1/6/2023 EnchantaVaughn Approved Behavior: Upon arrival, client was witnessed in the home being rude and uncooperative. While the rest of his family were conversing about things happening in their community, client stood away in silence. Client was expected to complete an activity to improve communication by evaluating different communication styles. Client recognizes being able to mature as a benefit of good communication. Client reviews not listening well as an aggressive communication style. Client reviews prioritizing needs of others as a passive communication style. Client talks about being disagreeable or irritable as a passive-aggressive communication style. Client expresses relationship issues as a consequence of poor communication. Client explores willing to compromise as an assertive communication style. Behavior: Throughout session client shows indifferent affect as evidenced by posture, achieves moderate participation, and displays unsatisfactory progress. Client reviews a worksheet to improve communication by reviewing communication skills. Client expresses being able to mature as a benefit of good communication. Client assesses being easily frustrated as an aggressive communication style. Client acknowledges not expressing his own needs as a passive communication style. Client distinguishes displaying resentment as a passive-aggressive communication style. Client discusses immaturity as a consequence of poor communication. Client distinguishes clearly stating needs as an assertive communication style. Intervention: QMHP supports desensitization as an intervention. QMHP utilizes an activity to improve wellness by outlining challenges, relationships, behaviors, positive affirmations, and challenges. QMHP rates client wellness as moderate/ low . QMHP distinguishes scheduling time to talk as a way to foster relationships. QMHP educates client to repeat "I am becoming confident everyday" as a positive affirmation. QMHP acknowledges comfort zone can be a challenge to wellness. QMHP describes learning a new skill as a wellness behavior. Intervention: QMHP then implements an assessment to help improve wellness by reviewing challenges, relationships, behaviors, positive affirmations, and challenges. QMHP rates wellness as moderate/ low . QMHP shares an example, "I am doing my best" as a positive affirmation. QMHP expresses text/ phone calls as a way to foster relationships. QMHP reviews positive affirmations as a wellness behavior. QMHP acknowledges misinterpretations as challenge to wellness. Response: Client completes an activity to improve wellness by outlining challenges, relationships, behaviors, positive affirmations, and challenges. Client rates wellness as moderate/ low . Client figures out a scheduling time to talk as a way to foster close relationships. Client says "I am becoming confident everyday" as a positive affirmation. Client describes comfort zone as challenge to wellness. Client feel that learning a new skill will help to develop good wellness. Response: Client utilizes an assessment to help improve wellness by reviewing challenges, relationships, behaviors, positive affirmations, and challenges. Client rates wellness as moderate/ low. Client states "I am doing my best" as a positive affirmation. Client agrees text/ phone calls is a healthy way to foster relationships with loved ones. Client reviews positive affirmations as a wellness behavior. Client acknowledges misinterpretations as challenge to wellness.