10/4/2023 EnchantaVaughn Approved (AM)Client arrived to school in a feisty mood, as evidenced by his tense facial expressions and talking back to authority. Teacher reported client was not displaying the correct behaviors in class and needed a break. Client continues to bother and disrupt his peers while they are trying to do their work. Client refuses to do his work when asked to get back on task. Client has a hard time following directions when he wants to see his counselor as a way to ignore his teachers directives. Client was given a choice to finish his assignments or he would not be allowed to utilize TDT support due to poor attitude and being disrespectful. Client understands that in order to see his counselor he has to fulfill the responsibilities and duties that are set in school. Client was reported several times not being productive in class. Client have been having difficulty with listening and following directions. Client was redirected by QMHP. Client understands he is expected to complete his work and stay seated in class. Client was reminded of his objectives and what he needs to do to achieve them. Client continues to display disruptive behaviors in social and academic settings. Client have been extremely defiant toward authority, talking back and giving his teacher a hard time. Client is normally observed acting out in class when following behind other students that have trouble staying seated or paying attention and this causes a lot of distractions in the class. Client tries to interrupt other students who are on task, influencing his peers to follow behind him so that he won't be in trouble by himself. Client chooses to have small outbursts when he can’t have his way or when he wants to come to session during class time. Client attempts to walk away when he's given one on one and requested to stop and listen or consequences will follow. Client displayed negative emotions and returned to his seat in an uptight mood. Teacher responded by telling client that he need to get it together and think about his actions. At this time client tried to display temper tantrum’s so that he can get his teacher to let him go with his counselor. Client is given several breaks throughout the day to ensure he isn’t off task for the rest of the day so that he can get some more of his work done before dismissing from school. In some cases this helps but sometimes it doesn’t and client is observed out of control and in need of serious redirection and a referral is put in to document these episodes that have happened to keep client accountable for his manic behaviors during the school day.