224 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 12. Identify Diagnostic Classification (12) A. The client was assisted in identifying a specific diagnostic classification for his/her anxiety symptoms. B. Utilizi ng 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, diagnosis, 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. 13. Refer to Physician (13) A. A referral to a physician was made for the purpose of evaluating the client for a prescription of psychotropic medications. B. The clien t 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 prescribed psychotropic medications. D. The client declined evaluation by a physician for a prescription of psychotropic medication and was redirected to cooperate with this referral. 14. Educate about Psychotropic Medication (14) A. The client was taught about the indications for and the expected benefits of psychotropic medications. B. As the client's psychotropic medications were reviewed, he/she displayed an understanding about the indications for and expected benefits of the medication. C. The client displayed a lack of understanding of the indications for and expected benefits of psychotropic medications and was provided with additional information and feedback regarding his/her medications. 15. Monitor Medications (15) A. The client was monitored for compliance with his/her psychotropic medication regimen. B. The cl ient was provided with positive feedback about his/her regular use of psychotropic medication. C. The client was monitored for the effectiveness and side effects of his/her prescribed medications. D. Concerns about the client's medication effectiveness a nd side effects were communicated to the physician. E. Although the client was monitored for medication side effects, he/she reported no concerns in this area. 16. Discuss Nature of Panic Symptoms (16) A. A discussion was held about how panic attacks are “false alarms” of danger, but are not medically dangerous. B. A discussion was held about how panic attacks are not a sign of weakness or craziness. C. The client's panic attacks were discussed, including how they are a common symptom but can lead to un necessary avoidance, thereby reinforcing the panic attack. 