5/9/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C arrived, Client was in her bedroom. Client appeared to be in a good mood as evidenced by her being more talkative than normal. Today’s session will focus on anger management. 2. Behavior: Client displayed hyperactive behaviors during the second portion of the session as client was walking away from when discussing her session and behaviors with her mother as it relates to her utilizing profanity towards her younger siblings. 1.Intervention: QMHP-C began the session by inquiring about Client’s current thoughts, feelings and emotions. QMHP-C engaged Client in a discussion in reference to how she felt she had been controlling her anger lately. QMHP-C encouraged Client to express her feelings in an appropriate manner. QMHP-C modeled active listening and at the appropriate times, open-ended questions were asked in order to get Client to be more detailed. Client was taught effective communication and assertiveness skills to learn how to meet her needs for attention and approval through appropriate verbalizations and positive social behaviors. Client was assisted in developing an awareness of how disruptive behaviors lead to negative consequences for herself and others. 2. Intervention: QMHP-C assisted Client in developing a list of her own needs and wishes and then the personal actions necessary to attain them, rather than being angry with others for not meeting her needs and wishes. QMHP-C attempted to assist Client in learning ways to think positively in anger-producing situations. QMHP-C modeled for Client how to replace thoughts that trigger angry feelings, and replace these thoughts with a more positive and accurate thought. QMHP-C discussed with Client how the thoughts of rejection can trigger feelings of worthlessness, hurt, and then anger. 1. Response: Client appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Client informed QMHP-C that she felt as if she had been controlling her anger fairly well despite the incident she had the other week with her peer in which she really felt as if she wanted to fight her. Client participated in the role-playing and role-reversal scenarios in which she was taught how to be assertive, communicate effectively while still being respectful in nature. 2. Response: Client laughed during some of the re-enactment of the scenarios. Client expressed that she was fully aware that when or if she commits disruptive behaviors, there might be consequences. However; Client tended to brag on how spoiled she is and the fact that her mother very rarely implements consequences for her, and if she does, they do not last long. Client verbalized that she does get mad when she does not get her way, but at times she feels as if she is justified because she is always being told that she can do something, but then someone changes their mind. Client did well with replacing negative and angry thoughts will more positive thoughts.