11/3/2023 EnchantaVaughn Approved 1.Behavior: Upon arrival, Client displayed an unhappy affect. Client exhibited poor impulse control, as evidenced by constantly moving from chair to chair and being disruptive for abut 10 minutes within the session until being redirected 1-2 times in an effort for her to comply. Mother reports these behaviors are behaviors she too has to deal with on a daily basis lasting up to 2 hours daily when she cannot have her way. 2. Behavior: Client expressed that she needed to talk with counselor about a few things to help her figure stuff out. Client shared that she continues to struggle with communicating with those around her at which she will isolate herself from others within the home setting 1-2 times weekly. Mother reports these behaviors usually last up to 2-3 hours. 1.Intervention: QMHP-C listened to mother verbalize how Client became agitated when she didn’t get what she wanted when she wanted it. QMHP-C encouraged mother to allow Client to express herself in an age appropriate manner and to redirect when needed. QMHP-C modeled pro-social behaviors for Client to strengthen her understanding of them. QMHP-C intervened to prevent the negative behaviors from escalating. QMHP-C trained Client in taking steps to prevent problems including displaying positive home behaviors. 1. Intervention: QMHP-C informed Client of more acceptable and expected responses to situations that would normally lead Client to be triggered and display inappropriate, negative behaviors while in the home. QMHP-C will review key concepts of being responsible with the family. QMHP-C will educate Client about being respectful, encouraging, mindful, and fair to authority while making good decisions in the home. QMHP-C will teach Client necessary coping skills to decrease impulses. 1.Response: Client was a little rude when her mom asked her to stop what she was doing to come to session. Client started talking after she became a little receptive as QMHP-C talked to her and coached her on ways to communicate without being hostile or agitated. Client reported to QMHP-C that she doesn’t like the way that people talk to her in the house and that she was not happy to stop what she was doing. Client has difficulty staying focused when distracted by her phone or other objects and has to be reminded to get back on track. 2. Response: Client took her mind from thinking and doing to a place of concentration, which allowed her to focus on one thing at a time instead of being all over the place and getting easily distracted. Client demonstrated more acceptable responses, avoiding anger provoking situations in the home. Client is observed making better choices and doing the right thing.