11/28/2023 EnchantaVaughn Approved QMHPA greeted Ms. Cosby upon arrival to the home setting. Upon arrival to the home setting, Ms. Cosby appeared to be in a relaxed mood evident by her overall disposition. QMHPA inquired about her day. Ms. Cosby expressed to QMHPA that she was in an okay mood, she just don’t understand why she has been feeling depressed and AGITATION. Ms. Cosby did not present any symptoms of SI or HI at the time of the session being conducted. QMHPA began the session by inquiring about Ms. Cosby’s current thoughts, feelings and emotions. QMHPA assessed Ms. Cosby’s current mood of depression focusing on impact on functioning and attempted to resolve it. QMHPA encouraged Ms. Cosby to speak openly about what she was depressed about. QMHPA and Ms. Cosby processed the information. QMHPA assisted Ms. Cosby in identifying and understanding the key unresolved life issues. QMHPA conducted a skills building activity with Ms. Cosby. QMHPA informed Ms. Cosby that the purpose of this activity was to assist her with applying conflict-resolution skills to start working towards resolving her issues. QMHPA encouraged and supported Ms. Cosby in following through with searching for employment, parenting, and social activities as a distraction from her depression. QMHPA reviewed through demonstration and practice with Ms. Cosby relaxation exercises that supported decreasing her depression and anxiety. Ms. Cosby appeared to be receptive to QMHPAs’ interventions and services that were provided to her during the session. Ms. Cosby stated she was trying to fight through her depression but found it harder some days. Ms. Cosby verbally admitted that she had a lot of issues going on in her life all at the same time. Ms. Cosby and QMHPA engaged in general conversation in reference to the ways she felt she would be able to resolve her issues while decreasing her depressive state. Ms. Cosby expressed feeling helpless and alone with the struggles of her life but was determined not to let it keep her down for too long. Ms. Cosby was amenable of the QMHPA’s interventions evident by her communications and interactions.