3/30/2023 EnchantaVaughn Approved Behavior: Individual counseling held with Client at the home. This session focused on respectful interactions, communicating needs, anger management, sibling conflict, and bullying and intimidating behaviors as mother reports client is struggling with these issues. Behavior: Client presented cooperative behaviors throughout the session as she did not need any redirection; however, QMHP-C continued to discuss with client ways to communicate effectively with her mother and others. Intervention: QMHP-C engaged Client in a discussion regarding respectful interactions. QMHP-C modeled the appropriate way to interact with others. QMHP-C asked Client several questions to allow her the opportunity to demonstrate how she responds to others in various situations. QMHP-C role played with Client about making demands and requests. Client was instructed to explain the difference and to discuss the possible outcome of a demand versus a request. Intervention: QMHP-C provided a therapeutic worksheet on managing anger. QMHP-C assisted Client with adequate ways to manage her anger across all settings such as school, home, and in the community. QMHP-C utilized puppets to create scenarios to model and suggest to client constructive ways to handle her anger with siblings. QMHP-C taught client about being empathetic to victims (siblings/peers) of her bullying and intimidating behaviors. Response: Client demonstrated active listening skills in this session. She provided positive feedback during this session. She was able to answer questions correctly regarding the respectful interactions with others. Client had little insight into how her communication approach is towards others. She does not understand the concept of making demands and requests. She did begin to gain insight when some of the possible results that the QMHP-C explained were discussed with her.. Response: She continues to struggle with managing her anger but did share that she is now able to recognize factors that makes her angry. She gained awareness into more constructive ways to manage her anger with her siblings. She continues to display bossy behaviors with her siblings that result in verbal altercations. QMHP-C denies bullying her peers or siblings.