 39 ANXIETY CLIENT PRESENTATION 1. Apprehension Due to Severe and Persistent Mental Illness Symptoms (1) * A. The client identified a pattern of apprehension and nervousness in response to his/her severe and persistent mental illness symptoms. B. The client identified specific symptoms, such as frightening hallucinations or manic/racing thoughts, which have led to increased anxiety. C. The client described a general state of nervousness due to his/her severe and persistent mental illness symptoms. D. As tre atment has progressed, the client has reported a decrease in the severity of his/her mental illness symptoms and a decreased level of anxiety. 2. Excessive Worry (2) A. The client described preoccupation with worry that something dire would happen. B. The client showed some recognition that his/her excessive worry is beyond the scope of rationality, but he/she feels unable to control the anxiety. C. The client described that he/she worries about issues related to family, personal safety, health, and emp loyment, among other things. D. The client reported that his/her worry about life circumstances has diminished and that he/she is living with more of a sense of peace and confidence. 3. Motor Tension (3) A. The client described a history of restlessness, tiredness, muscle tension, and shaking. B. The client moved about in his/her chair frequently and sat stiffly. C. The client said that he/she is unable to relax and is always restless and stressed. D. The client reported that he/she has been successfu l in reducing levels of tension and increasing levels of relaxation. E. The client appeared more relaxed as he/she sat calmly during the clinical contact. 4. Fear Due to Persecutory Delusions (4) A. The client described a pattern of recurrent or persist ent fear due to persecutory delusions or other bizarre beliefs. B. The client described his/her delusions and bizarre beliefs, as well as the anxiety that he/she experiences due to these beliefs. C. The client has identified his/her delusions as not base d on reality and reports a decreased pattern of anxiety. * The numbers in parentheses correlate to the number of the Behavioral Definit ion statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 