1/22/2024 EnchantaVaughn Approved Behavior: At the start of the session, the client expressed that he has been experiencing feelings of unhappiness and only felt like laying around in his bed or on the couch watching television the majority of the day. The client expressed that he has had a high negative perception of himself, due to his lack of self-confidence and self-care and this causes him to lose motivation in areas that should be important to him. The client discussed that his anxiety triggers his aggressive behaviors and he often feels very depressed because he feels that he has failed at everything at which mother reports behaviors last up to 10-15 minutes in duration. Behavior: The client was often tearful throughout the session and avoided eye contact. The client continues to demonstrate negative behaviors 3 to 4x's per week in moderate duration and frequencies. The client reported that he continues to have a disturbed sleeping pattern and that he suffers from insomnia at least 3x's per week especially on the weekends when he does not want to complete any chores. Intervention: QMHP provided the client with a supportive environment by setting up relaxing and calming objects in a circle around him so that he would feel good vibrations and less distractions while sharing information that was hard to process in a more unstructured, toxic environment. QMHP encouraged the client to take time to prioritize his needs in an effective manner. The QMHP encouraged client to keep a daily journal to document his daily activities, goals, and occurrences. The client's medication compliance was also monitored. Intervention: QMHP engaged the client in a discussion regarding respectful communication with family members, and the counselor discussed with him the impact that anger can place on his health. The client was encouraged to verbalize his feelings of anger in a controlled manner. QMHP encouraged client to express his depression causes, as the client discussed his feelings of depression he was provided with support through head nodding, thumbs up, and active listening skills. QMHP assisted client with a plan for routine physical exercise to reduce his feelings of depression. Response: The client stated that he is capable of creating a daily log of his activities and will be responsible for taking his medication on a daily basis, so that he wont be so anxious and that he is able to have a better sleeping pattern so that he is more prepared for the day. The client expresses his faults and the role he plays in the drama between his mom and dad. The client stated that he will try to get along with his family members better because he doesn’t like having conflict in his household every day. Response: The interventions were viewed as unsuccessful. The client stated that it is hard for him to pinpoint what is causing him to suffer from depression but thinks it has a lot to do with being on lockdown for so long. The client stated that he hates looking at himself when he's sad because it reminds him of when his dad was sick. The client stated that he wants to increase his physical health, so that he is able to bounce back stronger than he did before the pandemic started.