7/4/2023 EnchantaVaughn Approved Behavior: When QMHP visited JaCarei’s place, the observation of JaCarei was exhibited as angry, hostile, and irritable, as it was reported by the mother that JaCarei was not having a good day. JaCarei showed unwillingness to engage in the daily activities provided to him during the session. JaCarei was seen as distant and lost in his own feelings and thoughts, as he distanced himself from others. JaCarei expressed that he did not feel like talking today and wanted to leave the session. Behavior: JaCarei is very chatty making it difficult for the JaCarei to pay attention or hear QMHP when given prompts and tasks. JaCarei was not as attentive as he should have been, due to minor distractions outside the home. JaCarei is disrespectful and blames his brother and sister for everything. JaCarei often presents frustration when reflecting on his own feelings. JaCarei continues to ignore QMHP directives and display defiance in the home setting. Intervention: QMHP introduced muscle relaxation, pace breathing, calming imageries, and self-control techniques, to help reduce JaCarei’s aggressive behaviors. QMHP processed with JaCarei to gain a better understanding and identify what triggered his angry emotions to increase. QMHP reviewed with JaCarei conflict resolution skills through instruction, modeling, role-playing, and behavioral rehearsal. QMHP demonstrated and provided positive acceptance, as he demonstrated a trusting bond with JaCarei. Intervention: QMHP provided mom with at home strategies to practice with JaCarei in case his behaviors become overwhelming. QMHP redirected JaCarei and discussed with him the importance of communicating his feelings with those around him. QMHP role played with JaCarei in order for him to understand his feelings and needs. QMHP encouraged JaCarei to combine communication, problem-solving and conflicts-resolution skills relevant to his needs. QMHP reminded JaCarei that each session is focused on helping him move forward with his goals.