3/26/2023 EnchantaVaughn Approved Behavior: Client exhibits a poor attitude when transitioning from social setting to therapeutic setting. Client displayed hostile and disruptive manners toward members of his family. Client did not start his therapy right away, but instead gave everyone a hard time ( being argumentative ) and continued to pout and complain about simple tasks. Mom suggested client talk to his counselor and stop letting small stuff get to him so that he can have a better day. Client was observed avoiding processing his feelings as he remained in a negative mood. Behavior: Client was encouraged to lose the attitude and participate before he ruins his chance to get extra help. Client have struggled to take his therapy serious and takes his counseling and treatment for granted by wasting time and being disrespectful ( last occurring during todays session, yelling and screaming at family) toward mental health professional. It is obvious client do not understand it is a privilege to get help at home during the pandemic and that he is lucky to have the support on a consistent basis when so many other kids don’t have the same opportunities that he does. Intervention: QMHP separated client from inappropriate family interactions, in efforts to reduce tension and stress-provoking situations in the home environment that seemed to start problems between him, his mom, and younger siblings. QMHP encouraged client to resist negative behaviors in efforts to refrain from requiring to be redirected by his mom so many times. QMHP provided understanding of mom’s perspective of his disciplinary actions and why he is there to help resolve any issues related to his mental health. Intervention: QMHP supported client with working on himself and trying his best to understand the purpose of each session. QMHP reminded client of ISP objectives. QMHP reviewed examples of alternative appropriate behaviors he could engage in without being so disruptive. QMHP encouraged client to refrain from displaying negative behaviors towards his mom, to talk calmly, and be mindful of how he responds so that it is clear what his intentions are and where his heart is. Response: Client modeled how to separate himself from negative situations so that he doesn’t continue to be the problem but a part of the solution. Client understood the importance of listening and following directions and have reduced time spent outside to learn more about ways to handle his home obligations and support his family. Client utilized relaxation strategies. Client reported a decrease in symptoms following the relaxation techniques. Response: Client was acceptive of redirection given by his mom and counselor. Client recognized his triggers and was able to identify common things that used to bother him. Client was observed strategizing a plan to better himself by writing down his thoughts and feelings in a journal and exploring his creative side with arts and crafts. Client was taught to take deep breaths until he no longer feels upset or the need to take his anger out on anyone else.