9/17/2023 EnchantaVaughn Approved Behavior: Client was present and very relaxed when QMHP arrived, as evidenced by him lying on the couch watching tv with his brother and sister. Client was happy to see his counselor and thanked her for coming over. Client displays good behaviors while his counselor reviewed his treatment plan with his mom. Behavior: Client was in a happy mood and expressing healthy emotions toward the activity provided by QMHP. Client was observed interacting on an age appropriate level and making it easy to conduct the session without having to redirect him or take small breaks. Intervention: QMHP facilitated a family discussion to talk about common mistakes children with ADHD make and how he can make better choices. QMHP had one on one with client to reflect on his evening. QMHP provided client with a release of energy by stretching to help him relax and decrease his energetic behaviors at the time of arrival. QMHP prompted client to prepare for evening by staying seated. QMHP facilitated a discussion to explore client feelings and things he liked and disliked about services, so that he can get the most out of it. Intervention: QMHP collaborated with mom in regard to home rules and regulations, stress management, effective teaching practices, following verbal and non-verbal instruction, role playing exercises, and an appropriate incentive system. QMHP assisted client with managing anger and frustration by reviewing and role-playing effective coping skills. QMHP reviewed methods and tactics to help client positively advocate for himself by the use of assertive communication and conflict resolution skills, as well as, to assist in reducing physical aggressive behaviors toward himself and others. Response: Client displayed an understanding of ADHD and its symptoms and causes. Client reflected on his choices. Client said thank you. Client displayed healthy self-esteem in home setting. Client was observed eliminating personal conflicts at home. Client utilized conflict management skills to avoid getting into altercation with authority. Response: Client was an active participant in role-reversal with client to allow him a chance to openly express himself as well as see how he is viewed in the eyes of others when he is verbal and physically aggressive towards them. Client then processed the previous assignment in which he was encouraged to practice using low voice tones when conversing with adult authority and document his response to activity in daily journal.