1/23/2023 EnchantaVaughn Approved 1. Behavior: Upon arrival, client was observed outside playing with friends and riding his bike. Client was visibly happy, evidenced by him smiling and playing with peers. Client desired to continue to play with peers and mom instructed him to come inside for his session. Client complied with request although he continued to complain over not being able to stay outside with his friends. Client was not as focused in session because he was too busy playing around. Client was directed to pay attention so that he could get the most out of his therapy. 2. Behavior: Client was happy and appreciative of the extra support that QMHP provided to him. Client often displays impulsive behaviors when heâs distracted by outside influences. Client was seen helping his mom around the house and completing his chores. Client communicated positive thoughts about his day. Client and family will be working together with QMHP to review new and upcoming goals related to his mental illness and treatment. Client continues to improve in the home, as observed. 1. Intervention: QMHP reviewed with client what he could have done differently to avoid temper tantrums at home. QMHP will review with him how to appropriately handle situations like this when they occur and not expecting to be given second chances all the time. QMHP processed with client his feelings about changing his attitude to process any unresolved feelings he may have toward anyone in the home. QMHP requested client to control his attitude and get back on task so that he can experience fulfillment and joy. 2. Intervention: QMHP conducted role-play in order to help client become more comfortable with the intensive in-home Q&A process. QMHP engaged client in a discussion about changing how he perceives things to give him an opportunity to express how the world makes him feel. QMHP reviewed with client coping and calming strategies he has learned to remind him how to resolve conflict when he feels sad, overwhelmed, or upset. QMHP went over ISP and praised client for following the interventions listed. 1. Response: Client explained to his counselor that it is very difficult to remain positive when so much negative things are happening in his life. Client appeared to be okay with the change, as evidenced by his openness with sharing his opinion on what was being asked. Client responded I could have told somebody, then he attempted to justify by saying âbut if everyone would leave me alone I wouldnât have to change who I amâ. Client failed to recognize the role he played in his own downfalls and disappointments. 2. Response: Client stated that he hates when people âlook at him like he is not capable of making his own decisionsâ. Client explained that he feels as though people have negative thoughts about him for no reason. As the counselor displayed empathy, client was assured that it was not too late to turn his life around. Client agreed that he had to be more conscious of his reactive behavior when it comes to his safety and health. Client assured his counselor that he would be more mindful of his behavior, as he transitions from home, to school, and into the community.