10/4/2023 EnchantaVaughn Approved 1.Behavior: Client appeared to be in a positive mood while discussing with QMHP-C how his day was going. He reported that his evening was going good. QMHP-C engaged mother in a discussion to determine behaviors since the last session. Mother reports Client continues to struggle with increasing his communication skills. 2. Behavior: Client appeared to be withdrawn as he continues to be upset with not learning how to communicate effectively. 1.Intervention: QMHP-C processed with Client and family on positive expressive comments. QMHP-C has Client to verbalize positive feelings and utilized the feeling faces to support Client with recognizing his feelings and thoughts. QMHP-C modeled appropriate behaviors for Client to exhibit respectful behaviors toward his mother and siblings. 2. Intervention: QMHP-C utilized role play for Client to be able to identify and process someone who displays good communication skills. QMHP-C conducted discussion for Client to identify words that allow him to demonstrate good communication skills. QMHP-C requested that Client think of words that may be controversial and challenged Client to decrease his frequent usage of negative words. QMHP-C taught communication skills and being assertive. 1. Response: Client appeared to be receptive to QMHP-C’s interventions and services that were provided to him during the session. Mother reported that it is difficult at times to talk to Client as he struggles with actively listening and being defiant toward limits certain rules and etc. being displayed in the home and community setting. 2. Response: Client reported that he has close relational ties with his mother however, Client reported that he gets fused at a lot by his mother which he becomes reactive by displaying negative behaviors. Client reported that he tries to talk and converse with his mother but when angry it has been difficult.