10/28/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C arrived to the home of Client. Upon arrival to the home, Client appeared to be in a content mood evident by her facial expressions such as a smile on the face. QMHP-C inquired about her day. She indicated to QMHP-C her day was going well. QMHP-C engaged mother in a discussion to determine her behaviors since the last session. Mother reports Client continues to struggle with learning how to accept responsibility. 2. Behavior: During the second portion of the session, Client displayed aggressive behaviors at times throughout the session when QMHP-C was discussing with Client about her behaviors and how they are affecting her in the home and community setting. 1. Intervention: QMHP-C began the session by inquiring about Client’s current thoughts, feelings and emotions. QMHP-C provided redirection for incorrect or inappropriate thought patterns regarding ability to interact positively with others. QMHP-C provided interventions and strategies to address importance of accepting mistakes as a learning tool for growth instead of continuing to blame others, becoming depressed, anxious or angry, or minimize own behaviors. QMHP-C processed examples of times when Client made mistakes to include who was involved, how it made them feel, how they responded to those feelings, and how it affected them after the mistake occurred. 2. Intervention: QMHP-C utilized role play to provide alternate methods of response in order to assist Client in understanding that they did not have to be overtaken by strong emotions and that it was possible to make a mistake, accept responsibility for it, apologize and find a positive solution for that mistake instead of becoming verbally / physically aggressive, withdrawing, or avoiding in the future. QMHP-C reemphasized importance of relaxation and calming techniques and explored Client ability to de-escalate given certain scenarios. 1. Response: Client appeared to be receptive to activities and interventions saying she hadn’t really considered how thoughts or feelings toward concepts of respect, courage, responsibility, etc would affect daily living and perception. She demonstrated ability to remember and recite skills discussed and how she attempted to apply those skills over throughout the week. Response: Client reports being excited about learning new things about herself in a way that isn’t degrading or stressful as it gives her an opportunity to know who she really is instead of who people say she is in comparison to other family members.