6/18/2023 EnchantaVaughn Approved Behavior: During the first half of the session, client remains on task and is observed following directions promptly. Client is reminded to think before she acts and mindfully consider all solutions before reacting to conflict or problem. Client responds well to feedback. Client understands that everyone is there to help and support her and that it is okay to ask for help. Client was showing a positive attitude in all areas today. Client was very attentive during interventions interacting with QMHP in a calm manner. Behavior: Client openly discussed her feelings about her current state and how she feels. Client appeared to be in a good mood as evidence by her participating in family activity without conflict. Client remained on task and in cooperation with home rules. Client was not involved with any incidents today and was supported by her mother and counselor. Client seem to be heavily impacted by good role models and one on one support. Behaviors were maintained and managed at this time. Intervention: QMHP actively listened and provided support as mother explained that client exhibited difficulty in home and community environments since the pandemic started. QMHP inquired if client was prescribed any medications for her diagnosis. QMHP inquired if moving was the reason behind client’s inappropriate behaviors as a way to gain more attention from mom. QMHP encouraged mom to talk to client about the new changes to prepare her for transition and dealing with her thoughts and feelings. Intervention: QMHP supported client making good decisions and having positive behaviors at home. QMHP encouraged client to continue expressing himself and letting go of his stress and anxiety. QMHP complimented client for utilizing acquired skills, paying attention, and focusing on the importance of the assignment. QMHP provided simple praises to client for his commitment to his progress. QMHP supported client with meeting his objectives and coping with stressors. Response: Client admitted that some of her anxiety come from not receiving the love and attention she desires by her family and close friends. Client stated that she wished her parents were still together because she missed having a dad around. Client informed QMHP that she has been learning a lot in each session. Client thanked QMHP for helping her family communicate with each other in a more positive and productive way. Response: Client stated that talking and sharing things in her life helped her to evaluate her poor choices and correct her mistakes. Client went on to report that she will practice therapeutic techniques with her family when she feels that it is the right time and place. Client shared that she believes she will be able to master her feelings soon and control her anxiety with more practice. Client demonstrated she can accept a compliment and act civilized. Client reviewed ISP objectives with mental health professional.