). C. The client was assisted in practicing stress inoculation training techniques. D. The client displayed a clear understanding of the use of stress inoculation training. E. The client has not displayed a clear understanding of the stress inoculation training techniques and was provided with additional feedback in this area. 22. Assess Anger Control (22) A. A history of the client' s anger control problems was taken in today's therapy session. B. Active listening was used as the client shared instances in which poor control of his/her anger resulted in verbal threats of violence, actual harm or injury to others, or destruction of property. C. The client identified events or situations that frequently trigger a loss of control of his/her anger and was helped to see his/her patterns. D. The client was asked to identify the common targets of his/her anger to help gain greater insight into the factors contributing to his/her lack of control. E. Today's therapy session helped the client realize how his/her anger control problems are often associated with underlying, painful emotions about the traumatic event. F. The client was quite gu arded about his/her anger control problems and was urged to be more open in this area. 23. Teach Anger Management Techniques (23) A. The client was taught mediational and self-control strategies to help improve his/her anger control. B. The client was ta ught guided imagery and relaxation techniques to help improve his/her anger control. C. Role-playing and modeling techniques were used to demonstrate effective ways to control anger. D. The client was strongly encouraged to express his/her anger through controlled, respectful verbalizations and healthy physical outlets. E. A reward system was designed to reinforce the client for demonstrating good anger control. 24. Encourage Physical Exercise (24) A. The client was assisted in developing a physical exe rcise routine as a means of coping with stress and developing an improved sense of well-being. B. The client was reinforced for following through on implementing a regular exercise regimen as a stress release technique. C. The client has failed to consis tently implement a physical exercise routine and was encouraged to do so. 