8/28/2023 EnchantaVaughn Approved Behavior: Once QMHP contacted client, client demonstrated no energy to come to session on his own. His mom tried convincing him several times but struggled to get him to find interest with his therapy. After about 20 minutes, client decided to get up and join his therapy. Client communicated that he didn’t feel like having session today and was more focused on what was happening in the community and how it was impacting him. Client was in a low and inaccessible mood, as evidenced by his unfriendly demeanor. Behavior: Client was prompted to try his best to relax and pay close attention. Client was assured that the activity only required him to listen. Client cheered up and decided to do his best and challenge himself so that he could finish the session without complaining or getting upset. Client communicated positive attitude and engaged in activity without frustration or being distracted by external stimuli. Client gave really good feedback and was responsive to all instructions given to him. Intervention: QMHP collaborated with mom regarding daily behaviors and performance in the home. QMHP reviewed and gave feedback regarding ADHD and its causes and affect toward client’s well-being and emotional functioning. QMHP monitored, observed, and redirected client behaviors as needed. QMHP monitored client individualized behaviors in collaboration with parent, himself, his peers, siblings, and environment. Intervention: QMHP explored positive self-talk, use instruction modeling, and increase social communication skills with positive reinforcement role play activities. QMHP educated client on behavior modification to help client identify what behavior he needs to decrease and avoid daily. QMHP utilized behavior modification system to aid the client with following directions given by authority figures. QMHP encouraged client to communicate to his mom when he needs help. Response: Client discussed mental illness and its causes with mom and QMHP. Client displayed interest in learning about ADHD. Client displayed self determination to stay focused and pay attention in session. Client utilized meditation and relaxation techniques. Client reported a decrease in symptoms following the relaxation techniques. Client displayed management of individualized behaviors. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. Response: Client was able to utilize coping skills to eliminate stressors and unwanted feelings. Client believes he will get better if he continues to work hard. Client was acceptive of support and encouragement. Client exhibited good social behaviors. Client was able to reevaluate himself and display a more positive attitude toward peers and authority. Client has become more involved in age appropriate social activities and was given positive reinforcement for these choices.