10/28/2023 EnchantaVaughn Approved Behavior: When QMHP arrived, client was in a laid-back mood, as evidenced by his calm and relaxed expressions. Client explained that he wanted to have session without mom present so that he could spend that time taking care of important duties around the house (i.e. cooking and cleaning). Client is still adjusting to the changes in the home and giving his mom space for self-care. Behavior: After having one on one with his counselor, client was able to figure out some things that he has been having trouble with. Client expressed that he didnât want to be judged for his mistakes. Client explained his frustrations and why he has been more stressed than normal lately. Client was respectful of the session time and utilized this time to lay everything out on the table. Intervention: QMHP conducted session today on decreasing disrespect for authority figures and taking ownership for his own actions. QMHP probed client about his behaviors yesterday. QMHP encouraged client to remain positive and more positive things will happen. QMHP prompted client to refrain from impulsive, hyperactive, defiant, and aggressive behaviors. Intervention: QMHP utilized behavior modification strategies including removing client from the stimulant environment in efforts for him to reduce inappropriate behaviors. QMHP encouraged client not to complain and be more grateful. QMHP reviewed client schedule with him and supported as he prepped for the evening work he had. QMHP intervened to assist in explaining behaviors to client. Response: Client was highly oppositional during session and displayed argumentative and frustrating behavior. Client displays moderate participation unless heâs distracted by his little brother and sister. Client recognized when heâs not paying attention and quickly corrected himself. Client was able to identify both positive and negative behaviors. Response: Client has a history of displaying aggressive, non-compliant behaviors towards authoritative figures in the home and/or community setting. This has been the first occasion in which client has displayed this level of behaviors in the presence of counselor. Client returned to activity ready to work and was more motivated to try and stay positive for the remainder of the day.