SPECIFIC FEARS AND A VOIDANCE 341 B. The client was assigned portions of Mastery of Your Specific Phobia —Client Manual (Antony, Craske, and Barlow). C. The client has read the assigned informat ion on calming strategies, and his/her favorite strategies were reviewed. D. The client has not read the assigned information on calming strategies, and he/she was redirected to do so. 17. Assign Calming Skills Exercises (17) A. The client was assigned a homework exercise in which he/she practices daily calming skills. B. The client's use of the exercises for practicing daily calming skills was closely monitored. C. The client's success at using daily calming skills was reinforced. D. The client was pr ovided with corrective feedback for his/her failures at practicing daily calming skills. 18. Use (Electromygraph) EMG Biofeedback (18) A. EMG biofeedback techniques were utilized to facilitate the client's relaxation skills. B. The client achieved deeper levels of relaxation from the EMG biofeedback experience. C. The client did not develop deep relaxation as a result of EMG biofeedback. 19. Teach Applied Tension Technique (19) A. The client was taught the applied tension technique to help prevent fain ting during encounters with phobic objects or situations. B. The client was taught to tense his/her neck and upper torso muscles to curtail blood flow out of the brain to help prevent fainting during encounters with phobic objects or situations involving blood, injection, or injury. C. The client was taught specific applied tension techniques as indicated in “Applied Tension, Exposure In Vivo, and Tension-Only in the Treatment of Blood Phobia” in Behavior Research and Therapy (Ost, Fellenius, and Sterner). D. The client was provided with positive feedback for his/her use of the applied tension technique. E. The client has struggled to appropriately use the applied tension technique and was provided with remedial feedback in this area. 20. Assign Daily A pplied Tension Practice (20) A. The client was assigned a homework exercise in which he/she practices daily use of the applied tension skills. B. The client's daily use of the applied tension technique was reviewed. C. The client was reinforced for his/ her success at using daily applied tension skills. D. The client was provided with corrective feedback for his/her failure to appropriately use daily applied tension skills. 21. Identify Distorted Thoughts (21) A. The client was assisted in identifying t he distorted schemas and related automatic thoughts that mediate anxiety responses. B. The client was taught the role of distorted thinking in precipitating emotional responses. 