3/7/2024 EnchantaVaughn Approved Chevelle comes to the door in pajamas and her hair in disarray. Chevelle was fusing about her boyfriend and her best friend as they had an argument this morning. Chevelle was very upset and cursing however Chevelle is able to think clearer and better when she is upset. Upon arrival, she did not present any symptoms of S/I. QMHPA and Chevelle reviewed Chevelle mood and ADL's. QMHPA and Chevelle discussed Chevelle relationship issues. QMHPA reviewed a self-assessment exercise with Chevelle. QMHPA and Chevelle discussed the fifteen manifestations of a poor self- image. Chevelle verbalized that she does not like herself and speaks negative on her appearance and skills. QMHPA and Chevelle continued to discuss the feelings that Chevelle has about herself. QMHPA encouraged Chevelle to come up with five goals to set for herself that QMHPA will use to address Chevelle Chevelle appeared to be receptive to QMHPA’s interventions and services that were provided to her during the session. Chevelle indicated to QMHPA that she really did not care to hear about resolving conflict in a healthy manner because that is not her. She indicated that when she has taken her medication and it has been in her system for a long period of time, then she really doesn’t care what the problem is because the medication allows her to be in another world as oppose to what she is experiencing with whomever. Chevelle indicated that she continued to try to hold her composure at times but she feels as though people like to test her because they know that she is not a quiet person and she is going to say whatever is on her mind.