9/17/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, Client appeared to be in positive mood evident by facial expressions such as a smile on the face. QMHP-C engaged mother in a discussion to determine her behaviors since the last session. Mother reports Client continues to struggle with being able to get along with her siblings. Behavior: Client displayed withdrawn behaviors at times within the session when discussing her behaviors with her mother. Client at times got loud with QMHP-C and her mother and was redirected within the session. Intervention: QMHP-C processed Client positive behaviors. QMHP-C assisted Client in developing more social distancing skills. QMHP-C inquired about possible challenges Client can experience with applying this skill. QMHP-C provided positive feedback. QMHP-C applauded Client for making the big decision to want to work on changing her behavior. QMHP-C discussed Client the importance of working hard to make sure that she continues to stay focused on her goals. QMHP-C challenged Client to continue displaying a positive attitude while employing positive reinforcement when Client is able to achieve her goals and objectives. QMHP-C provided praise when the Client continued to display positive behaviors throughout the day, remaining on task and was very respectful to all adult figures. QMHP-C isolated Client from distractions to decrease disruptive behaviors and to reduce excessive talking. Intervention: QMHP-C 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-C assisted Client in creating goals for her family and understanding what role would be in achieving them. QMHP-C role played with Client and demonstrated for positive behaviors and responses to increase positive interactions between her and the family. QMHP-C applauded the behavior of Client and recognized how her and her mother had been interacting positively. QMHP-C reviewed an article with the two that discussed relationship skill building and ways to better a relationship with one another. QMHP-C engaged in conversation with Client about positive decisions and her plan to continue building relationships from home. Response: 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-C. Client implemented pro social skills successfully. Client has presented herself in a responsible way and is making progress towards her goals and objectives. Client was able to utilize coping skills to eliminate stressors and unwanted feelings. Client displayed self determination to stay focused and pay attention in the home. Response: Client utilized meditation and relaxation techniques. Client was seen decreasing anger and frustration. Client reported a decrease in symptoms following the relaxation techniques. Client is making progress with expressing her feelings and showing others respect and courtesy by talking with appropriate tone and initiating conversation. Client was able to speak calmly and demonstrate her improved communication skills while engaging in self-reflection with QMHP-C and mom.