3/7/2023 EnchantaVaughn Approved Behavior: Client shared that he was not in a good mood. Client reframed from engaging in conversation and tried to cover his face and ears, so he wouldnât have to listen. Client refused to pay attention, as observed. Mother reports client becomes easily annoyed. Client reacts by shutting down and displaying irritable behaviors. After about 15 minutes of reflective thinking, client was given a break and directed to deep breathe, stretch, and regroup. Client have not utilized healthy coping practices and was urged to do so. Behavior: During the second portion of the session, client continued to demonstrate quiet behaviors during the session. Client frowned up his face and looked away from his mother who directed him to listen to his counselor. Client chose not to express his feelings without exhibiting inappropriate behaviors. Client avoids self-reflection exercise when QMHP inquired him to deeply think about his reaction to certain situations. Intervention: QMHP gave client the opportunity to express and explore his perceptions of how his symptoms of ADHD can affect his relationships with family and peers. QMHP encouraged client to present healthier habits and routine by challenging himself to make better choices and try new things. QMHP utilized age appropriate mood regulation skills and techniques, as a way to help control clientâs destructive and critical demeanor. QMHP reeducated client on conflict-resolution skills through role-playing, instructions, modeling and behavioral rehearsal to help him be more aware of his negative and inappropriate conduct. QMHP assisted client in developing specific ways and methods that he could utilize to help him regain and regulate his overactive and restless behaviors. Throughout the session, QMHP had to redirect client to pay attention and focus on what was being discussed as it relates to him displaying hyperactivity behaviors and looking at his siblings. Intervention: QMHP probed client about his ability to not get involved with a negative person. QMHP discussed with client the importance of conducting himself appropriately at all times. QMHP probed client about his schedule in efforts to understand his daily routine. QMHP probed client to not be afraid and ask questions if he doesnât understand any of the in-home assignments. QMHP informed client that when he is agitated to refrain from taking it out on people and communicate how he is feeling to others, so they know exactly how he is feeling. QMHP listened to mother verbalize how client became agitated when he didnât get what he wanted. QMHP encouraged mother to allow client to express himself in an age appropriate manner and to redirect when needed. QMHP modeled pro-social behaviors for client to strengthen his understanding of them. Response: Client avoided the interventions that were introduced to him, as the client was unable to relax and regain self-control when being instructed in the use of calming imageries, as he continued to display defiant, disrespectful, and stubborn behaviors. Client showed lack of concern and empathy in response to positive cognitions. Client was resistant and unruly, as he did not display any forms of empathy or concern in response to the talk therapy. Response: Client exhibits a non-responsive attitude when reflecting on his day. Client failed to identify his triggers and stressors. Client reframed from answering QMHP questions. Client was not in a good mood.Client appeared disinterested in the instructions, role-playing techniques and modeling techniques that were implemented with teaching him effective communication and assertiveness skills to express his anger more appropriately. Client failed to communicate, problem-solve, or resolve conflicts, therefore displaying a negative attitude throughout the entire session.