11/11/2023 EnchantaVaughn Approved 1.Behavior: Ms. Hodge reported to QMHP-C Ashiyah continues to display at-risk behaviors within the home and community. Ms. Hodge reported Ashiyah âsmack the shit out of little brotherâ for making a noise she didnât like. Ms. Hodge reported that Ashiyah is very strong and will end up hurting somebody one day. 2. Behavior: Ms. Hodge reported that Ashiyah has issues with venting and protesting her feelings without utilizing aggression. Ms. Hodge reported that Ashiyah can be a hand full when she get upset. Ms. Hodge went on to report that Ashiyah has serious issues with following directions and talking back toward authurity figures within the home, school, and community. 1.Intervention: QMHP-C assisted Ashiyah in identifying possible triggers of anger and situations to avoid. QMHP-C addressed the importance of remembering to pick her battles with authority while keeping in mind situations that are a win-lose situation for her. QMHP-C assisted with identifying times in the past when she used positive coping strategies to solve problems and revisited the positive outcomes that should encourage her to use them again when she is faced with similar problems. 2. Intervention: QMHP-C processed with Ashiyah additional coping strategies she could use in the future to deal with stress or frustration more effectively without the use of verbally aggressive language that only escalate the conflict. QMHP-C challenged Ashiyah way of thinking throughout the session and facilitated role play and role reversal for understanding of skills taught. 1. Response: Ashiyah was complaint with this session as she acknowledged her disrespect towards her mother who she felt was targeting her all morning for conflict. Ashiyah was able to identify her role in the conflict and verbalized the need to make some changes. Ashiyah was verbal in identifying the things people do to trigger her anger but had difficulty accepting her role in some of those past conflicts as she feels others tend to trigger her anger purposely. Ashiyah acknowledged how effective it is when she takes the time to identify the feelings and changes she believes she goes through before becoming angered and attempting to de-escalate herself. Response: Ashiyah was able to identify the areas she needs to continue to focus on mastering as she works towards improving her relationship with her mother as she agreed she would like to see them get along better and bond more. Ashiyah began to display an understanding of coping a skill learned to day and was able to express ways to apply when needed to make better choices when feeling stressed or overwhelmed.