320 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. Techniques for muscular relaxation and paced diaphragmatic br eathing were taught to the client. D. The client was reinforced for his/her clear understanding and use of anxiety management skills. E. The client has not used his/her new anxiety management skills and was redirected to do so. 16. Assign Calming and Cop ing Strategy Information (16) A. The client was assigned to read about calming and coping strategies in books or treatment manuals on social anxiety. B. The client was assigned to read portions of Overcoming Shyness and Social Phobia (Rapee). C. The cli ent has read the assigned information on calming and coping strategies, and key points were reviewed. D. The client has not read the information on calming and coping strategies, and he/she was redirected to do so. 17. Identify Distorted Thoughts (17) A. The client was assisted in identifying the distorted schemas and related automatic thoughts that mediate social anxiety responses. B. The client was taught the role of distorted thinking in precipitating emotional responses. C. The client was reinforced as he/she verbalized an understanding of the cognitive beliefs and messages that mediate his/her anxiety responses. D. The client was assisted in replacing distorted messages with positive, realistic cognitions. E. The client failed to identify his/her distorted thoughts and cognitions and was provided with tentative examples in this area. 18. Assign Reading on Cognitive Restructuring (18) A. The client was assigned to read information about cognitive restructuring in books or treatment manuals on socia l anxiety. B. The client was assigned to read excerpts from The Shyness and Social Anxiety Workbook (Antony and Swinson). C. The client has read the assigned information on cognitive restructuring, and key points were reviewed. D. The client has not rea d the assigned information on cognitive restructuring and was redirected to do so. 19. Assign Exercises on Self-Talk (19) A. The client was assigned homework exercises in which he/she identifies fearful self-talk and creates reality-based alternatives. B. The client was assigned “Bad Thoughts Lead to Depressed Feelings” from the Adolescent Psychotherapy Handbook Planner, 2nd ed. (Jongsma, Peterson, and Mc Innis). C. The client was directed to do assignments from The Shyness and Social Anxiety Workbook (Antony and Swinson). D. The client was directed to complete assignments from Overcoming Shyness and Social Phobia (Rapee). E. The client's replacement of fearful self-talk with reality-based alternatives was critiqued. 