1/23/2023 EnchantaVaughn Approved Behavior: Client’s energy increased once she got comfortable with the session, initiating a conversation with QMHP. Client did not have to be directed on listening or waiting her turn to talk and did so without any issues. Mother discussed with QMHP on how when client is redirected for her behaviors such as her not cleaning the kitchen she will get upset and storm out the house leaving her mother to search for her. Behavior: Client appeared to be enjoying her day so far. Client exhibited appropriate social skills and team work during psycho educational activity. This activtiy was completed due to client verbalizing to QMHP on how her mother and siblings get on her nerves because she feels as though shows more attention to her siblings than her. Intervention: QMHP provided individual and family counseling based on specific treatment objectives. QMHP inquired about how client was feeling today and if she needed anything. QMHP assisted client in normalizing the changes that are occurring in the home and outside the home. QMHP reflected with client on her choices, reviewing both good and bad experiences. QMHP encouraged client to be receptive to all feedback given to her. QMHP processed with client, "how can you add more value to your life?”. QMHP helped client to see the positives and to take advantage of receiving additional help at home. Intervention: QMHP praised client for utilizing acquired skills needed to continue following her ISP. QMHP processed client positive responses and challenged client to maintain appropriate behaviors throughout the entire week. QMHP encouraged client to resist negative behaviors in efforts to refrain from requiring to be redirected by her mom so many times. QMHP praised and recognized client for her hard work, efforts, participation, and working towards improvement by changing daily habits and implementing a positive and consistent schedule that would help balance her mental and emotional health routines. Response: Client transitions smoothly and safely to session area, displaying appropriate behaviors. Client was seen waiting for instruction before going ahead and doing her own thing. Client have been doing a better job controlling impulsive and hyperactive behaviors, due to keeping her hands to herself and staying in her own space. The client has not overreacted with anger to minor frustrations or irritants. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. Client is making progress with expressing her feelings and showing others respect and courtesy. Client demonstrated expectations and responded well to the interventions provided in the session today. Response: Client exhibits appropriate behavior in the home, as observed during the role play activity. Client has become more involved in age appropriate social activities while being supportive of others. Client did not display any outbursts during the role play exercise. Client displays good participation and displayed good interaction with her family, acknowledging their love and support for her session time. Client understands that sessions are a privilege and she have to show good work ethic and follow along with the interventions, in order to maintain his ISP objectives. Client continues to make progress in the home, as reported and observed. Client acknowledges her improvements and vows to stay consistent with her therapy.