1/18/2024 EnchantaVaughn Approved Behavior: Upon arrival to client’s home client was sitting down playing a game on a cell phone. Client greeted his counselor with a quick hello and proceeded back to the game. Client’s mood appeared to be standoffish. He shared that he was having an okay day, as he was mad because he is not allowed to go outside by himself. Client also shared that he wanted to get away because everyone was getting on his nerves. Client continues to elaborate and express on the negative relationships that impacts his daily life at which mother reports behaviors last up to 2 minutes in duration. Behavior: Client acknowledged his support system who helps him when it comes to his personal issues and ADHD. The client stated at times he does not feel loved by his family because he is always the start of the problem. The client struggled to maintain self-control during parts of the session when he became distracted and unfocused after being introduced to new mental health skills at which behaviors last up to 4-6 minutes in duration. Intervention: QMHP spoke with client’s guardian in reference to his treatment plan. QMHP went over in detail client’s treatment plan. QMHP provided client’s guardian with resources on client’s diagnosis (F90.0- Attention Deficit Hyperactivity Disorder, predominantly inattentive type.) QMHP focused session on explaining his treatment plan and also implementing a calming strategy intervention to get client back on track and encourage him to be a little more grateful. Intervention: QMHP revisited prior coping strategies collected (counting to 10, deep breaths- inhale/exhale, walking away, and telling an adult, color/draw/art and crafts, positive affirmations). The QMHP encouraged the client to exhibit how he visualizes himself being upset and then how he visualizes himself being happy. QMHP informed him to state if he thinks it being upset or happy requires more energy mentally, emotionally, and physically. QMHP helped client recognize the value of having calming ideas/thoughts when distressed. Response: During the session client’s mother sat and listened as the treatment plan goals and the plan of actions were read off to her. Client’s mother also made no objections to the treatment plan as she signed it and shared that she was satisfied with it. Client explained during the session that he causes a lot of conflict when he refuses to handle himself correctly and this influences his brother and sister to follow in his footsteps. Client realizes it is his duty as the big brother to lead by example and do the right thing. Response: Client was receptive during the intervention process. He remained open and honest about his emotions of anger and lack of communication. Client expressed, “I am frustrated when I get mad and completely shut off from everyone”. Client agreed that his behavior affects others and he need to try to make better choices. Client understands that it takes a lot away from him when he is upset versus when he is happy. Client wants to try to be more accepting of things without feeling irritable or hostile over it.