10/11/2023 EnchantaVaughn Approved 1.Client greeted QMHP-C as QMHP-C arrived to the home. Client appeared to be in a positive mood while discussing with QMHP-C how his day was going. Client verbalized to QMHP-C his day was going okay. QMHP-C engaged him in a discussion surrounding his day at school. Client verbalized to QMHP-C it was fine he did not get in trouble but reports he continues to not be able to manage his anger. 2.Behavior: Client participated in the individual session and throughout the session he did not need any redirection; however, he continued to present off task behaviors at times during the session and verbal aggressive language to his older sibling. 1.Intervention: QMHP-C reviewed the steps for anger control with Client. QMHP-C provided Client with an example of statements that Client could make for each step was modeled for him. QMHP-C challenged Client to think and verbalize statements that he would use if placed in a particular situation in which he had to try and control his anger. QMHP-C taught Client about how his thoughts can influence his feelings and behavior through the use of role play and modeling different scenarios. 2. Intervention: QMHP-C gave Client an example of someone bumping into him and him telling himself that he did it on purpose, and then he would be more likely to get upset. QMHP-C presented Client with a list of several anger management role-play scenarios. QMHP-C played the person who was trying to keep from getting angry first. QMHP-C made sure that he modeled the coping skill of self-talk out loud. QMHP-C role-played a scenario and QMHP-C had Client practice the coping skills to control anger. 1.Response: Client appeared to be receptive to QMHP-C interventions and services that were provided during the session. During Client’s role-playing, he implemented several coping skills to include: removing himself away from the situation, deep breathing, using self-talk, etc. Client told QMHP-C that he uses self-talk a lot now, but he never knew it was considered a coping skill. Client stated that the best coping skill that he uses now when in a heated situation is just to walk away. However, he stated that he gets in trouble sometimes when he does this because others feel as if he is trying to be disrespectful. 2.Response: Client admitted that he can still be very verbally aggressive, but he thought this was better than being physically aggressive. Client had an understanding that if he cannot control his anger, it could lead to serious consequences.