9/10/2023 EnchantaVaughn Approved Behavior: Upon arrival, client appeared to be in an ecstatic mood, as evidenced by his enthusiasm and positive expressions. Client was seen displaying appropriate social interactions in the session. Client maintains an excellent attitude, demonstrating a good rapport with QMHP. Client engages well, communicating positive affirmations in session. Client exhibits great participation, following rules and expectations the first time. Client was supported for increasing his involvement in social and recreational opportunities. Behavior: Client is observed practicing interventions without no complaints and having fun. Client transitioned smoothly between activity in a respectful manner, remaining quiet and being courteous to his mom, sister, and brother who were hanging out in the room next to him. Client continues to execute responsibility for his actions by making good choices and utilizing all strategies in session today. Client was cooperative and polite, presenting safe behaviors. Client was encouraged to learn his stressors so that he can cope through any situation on his own. Intervention: QMHP inquired about client’s day and what he is doing to make it a good day. QMHP monitored client individualized behavior modifications in collaboration with his siblings and guardian. QMHP assisted client with finding and utilizing necessary resources in his personal environment. QMHP praised client for staying on task. QMHP complimented client for utilizing acquired skills, paying attention, and focusing on the importance of his home sessions and how it is supposed to guide him into his daily life habits and choices. Intervention: QMHP prepared client for transition to the next activity. QMHP inquired about at home activities outside of his therapy. QMHP motivated client to respond to exercise and express his feelings. QMHP offered active listening skills. QMHP will collaborate with mother regarding behaviors and performance during this time. QMHP provided client with encouragement to demonstrate the positive behaviors and expectations they had been talking about. QMHP encouraged client to communicate to his mother if he needs help. Response: Client exhibited a positive attitude toward mother and counselor. Client smiled and hugged QMHP for being there for him when he needed. Client displayed positive interaction with his siblings and was supported with building healthy relationships with his family. Client presents a positive attitude when given the opportunity to earn a reward. Client implemented the positive reinforcement provided by his mother and was able to stay motivated and enjoy his session. Response: Client displays good participation in educational setting. Client exhibited good manners after earning incentive for his hard work. Client expresses good statements about his day saying he was doing his work, using his manners, and being fair to others. Client utilized the resources provided and seem to be managing symptoms of ADHD. Client is more confident, as evidenced by assertive and proud tone. Client have been doing a better job controlling impulsive and hyperactive behaviors and complying to home rules. Client was more motivated to stay positive for the remainder of the day.