3/12/2024 EnchantaVaughn Approved The purpose of this session was to discuss with Chevelle on reducing her symptoms of depression, distress and depressive behaviors. Once QMHPA arrived to the home of Chevelle, Chevelle appeared emotionally overwhelmed, presenting passive aggressive behaviors, responding with a pessimistic perspective towards coping with personal demands and challenging obstacles that increase daily tension. Chevelle did not present any symptoms of S/I or H/I at the time of the session. QMHPA began the session by reinforcing anxiety reduction/management techniques in order to restrain Chevelle’s compelling anger which affects her judgment. QMHPA provided Chevelle with cognitive restructuring to express her anger in a positive way to reduce her stress and gain self-control over her impeding adversities. QMHPA encouraged anxiety reduction/management techniques to Chevelle to address irrational, displaced anxiety caused by current crisis. QMHPA educated Chevelle regarding cognitive restructuring of impulse control and self-actualization. QMHPA provided information to Chevelle regarding reducing relapses of depression and over exposure of stress which can cause anxiety attacks. QMHPA directed Chevelle to use a calm voice when expressing her anger, communicate with care, respect for other people’s perspectives and feelings. QMHPA shared that by expressing anger calmly, Chevelle is more likely to be able to problem solve the situation and how such a situation may be prevented in the future. Chevelle displayed appropriate social skills during today’s session and adhered to all directives without presenting any negative rebuttal or oppositional defiant behavior. Chevelle expressed to QMHPA that the lifestyle from which she chooses to stay clear away from, creates an environment of despair, helplessness, arrogance and envy, where being aggressive is respected as opposed to decency and compassion. QMHPA explored the pros and cons of passive behavior and assertive behavior; by sharing with Chevelle that passive behavior is never having the courage or confidence to aspire to accomplish what you started. Acting passive is letting people dictate what you do, without standing up for yourself or taking the initiative to explore new possibilities because of the lack of assurance or past conflicts which you have not resolved yet. QMHPA concluded by sharing with Chevelle that learning to use assertive behaviors can help get your needs met and enhance self-confidence, maintain healthy relationships with other people and combat depression. Chevelle appeared receptive and responded appropriately throughout the intervention process accepting all suggestions and recommendations to improve quality of life performance.