SPECIFIC FEARS AND A VOIDANCE 337 INTERVENTIONS IMPLEM ENTED 1. Build Trust (1)* A. An initial trust level was established with the client through the use of unconditional positive regard. B. Warm acceptance and active-listening techniques were utilized to establish the basis for a trusting relationship. C. The client has form ed a trust-based relationship and was urged to begin to express his/her fearful thoughts and feelings. D. Despite the use of active listening, warm acceptance, and unconditional positive regard, the client remains hesitant to trust and to share his/her th oughts and feelings. 2. Administer Fear Survey (2) A. An objective fear survey was administered to the client to assess the depth and breadth of his/her phobic fear, including the focus of the fear, types of avoidance, development, and disability. B. The Anxiety Disorder's Interview Schedule for the DSM-IV (Di Nardo, Brown, and Barlow) was used to assess the client's phobia concerns. C. The fear survey results indicate that the client's phobic fear is extreme and severely interferes with his/her life. D. The fear survey results indicate that the client's phobic fear is moderate and occasionally interferes with his/her daily functioning. E. The fear survey results indicate that the client's phobic fear is mild and rarely interferes with his/her daily fun ctioning. F. The results of the fear survey were reviewed with the client. 3. Assess Cues (3) A. The client was assessed in regard to the stimuli that precipitate his/her specific fears and avoidance. B. The client was assessed in regard to the thought s that go along with his specific fears and avoidance. C. The client was assisted in identifying situations that seemed to precipitate his/her specific fears and avoidance. D. The client displayed significant insight into the precursors of his/her specif ic fears and avoidance and was provided with support and encouragement for being open about this. E. The client struggled to identify any stimuli, thoughts, or situations that precipitated his/her specific fears and avoidance and was provided with several possibilities in this area. 4. Administer Client-Report Measure (4) A. A client-report measure was used to further assess the depth and breadth of the client's phobic responses. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Severe and P ersistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 