8/7/2023 EnchantaVaughn Approved Behavior: During today’s visit, Anthony appeared to be in a shifted mood, as evidenced by his irritable emotions and puzzled facial expressions. Anthony described a pattern of consistent misfortunate events that happened today. Anthony expresses feelings of bad luck due to certain things not going his way. Anthony verbalizes different complaints but utilizes his coping skills properly. Behavior: Anthony demonstrates ability to hold himself accountable and adapt to new challenges. Anthony was reminded to utilize relaxation techniques and breathe so that he could stay calm and focus in the session. Anthony expressed needing more help and agreed to be less emotional and more logical with handling stressful situations at home during this time. Intervention: QMHP-C addressed Anthony’s negative behavior right away. QMHP-C allowed Anthony to individually process what occurred throughout the day. QMHP-C validated Anthony’s feelings but explained the importance of utilizing his coping skills. QMHP-C stated “You have to learn to ignore others and not be so easily triggered.” QMHP-C isolated Anthony from distractions to decrease disruptive behaviors. Intervention: QMHP-C verbally identified Anthony's impulsiveness and encouraged Anthony to use self-control strategies. QMHP-C brainstormed strategies with Anthony and encourage him to implement them on a daily basis. QMHP-C also provided mediation and relaxation techniques to maintain appropriate behaviors. QMHP-C explained the importance of being on task and refraining from distractions. Response: Anthony actively participated with QMHP-C as they discussed and processed his feelings. Anthony communicated that it is often hard to remain positive at all times about himself when he doesn’t always have the best things or necessities that he needs. Anthony discussed numerous situations where he had to adapt even when he didn’t want to. Response: Anthony displayed active behaviors in the second half of the session. Anthony engaged in self-reflection, discussing good and bad parts of his day. Anthony communicated that he feels that he will be more successful, due to having a woman as a counselor. Mom expressed to the counselor that though Anthony’s behavior has improved she still has to remind Anthony about remaining consistent.