12/12/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, Ashiyah and QMHP-C discussed Ashiyahâs behavior at home. Ashiyah followed all directions given by mom and counselor. Ashiyah made constant eye contact during session and displayed a calm demeanor without getting angry or frustrated. Behavior: During the second portion of the session, Ashiyah was able to display on task behaviors evident by her paying attention to what was being discussed with the QMHP-C. Ashiyah was able to understand the importance of her implementing what she has learned during sessions to assist her with being able to manage in the future. Intervention: QMHP-C engaged Ashiyah in a session on the importance of exploring conflict. QMHP-C educated Ashiyah during the session that conflict involves having a disagreement with someone. QMHP-C shared with Ashiyah that no matter how hard we try to avoid a conflict they are sure to keep happening. QMHP-C explained that it is possible to learn how to resolve conflicts in such a way that everyone is happy. QMHP-C processed with Ashiyah and shared some positive ways to resolve conflicts, such as peer mediating, talking to an adult about the situation, using I feel statements to express how you feel so you do not offend the other person. Intervention: QMHP-C challenged Ashiyah to explain how she would resolve a conflict in a positive manner using one of the methods discussed or using another positive method. QMHP-C educated Ashiyah about appropriate touch and personal boundaries. QMHP-C processed Ashiyah thoughts and feelings. QMHP-C engaged Ashiyah in conversation regarding her recent behaviors, progressions, and setbacks. QMHP-C modeled proper positive behavioral expectations for Ashiyah to encourage additional layers of support and understanding of rules and expectations. QMHP-C explored Ashiyahâs responses and provided appropriate feedback. QMHP-C supported Ashiyah making good decisions and having positive behaviors in the home. Response: Ashiyah admitted that some of her tension come from not receiving the love and attention she desires by her parents. Ashiyah stated that she wished she could spend time with her father who is absent in her life. Ashiyah informed QMHP-C that she has been learning a lot in each session. Ashiyah thanked QMHP-C for helping her family communicate with each other in a more positive and productive way. Ashiyah stated that talking and sharing things in her life helped her to evaluate her poor choices and correct her mistakes. Ashiyah went on to report that she will practice therapeutic techniques with her family when she feels that it is the right time and place. Response: Ashiyah has attempted to utilize what she acquired from todayâs and previous sessions to reduce symptoms of ADHD. Ashiyah responds well to praise and support. Ashiyah is observed problem solving on her own and handling her emotions appropriately. Ashiyah responds well to feedback. Ashiyah responds well to the positive reinforcement provided by QMHP-C and is seen increasing self-esteem and confidence. Ashiyah said she was going to practice coping strategies and relaxation techniques in all aspects of her daily living routine in hopes that she will be a better person, student, and friend.