1/28/2024 EnchantaVaughn Approved 1.Behavior: QMHP-C arrived to the home Ashiyah. Upon arrival to the home, Ashiyah appeared to be in a positive mood evident by her facial expressions such as a smile on the face. QMHP-C inquired about her day. She verbalized to QMHP-C that her day was going well. QMHP-C engaged her in a discussion to determine how her behaviors has been since the last session. She reported to QMHP-C that she has not gotten into any trouble besides arguing with her siblings but mother reports when she is upset she will isolate herself for about 1 hour in duration. 2. Behavior: Ashiyah reports getting upset and not wanting to deal with others when she is upset and she states these behaviors will last about 2 hours or however, it take for her to want to be around anyone else. 1.Intervention: QMHP-C engaged Ashiyah and QMHP-C in a family session to assess both of their moods and to continue to discuss with Ashiyah on the importance of adhering to those who are in authority in the home, school and in the community setting and being able to control his anger in an assertive manner. QMHP-C conducted today’s individual counseling session to assist Ashiyah to express feelings of anger through appropriate verbalizations or healthy physical outlets on a consistent basis. 2. Intervention: QMHP-C initiated a discussion on goal setting; examples were provided to Ashiyah to continue to assist her with being able to communicate effectively to her mother and to QMHP-C with situations that makes her upset or those negative behaviors that leads her to displaying inappropriate behaviors. QMHP-C discussed Ashiyah’s continued needs to accomplish goals while maintaining an unconditional positive regard. QMHP-C commended Ashiyah for making progress towards some of her goals; however, she was encouraged to continue to work towards mastering strategies identified during sessions. QMHP-C provided Ashiyah and QMHP-C with support through active listening, paraphrasing and summarizing what was being discussed with QMHP-C. 1. Response: Ashiyah was receptive to QMHP-C's suggestions for today's session. Ashiyah was receptive to engage in the session and she actively participated throughout. She displayed a positive demeanor throughout the entirety of today’s session. She demonstrated age-appropriate communication skills; she spoke in appropriate tone and provided positive feedback to conversation. 2. Response: Ashiyah conveyed prior knowledge of learned strategies to address each goal mentioned by QMHP-C; she stated that she implements learned strategies when necessary however she has difficulty implementing strategies’ when angered or frustrated. Ashiyah stated to QMHP-C that she got loud with her mother because she doesn’t know how to talk to people with raising her voice and if she don’t want others to be nasty with her then she don’t need to be need to be nasty with others. QMHP-C stated to QMHP-C and Ashiyah that it appears as though when she speaks with a nice tone, Ashiyah don’t seem to understand that; however, when she speaks in a high tone everyone in the home seems to understand that she means business.