3/13/2023 EnchantaVaughn Approved Behavior: When QMHP saw client, client presented with a bright affect. Client presents good well-being and appearance. QMHP-C engaged mother in a discussion to determing behaviors since the last session. Mother reports client struggles with making poor decisions when it comes down to her fussing and being disrespectful with others in the home (i.e. boyfriend daughter). Behavior: Client spoke calmly, but also listening when mother was sharing her thoughts about her observations of client behaviors. The family showed positive manners. The family interacted well with one another and spoke to each other calmly and effectively. Client needed redirection for cursing at her mother on why she acts the way she does in the home with the boyfriend daughter. Intervention: QMHP reflected with client on her day and how she was feeling. QMHP processed with client regarding positive decision-making skills and understanding. QMHP encouraged client to share everything that makes her feel good and at peace so that she continues to behave in a positive way. QMHP supported client with displaying positive social interactions with peers and authority. QMHP reinforced appropriate coping skills in the home. QMHP processed client positive responses and challenged client to maintain appropriate behaviors throughout the entire week. Intervention: QMHP talked to client about her confidence levels and how much she has shown in believing in herself and taking accountability. QMHP encouraged client to utilize positive self-talk as a means of decreasing anxiety and managing frustration when encountering difficult or challenging circumstances. QMHP reminded client of her strengths and abilities. QMHP praised client for her efforts and being respectful to her mom. QMHP implemented a routine that will encourage client to be responsible and promote self confidence in home and social settings. QMHP prompted client to do her best no matter what. QMHP continued to establish a positive supportive relationship with client. Response: 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 by talking with appropriate tone initiating conversation with her mom and dad. Client said she loves family activities and utilizes this to relax and stay focused. Client communicated she does a lot of dances and cheers. Client seemed to be really happy with this new hobby and talent. Client exhibits determination to use this to keep her calm during stressful moments. Client nodded in understanding and communicated that she was going to continue making good choices and show positivity around others. Response: Client was attentive and successfully planned her day so that she had enough time to do chores, complete her homework, and help her mom around the house. Client presents moderate self-esteem throughout the session, as evidenced by utilizing creative strategies to stay motivated and on task. Client was responsive to the interventions and attempted to implement skills right away.