262 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLANNER C. The client reports little to no improvement in his/her moods or anger control since being placed on the med ication; he/she was directed to share this information with the prescribing clinician. D. The client was reinforced for consistently taking the medication as prescribed. E. The client has failed to comply with taking the medication as prescribed; he/she was encouraged to take the medication as prescribed. 17. Discuss PTSD Symptoms (17) A. A discussion was held about how PTSD results from exposure to trauma and results in intrusive recollections, unwarranted fears, anxiety, and a vulnerability to other ne gative emotions. B. The client was provided with specific examples of how PTSD symptoms occur and affect individuals. C. The client displayed a clear understanding of the dynamics of PTSD and was provided with positive feedback. D. The client has strugg led to understand the dynamics of PTSD and was provided with remedial feedback in this area. 18. Assign Reading on Anxiety (18) A. The client was assigned to read psychoeducational chapters of books or treatment manuals on PTSD. B. The client was assigne d information from Finding Life Beyond Trauma (Follette and Pistorello). C. The client has read the assigned information on PTSD, and key points were reviewed. D. The client has not read the assigned information on PTSD and was redirected to do so. 19. Discuss Treatment Rationale (19) A. The client was taught about the overall rationale behind treatment of PTSD. B. The client was assisted in identifying the appropriate goals for PTSD treatment. C. The client was taught about coping skills, cognitive re structuring, and exposure techniques. D. The client was taught about techniques that will help to build confidence, desensitize and overcome fears, and see oneself, others, and the world in a less fearful and/or depressing manner. E. The client was reinf orced for his/her clear understanding of the rationale for treatment of PTSD. F. The client struggled to understand the rationale behind the treatment for PTSD and was provided with additional feedback in this area. 20. Assign Written Information on PTSD (20) A. The client was assigned to read about stress inoculation, cognitive restructuring, and/or exposure-based therapy in chapters of books or treatment manuals on PTSD. B. The client was assigned specific chapters from Reclaiming Your Life After Rape (Rothbaum and Foa). C. The client was assigned specific chapters from Feeling Good: The New Mood Therapy (Burns). D. The client has read the assigned information on PTSD; key concepts were reviewed. 