2/20/2024 EnchantaVaughn Approved Behavior: During session client exhibits anxious mood as evidenced by appearance, achieves low participation, and displays satisfactory progress. Client discusses feeling disrespected or humiliated as a warning sign of anger. Client distinguishes feeling accused of something as a trigger for becoming angry. Client rates anger as moderate/ severe. Client assesses feeling disrespected as a trigger for becoming angry. Client displays indifferent affect as evidenced by behaviors at which behaviors last up to 20 minutes in duration. Behavior: Client reviews an assessment to improve symptoms of arguing by assessing warning signs, triggers, coping strategies, and consequences. Client rates anger as low. Client acknowledges practicing deep breathing as a coping strategy when angry. Client discusses face turning red as a warning sign of anger. Client explores relationships issues as a consequence of anger. Client explains feeling corrected as a trigger for his anger outbursts at which at mother reports behaviors last up to 10-15 minutes in duration when he cannot have his way. Intervention: QMHP uses observations as an intervention. QMHP reviews an activity to lessen dangerous behavior by outlining warning signs, triggers, coping strategies, and consequences. QMHP details pacing back-and-forth as a warning sign of anger. QMHP expresses taking a time-out as a coping strategy when angry. QMHP distinguishes assault as a consequence of anger. Intervention: QMHP discusses decision-making therapy as an intervention. QMHP utilizes an interactive worksheet to increase strategies to deal with passive aggression by discussing warning signs, triggers, coping strategies, and consequences. QMHP distinguishes using positive thoughts as a coping strategy when angry. QMHP details arguments as a consequence of anger. Response: Client was able to observe the interventions effectively. Client acknowledges an activity in order to lessen dangerous behavior by outlining warning signs, triggers, coping strategies, and consequences with his family. Client admits pacing back-and-forth is a warning sign of anger. Client accepts taking a time-out as a coping strategy when angry. Client manages to perceive his assault as a direct consequence of anger. Response: Client utilizes decision-making therapy during the second part of the session. Client implements an interactive worksheet to increase strategies to deal with passive aggression by discussing warning signs, triggers, coping strategies, and consequences. Client distinguishes using positive thoughts as a coping strategy when angry. Client details arguments as a accurate consequence of his unhealthy anger.