12/10/2023 EnchantaVaughn Approved Behavior: Client struggled once again to control his anger and aggression as he self reported he was involved in a physical altercation 1x’s with moderate intensity during a 30 second incident with a peer on the school bus today on the way home. Behavior: Client then reported he tried to avoid the peer and keep his mouth shut but the peer jumped over the seat in front of him and tried to punch him. He reported it was then that he grabbed the peer and started punching him probably 5-6x’s with moderate intensity during the 30 second incident. Intervention: QMHP probed client as to his agitated mind state upon QMHP’s arrival to the home. QMHP then encouraged client to use the “count to ten” technique to calm his breathing down and reduce the time length of frustration that he is currently experiencing. QMHP then prompted client to speak about what happened on the school bus openly without raising his voice or displaying anger and aggression as he spoke of the incident. Intervention: QMHP then modeled and taught client the “ACT” technique to use in the future when he can’t seem to control his emotions when angered or threatened. QMHP then verbally praised client for using the techniques encouraged by QMHP during session. Response: Client seemed receptive to today’s counseling as he verbalized understanding of session. Client reported he did not want to fight today and tried his best to avoid the confrontation, but when the peer jumped over the seat in front of him and tried to punch him he had no choice but to defend himself in a physically aggressive manner. Client stated other peers tried to stop him but once he gets mad there is nothing anyone can do to stop him from doing what he wants to do. He then reported he could not allow the peer to intimidate him or make him look bad on the school bus and that is why he acted in the aggressive manner that he did. Response: Client reported he does like to use the “ACT” technique that was taught to him during previous counseling sessions and that it was one of his favorite tactics to use when I angered, however he stated today was not the day that he had time to think out his actions before being forced to defend himself.