2/27/2024 EnchantaVaughn Approved Behavior: Client hugged QMHP upon arrival. Client helped QMHP set up a quiet area in the house for the session to begin. Client appeared to be enjoying her day so far. Mother reports client continues to struggle with respecting those who are in authority and when she is corrected by her mother or authority she will scream and overtalk them with behaviors lasting up to 10 minutes in duration. Behavior: Client exhibited negative behaviors evident by her covering her ears up at times within the session with behaviors lasting up to 2 minutes in duration. Intervention: QMHP provided individual and family counseling based on specific treatment objectives. QMHP reminded client of goals and objectives. QMHP collaborated with mom in regard to new home rules and regulations, behavior management, effective teaching practices, following verbal and non-verbal instruction, and an appropriate incentive system. QMHP observed client complying with home rules and expectations. QMHP helped client to see the positives and to take advantage of receiving additional help at home. Intervention: QMHP praised client for utilizing acquired skills needed to continue following her ISP. QMHP processed client positive responses and challenged client to maintain appropriate behaviors throughout the entire week. QMHP encouraged client to resist negative behaviors in efforts to refrain from requiring to be redirected by her mom so many times. Response: Client displayed management of individualized behaviors. The client has not overreacted with anger to minor frustrations or irritants. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. Client is making progress with expressing her feelings and showing others respect and courtesy by talking with appropriate tone, initiating conversation with parent, and waiting for her turn to talk without cutting off others to get more attention. Response: Client said she loves coloring activities/art and utilizes this to relax and stay focused. Client has become more involved in age appropriate social activities while being supportive of others. Client did not display any outbursts during the role play exercise.