7/12/2023 EnchantaVaughn Approved Behavior: Upon starting the session, client appeared to be in a well-balanced state. Client offered QMHP a space on the couch next to her, so that they both can sit together. Mom stated client was having a good day and she was excited for this weekâs therapy lesson. Client exhibited excellent participation with therapy and displayed a cooperative attitude toward her counselor, communicating her feelings well. It is apparent client have made a lot of progress in her sessions. Client was acceptive of feedback and said, âthank you for being patient with meâ. Client continued displaying appropriate manners during the session. Behavior: Client was attentive and focused and displayed a high level of confidence when reflecting on her feelings. Client shows positivity to authority by giving them the same respect they give her, while utilizing proper voice volume in the home. Client was careful not to get off task, as seen listening to instructions carefully. Client was observed following directions. Client was friendly, invited mom to the discussion and wanting her advice when it came to other things that she was afraid to discuss alone with her counselor at the time, including but not limited to her living situation and mental health. Client demonstrated excellent mannerisms, as the session came to an end. Intervention: QMHP had one on one with client to reflect on her day. QMHP provided client with a release of energy by stretching to help her relax. QMHP praised client for her cooperation and managing her behaviors appropriately. 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 supported client making good decisions and having positive behaviors in the home. Mom was proud of her daughter at this moment and everyone smiled. Intervention: QMHP provided positive gestures to encourage client on her positive behaviors in the home. QMHP commended client on utilizing creative strategies to increase her understanding of feelings and emotions. QMHP offered empathy and support to client to ensure her needs are met. QMHP educates client that having an in-home counselor is a privilege. QMHP answered client questions and provided positive feedback. QMHP monitored client's individualized behaviors and how well she interacts with mom and sibling in the home. QMHP reinforced clientâs positive behaviors by modeling positive behaviors. QMHP encouraged client to maintain this behavior throughout the rest of the week. Response: Client displayed an understanding of ADHD and its symptoms and causes. Client expressed excitement when it was time to demonstrate her strengths in front of her family because she was confident and prepared. Client reflected on her choices. Client said thank you. Client displayed healthy self-esteem in home setting. Client utilized conflict management skills to avoid getting into altercation with authority. Client exhibited techniques for appropriate self-expression and active listening. Client demonstrated appropriate interpersonal skills, assertiveness, confidence in self and ability to manage symptoms on her own. Response: Client communicated positive self-talk and affirmations, ability to follow instructions, role play of appropriate way to act in the home, increased communication and exhibiting the positive reinforcers that were provided by QMHP. Client has implemented the correct behaviors, by avoiding disruptive and impulsive actions. Client acknowledged QMHP's praise by saying thank you. Client was observed intervening and regulating her emotions correctly. Client was able to demonstrate fairness and kindness to peers and authority. Client provided several scenarios for QMHP to model positive prosocial behaviors within the home.