2/18/2024 EnchantaVaughn Approved Behavior: Client presented with playful behaviors as he ran to greet QMHP. Client struggled to follow the prompts provided by his mother and continued to demonstrate inappropriate behaviors at which mother reports behaviors last about 2-5 minutes in duration. 2. Behavior: Client presented with probing behaviors as he asked different questions about the session. Client showed low level of participation, putting his head down and covering his face not wanting to be bothered. Client is easily frustrated when confronted about not listening to authority figures and begins to move out of his seat and fall out on the floor. Mom directed client to get up and suggested that QMHP end the session to show client that he will not get his way by acting out and informed client that people are here to help him and when he cannot have his way his behaviors last about 10 minutes in duration. 1. Intervention: QMHP greeted client and assessed his behaviors and mood. QMHP inquired about client’s day and provided affirmations. QMHP probed about any angry feelings or the inclination of safe and unsafe behaviors. QMHP modeled different ways client can walk away from a conflict without getting frustrated. QMHP modeled how to separate client from negative situations by bringing his attention to something more positive, such as arts and crafts or educational movies. 2. Intervention: QMHP intervened to prevent the negative behaviors from escalating. QMHP physically redirected client to an alternative activity. QMHP provided guidance on alternative behaviors and clear instruction on the alternative behavior. QMHP provided positive feedback when client engaged in the more appropriate behavior. QMHP educated client about using good manners at home and offering alternative methods and suggestions to model appropriate language that client should use to ask for things or to get someone’s attention. 1. Response: Client utilized meditation and relaxation techniques. Client was seen decreasing anger and frustration. Client reported a decrease in symptoms following the relaxation techniques. Client verbalized positive feelings about building rapport in each session. Client displayed management of individualized behaviors. The client has not overreacted with anger to minor frustrations or irritants. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. Client discussed mental illness and its causes as a family. Client displayed interest in learning about ADHD. Client understands that his treatment plan is a behavior contract that will reflect his improvements and setbacks in the home. 2. Response: Client initially presented with talkative behaviors as he probed the QMHP and asked different questions. Client reduced impulsive behaviors after 2-3 prompts from his mother and QMHP. Client began to show greater control of his anger. Client appeared to decrease the intensity of his anger and frustration. Client was pleasant and cooperative and demonstrated a willingness to discuss the factors contributing to his undesirable mood. Client acknowledged that he tends to engage in disruptive behavior when he begins to become frustrated with anything challenging. Client accepted responsibility for his angry outbursts and aggressive behaviors. Client stated he will display anger control and not threaten or intimidate others.