3/7/2023 EnchantaVaughn Approved Behavior: Upon arrival, client was observed in an upbeat manner. Upon arrival to the home setting, QMHP engaged mother in a discussion to determine her behaviors since the last session. Mother reports client struggles with managing her anger and emotions in the home setting. Behavior: Client was observed displaying hyperactive behaviors during the second portion of the session as she was throwing items at her siblings and yelling at them for walking past her during the session. Client struggles with being able to control her anger and communicate with her mother and siblings. Intervention: QMHP conducted session following open discussion with client and parent by assessing her behaviors and mood. QMHP inquired about client’s current feelings and provided positive affirmations. QMHP processed client positive behaviors. QMHP assisted client in developing more social skills. QMHP probed client about talking with her mother about her feelings. QMHP commended client on utilizing coping strategies to increase her understanding of feelings and emotions. QMHP will help client develop healthy self-esteem by reducing level of anxiety and emotional reactions related to home and other social environments. Intervention: QMHP praised client for being on task and following directions. QMHP educated client about appropriate touch and personal boundaries. QMHP processed client thoughts and feelings. QMHP explored client’s responses and provided appropriate feedback. QMHP supported client making good decisions and having positive behaviors in the home. QMHP communicated with client and mother about client’s progression and possibilities of goals and objectives during continuation of services. QMHP encouraged client to practice relaxation and coping techniques in social/virtual environment, at home, and in the community. Response: Client informed QMHP that she was happy and excited to come to session. Client was able to cooperate and comply to rules and regulations due to positive influence within the home setting. Client implemented pro social skills successfully. Client was sociable and friendly in regard to the QMHP’s positive empathy. Client is seen laughing and interacting well with her counselor. Client responded to feedback and shared some of her own experience with dealing with anxiety. The client showed her gratitude for being able to release physical tension stating that she feels relaxed. Response: Client maintains good etiquette by sitting in her seat during instructed activity, raising her hand and asking appropriate questions, being respectful toward mental health professional, remaining quiet during quiet time and active during social time, listening to her mother, and modeling appropriate behavior in the home. Client utilized relaxation strategies. Client responds well to the positive reinforcement, praise, and support provided by QMHP and is seen increasing self-esteem and confidence. Client has presented herself in a responsible way and is making progress towards her goals and objectives