7/16/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C arrived, Ashiyah was in her bedroom. Ashiyah 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 Behavior: Ashiyah presented withdrawn behaviors evident by her looking off at the walls when discussing ways to manage her anger. 1.Intervention: QMHP-C began the session by inquiring about Ashiyah’s current thoughts, feelings and emotions. QMHP-C engaged Ashiyah in a discussion in reference to how she felt she had been controlling her anger lately. QMHP-C encouraged Ashiyah 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 Ashiyah to be more detailed. Ashiyah 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. Ashiyah was assisted in developing an awareness of how disruptive behaviors lead to negative consequences for herself and others. 2. Intervention: QMHP-C assisted Ashiyah 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 Ashiyah in learning ways to think positively in anger-producing situations. QMHP-C modeled for Ashiyah how to replace thoughts that trigger angry feelings, and replace these thoughts with a more positive and accurate thought. QMHP-C discussed with Ashiyah how the thoughts of rejection can trigger feelings of worthlessness, hurt, and then anger. 1.Response: Ashiyah appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Ashiyah 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. Ashiyah 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: Ashiyah laughed during some of the re-enactment of the scenarios. Ashiyah expressed that she was fully aware that when or if she commits disruptive behaviors, there might be consequences. However; Ashiyah 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. Ashiyah 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. Ashiyah did well with replacing negative and angry thoughts will more positive thoughts.