6/24/2023 EnchantaVaughn Approved Behavior: Once QMHP-C contacted Anthony, Anthony demonstrated no energy to come to session on his own. His mom tried convincing him several times but struggled to get him to find interest with his therapy. After about 20 minutes, Anthony decided to get up and join his therapy. Anthony communicated that he didnât feel like having session today and was more focused on what was happening in the community and how it was impacting him. Anthony was in a low and inaccessible mood, as evidenced by his unfriendly demeanor. Behavior: Anthony was prompted to try his best to relax and pay close attention. Anthony was assured that the activity only required him to listen. Anthony cheered up and decided to do his best and challenge himself so that he could finish the session without complaining or getting upset. Anthony communicated positive attitude and engaged in activity without frustration or being distracted by external stimuli. Anthony gave really good feedback and was responsive to all instructions given to him. Intervention: QMHP-C collaborated with mom regarding daily behaviors and performance in the home. QMHP-C reviewed and gave feedback regarding ADHD and its causes and affect toward Anthonyâs well-being and emotional functioning. QMHP-C monitored, observed, and redirected Anthony behaviors as needed. QMHP-C monitored Anthony individualized behaviors in collaboration with parent, himself, his peers, siblings, and environment. Intervention: QMHP-C explored positive self-talk, use instruction modeling, and increase social communication skills with positive reinforcement role play activities. QMHP-C educated Anthony on behavior modification to help Anthony identify what behavior he needs to decrease and avoid daily. QMHP-C utilized behavior modification system to aid the Anthony with following directions given by authority figures. QMHP-C encouraged Anthony to communicate to his mom when he needs help. Response: Anthony discussed mental illness and its causes with mom and QMHP-C. Anthony displayed interest in learning about ADHD. Anthony displayed self determination to stay focused and pay attention in session. Anthony utilized meditation and relaxation techniques. Anthony reported a decrease in symptoms following the relaxation techniques. Anthony displayed management of individualized behaviors. Anthony responded in a pleasant manner acknowledging the positive reinforcement that the QMHP-C provided. Response: Anthony was able to utilize coping skills to eliminate stressors and unwanted feelings. Anthony believes he will get better if he continues to work hard. Anthony was acceptive of support and encouragement. Anthony exhibited good social behaviors. Anthony was able to reevaluate himself and display a more positive attitude toward peers and authority. Anthony has become more involved in age appropriate social activities and was given positive reinforcement for these choices.