3/15/2023 EnchantaVaughn Approved Behavior: Client exhibited active listening skills going into her day. QMHP-C engaged mother in a discussion to determine her behaviors since the last session. Mother reports she continues to struggle with being able to implement coping skills when she is upset as she will lash out on everyone in the home. Behavior: Client was in a fantastic mood, as evidenced by her energetic and fulfilled polite spirit. The client was supported for displaying an understanding of the social skills that were reviewed. Client reports "they keep pissing me off and I am not going to do anything but fight in that house if someone says something to me out of the way". last occurring on yesterday. Intervention: QMHP educated client about what she can do to make the program fun and interesting, such as reading her favorite book, drawing in a journal, or simply closing her eyes and practicing mindful exercises, such as deep breathing and dreaming big. QMHP prompted client to refrain from impulsive, hyperactive, defiant, and aggressive behaviors especially running, refusing authority instruction, and interrupting another’s person day. Intervention: QMHP utilized behavior modification strategies including removing client from the stimulant environment in efforts for her to reduce inappropriate behaviors. QMHP will monitor effects of meditation and coping practices daily and report progress to mom. QMHP explored the client’s capability to cope with her stressors and to get back on track. QMHP assisted client with finding and utilizing necessary resources in her personal environment. Response: Although client has difficulty staying focused, she is extremely dedicated to her therapy. Client presents a positive attitude when given the opportunity to earn a reward. Client implemented the positive reinforcement provided by her mother and was able to stay motivated and enjoy her session. Client exhibited good manners. Client expresses good statements about her day saying she was doing her work, using her manners, and being fair to others in the home. Response: Client is more confident, as evidenced by assertive and proud tone. Client have been doing a better job controlling impulsive and hyperactive behaviors, due to keeping her hands to herself and complying to home rules. Client reduces sadness and finds more excitement in learning about different ways to control her reaction to certain situations and be more receptive to her mothers request.