6/28/2023 EnchantaVaughn Approved Behavior: Upon arrival, client exhibited a distant personality with QMHP. Client didnât want to speak at first and had to be told to show some respect or she would be sent in her room for the rest of the day doing nothing. During the conversation with QMHP, it was difficult for client to stay seated during family discussion and she started having episode, turning her back away from her counselor and refusing to communicate in the appropriate way. Behavior: After QMHP reviewed her objectives client was able to find the importance in developing better communication skills so that she can maintain interpersonal relationships and expectations in the home, school, and community environments. Client seemed lost in her own mind, as she displayed disinterest and a nonchalant attitude for most of the session. Intervention: QMHP prompted client to refrain from impulsive, hyperactive, defiant, and aggressive behaviors especially physical assault, refusing authority instruction, and peer pressuring others to perform in dangerous acts. QMHP utilized behavior modification strategies including removing client from the stimulant environment in efforts for her to reduce inappropriate behaviors prior to the outbreak of a conflict. QMHP prompted client to share anticipated thoughts and feelings and to indicate how this process reduces angry reactions. QMHP directed the client to practice positive âI-statementsâ before every session to reduce unwanted feelings. QMHP modeled resolution skills for client to implement when faced with stressful situations. Intervention: QMHP observed the clientâs decline in progression and responded accordingly. QMHP reiterated the directives 2 times to ensure the client understood the exercise. QMHP encouraged the client to try to release her emotions so that she doesnât bottle them up and explode all at once. QMHP will continue to assist client with managing anger and frustration by reviewing and role-playing effective coping skills. QMHP will continue to assist client with managing anger and frustration by reviewing and role-playing effective coping skills. QMHP helped client problem solve when she began displaying negativity towards herself and others. QMHP reminded client that each session is focused on helping her move forward with her goals. Response: The client was unable to relax and regain self-control when being instructed in the use of calming imageries, as she continued to display defiant, disrespectful, and stubborn behaviors in the home. Client was resistant and unruly, as she did not display any forms of empathy or concern in response to the talk therapy. Client displayed difficulties, as she failed to consider the calming consequences of her actions and behaviors. Client presents irresponsible, attention-seeking, and aggressive behaviors so that she would be left alone. Client appeared careless, as she shrugged her shoulders indicating she didnât care about being sent to her room. Client failed to communicate, problem-solve, or resolve conflicts, therefore displaying a negative attitude to anyone prompting her to get back on track. Response: Client stated that her and her mother often display argumentative and negative behaviors towards each other, acknowledging she havenât been showing her mom respect. Client however mentioned that she is willing to make attempts to improve her actions/behaviors if mother actively participate with the services as well. Client admits that she needs to improve her ability to follow the rules in order to retain her privileges doing rewarding things in her daily life functioning. Client continued to display a lack of concern and remorse for the thoughts, feelings, and needs of others. Client struggled with identifying stimulus that triggered her defiant and disrespectful feelings and moods, despite the assistance of the QMHP. The interventions were unsuccessful, as client was unable to relax when being instructed by the use of the calming techniques throughout the session.