46 THE SEVERE AND PERSI STENT MENTAL ILLNESS PRO GRESS NOTES PLANNER D. The client was provided with corrective feedb ack for his/her failures to replace fearful self-talk with reality-based alternatives. E. The client has not completed his/her assigned homework regarding fearful self-talk and was redirected to do so. 26. Teach Thought Stopping (26) A. The client was ta ught thought-stopping techniques that involve thinking of a stop sign and replacing negative thoughts with a pleasant scene. B. The client was assigned “Making Use of the Thought-Stopping Technique” form the Adult Psychotherapy Homework Planner, 2nd ed. ( Jongsma). C. The client's implementation of the thought-stopping technique was monitored and his/her success with this technique was reinforced. D. The client reported that the thought-stopping technique has been beneficial in reducing his/her preoccupat ion with anxiety-producing cognitions; he/she was encouraged to continue this technique. E. The client has failed to use the thought-stopping techniques and his/her attempts to use these techniques were reviewed and problem-solved. 27. Read about Cognitiv e Restructuring of Fears (27) A. The client was assigned to read about cognitive restructuring of fears or worries in books or treatment manuals. B. Mastery of Your Anxiety and Worry —Client Guide (Zinbarg, Craske, Barlow, and O'Leary) was assigned to the client to help teach him/her about cognitive restructuring. C. Key components of cognitive restructuring were reviewed. D. The client and parents have not done the assigned reading on cognitive restructuring, and they were redirected to do so. 28. Assig n Reading on Worry Exposure (28) A. The client was assigned to read about worry exposure in relevant books or treatment manuals. B. The client was assigned Mastery of Your Anxiety and Worry —Client Guide (Zinbarg, Craske, Barlow, and O'Leary) to learn abo ut worry exposure. C. Key concepts related to worry exposure were reviewed and processed within the session. D. The client has not done the reading on worry exposure, and he/she was redirected to do so. 29. Construct Anxiety Stimulus Hierarchy (29) A. The client was assisted in constructing a hierarchy of anxiety-producing situations associated with two or three spheres of worry. B. It was difficult for the client to develop a hierarchy of stimulus situations, as the causes of his/her anxiety remain qui te vague; he/she was assisted in completing the hierarchy. C. The client was successful at creating a focused hierarchy of speciﬁc stimulus situations that provoke anxiety in a gradually increasing manner; this hierarchy was reviewed. 30. Select Initial E xposures (30) A. Initial exposures were selected from the hierarchy of anxiety-producing situations, with a bias toward the likelihood of being successful. 