3/15/2023 EnchantaVaughn Approved Behavior: Client appeared to be irritable as he was seen pacing back and forth, knocking over anything in his way. Client was observed making inappropriate comments and giving his mom a hard time all because he wasn’t allowed to go outside until all of his chores were done. Client chose to distance himself from everyone in the home, exhibiting a stubborn mood. Once client appeared to be calm, he began explaining how he felt disrespected due to his mom yelling at him all the time. Behavior: Client appeared to be calm after several interventions. Client apologized to his mom and returned to his therapy in a more constructive mood. Client promised to be more respectful and comply to home rules. Client’s attention-seeking behaviors decreased tremendously. Client continues to need help with achieving daily goals, due to his inability to control his anger in a healthy way. Client did not demonstrate necessary mental health skills, partially meeting his objectives today. Intervention: QMHP processed client thoughts and feelings. QMHP engaged client in conversation regarding his mental illness symptoms, causes, and effects. QMHP explored client’s responses and provided appropriate feedback. QMHP utilized empathetic listening skills as client expressed his understanding of stressful situations. QMHP supported client making changes and attempting to show leadership skills without being told. QMHP praised client for his commitment in trying to show improvement even when no reward is given. Intervention: QMHP educated client about using good manners at home and offering alternative methods and suggestions to model appropriate language that client should use to ask for things or to get someone’s attention. QMHP encouraged client to continue displaying age appropriate behavior in order to receive genuine love and support. QMHP asked client what he learned from owning up to his mistakes and doing the right thing. QMHP provided client with positive feedback due to his mature responses. Response: Client demonstrates excellent rapport with QMHP. Client responds well to the positive reinforcement provided by QMHP and is seen increasing self-esteem and confidence within the home setting. Client is acceptive of redirection during one on one. Client was able to speak calmly and demonstrate his improved communication skills while engaging in self-reflection. Client wants to make his family and parents proud, so he decides to apologize for taking his frustration out on them and acting selfish. Response: The client stated that he can be good and told QMHP that he will do his best to follow directions and stay attentive to others. Client was able to cooperate and comply to rules and regulations due to positive influences and communicating with his mom appropriately. Client shows empathy towards mom, as evidenced by him hugging, smiling, and complimenting her. Client is observed making better choices and doing what he is supposed to.