SOCIAL ANXIETY 321 F. The client was reinforced for his /her successes at replacing fearful self-talk reality-based alternatives. G. The client was provided with corrective feedback for his/her failures to replace fearful self-talk with reality-based alternatives. H. The client has not completed his/her assig nment homework regarding fearful self-talk and was redirected to do so. 20. Construct Anxiety Stimuli Hierarchy (20) A. The client was assisted in constructing a hierarchy of anxiety-producing situations associated with his/her phobic fear. B. It was di fficult for the client to develop a hierarchy of stimulus situations, as the causes of his/her fear remain quite vague; he/she was assisted in completing the hierarchy. C. The client was successful at completing a focused hierarchy of specific stimulus si tuations that provoke anxiety in a gradually increasing manner; this hierarchy was reviewed. 21. Select Exposures That Are Likely to Succeed (21) A. Initial in vivo or role-played exposures were selected, with a bias toward those that have a high likeliho od of being a successful experience for the client. B. Cognitive restructuring was done within and after the exposure using behavioral strategies (e. g., modeling, rehearsal, social reinforcement). C. In vivo or role-played exposures were patterned after those in “Social Anxiety Disorder” by Turk, Heimberg, and Hope in the Clinical Handbook of Psychological Disorders (Barlow). D. A review was conducted with the client about his/her use of in vivo or role-played exposure. E. The client was provided with p ositive feedback regarding his/her use of exposures. F. The client has not used in vivo or role-played exposures and was redirected to do so. 22. Assign Reading on Exposure (22) A. The client was assigned to read about exposure in books or treatment manu als on social anxiety. B. The client was assigned to read excerpts from The Shyness and Social Anxiety Workbook (Antony and Swinson). C. The client was assigned portions of Overcoming Shyness and Social Phobia (Rapee). D. The client's information about exposure was reviewed and processed. E. The client has not read the information on exposure and was redirected to do so. 23. Assign Homework on Exposure (23) A. The client was assigned homework exercises to perform sensation exposure and record his/her experience. B. The client was assigned “Gradually Reducing Your Phobic Fear” from the Adult Psychotherapy Homework Planner, 2nd ed. (Jongsma). C. The client was assigned sensation exposure homework 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 use of sensation exposure techniques was reviewed and reinforced. 