1/13/2023 EnchantaVaughn Approved Behavior: Client exhibits great participation in session, following rules and expectations. Client continues to execute responsibility for his actions by making good choices and utilizing all strategies. Client was excited to show his mom everything he has been working on. Client appeared to be in a cheerful mood and displaying good behaviors in the home. Client cooperated with counselor during role play and communicated that he understands how his past behaviors have contributed to his anxiety. Client’s guardian communicated with counselor that she likes the idea of engaging in role play with client because she feels client would better understand negative versus positive emotions. Behavior: Mom assisted as much as she could. Client informed QMHP about some family issues and experiences that may contribute to his behaviors in the previous sessions. Client was able to transition between activities without altercation and was supported for having a positive attitude throughout the entire session. Client demonstrates that he knows how to manage his emotions and have self-control without hyperactive and disruptive behaviors. Client displayed a high level of participation in his therapy session today and is supported for his cooperation. Client enjoys being around his counselor every day. Client remained in a happy mood for the rest of the session, as he was seen focused and on task. Intervention: QMHP modeled appropriate ways for client to get positive attention from his family. QMHP encouraged mother to allow client to express himself in an age appropriate manner and to redirect when needed. QMHP will review and give feedback regarding ADHD and its causes and affect toward client well-being and academic functioning. Intervention: QMHP modeled how to show client more support when she isn’t present through increased positive coping mechanisms and display of positive home behaviors. QMHP processed client’s thoughts and feelings. QMHP inquired about evening routine and what things he was going to do today. QMHP provided simple non-verbal praises as client was observed displaying positive home behaviors. Response: Client was cooperative and compliant when session began. Client displayed positive expressions and maintained good tone when communicating with QMHP. Client was sociable and friendly in regard to QMHP inquiries. Client reported his schedule when asked to share what he had going on this week. Client have adapted and is observed modeling appropriate behavior in the home. Response: Client was respectful and polite, utilizing acquired skills provided by QMHP to share his ideas when answering questions during one on one. Client is making progress with expressing his feelings and showing others respect and courtesy by talking with appropriate tone, initiating healthy and engaging conversation. Client did not display any outbursts during the one on one that could be perceived as inappropriate.