3/22/2024 EnchantaVaughn Approved Behavior: Client held appropriate conversations during the session, making insightful comments about the topic. Client shared positive feedback. Client was compliant to authority requests when asked to do something she does it right away; however, mother reports she has to repeat herself at least 3 times in an effort for her to comply with simple request at which mother reports this behavior last at least 1 hour in duration. Behavior: Client expresses positive social behaviors while interacting in the session. Client displayed good listening skills while counselor reviewed weekly objectives with mom. Client expressed to QMHP as well as mother she does not like it when she cannot have her way about small things in the home as she is the only child and because of this she feels as though she should get what she wants. Client verbalized to QMHP when she cannot have her way she will isolate herself from others, slams doors and utilizes profanity with behaviors lasting up to 1 hour in duration. Intervention: QMHP processed client positive behaviors. QMHP provided positive feedback. QMHP applauded client for making the big decision to want to work on changing her behavior. QMHP provided client with encouragement to demonstrate the positive behaviors and expectations they had been talking about. QMHP guided client by asking her why she believed her family was important to her and what is the overall image that she wants to depict when it comes to her family. QMHP listened as the client communicated her feelings with her mom. QMHP supported client in approaching her mother with her ideas. Once the conversation with the pair ended client appeared to be in a better mood. Intervention: QMHP reviewed client’s ISP objectives with her in efforts to reinforce her commitment to achieving them on a daily basis. QMHP reviewed an article with the two that discussed relationship skill building and ways to better a relationship with one another. QMHP engaged in conversation with client about positive decisions and her plan to continue building healthy relationships. QMHP assisted client in monitoring her own behaviors in efforts to promote exercising self-control in focused areas such as respecting boundaries with others. QMHP assisted client in normalizing the changes that are occurring at home and in the community. Response: Client and mother both shared that were having a good day. They both shared that they were okay with today’s progress and believed the emotions they expressed were refreshing and informative. They also stated that they will try to keep each of the things they learned in mind as they continue to move forward with services. The mother shared that the client was doing so well with her involvement. Mom expressed that she felt that the behavior of the client was on positive changes. Client stated that she felt better about her emotions since she was able to share them with someone. Client said thank you and continued to do what she was told. The family was happy with the praise given by counselor. Response: The client was open and attentive during the intervention. Client did an excellent job by showing interest in the session by asking appropriate questions. Client utilized relaxation strategies appropriately. The client showed her gratitude for being able to release physical tension stating that she felt relaxed. Client was able to cooperate and comply to rules and regulations due to positive reinforcement provided by the QMHP. Client implemented pro social skills successfully. The client shared that she will continue to make sure that she is working to change her response and doing things that are going to help do so. Client presents a positive attitude. Client implemented the positive reinforcement provided by her counselor and was able to stay motivated and enjoy her day.