2/20/2024 EnchantaVaughn Approved 1. Behavior: Upon arriving to the home, client exhibited appropriate affect and laidback behaviors as he engaged in a positive manner with the QMHP. Client displayed his ability to use positive communication as he expressed his feelings and concerns. Client showed control over any intense angry feelings. Client seem to be heavily impacted by good role models and one on one support. Mother reports when he cannot have his way behaviors can last up to 20-30 minutes in duration. 2. Behavior: The family showed meaningful connections during today’s session. They interacted well with one another and spoke to each other calmly and peacefully. The family laughed and joked with one another and needed no help on their dialogue or interactions but mother reports at times client can display aggressive behaviors towards those in his family for about 20 minutes in duration. 1. Intervention: During therapy session, QMHP explored the underlying factors contributing to the client’s pattern of blaming others for his disruptive behaviors and negative attitude. QMHP listened to client verbalize his feelings towards making good decisions at home and avoiding conflicts with mom and other adult family members. QMHP encouraged client to have a good day. QMHP monitored individualized behaviors for acquisition of objectives. 2. Intervention: QMHP encouraged client and parent to take notes during the session to instill repetition and understanding of each therapeutic intervention used today. QMHP provided feedback and applied active listening skills throughout the session. QMHP discussed with the client triggers to different emotions that increase the potential for acting out behaviors, as well as, strategies and interventions to assist client in managing strong emotions and avoiding negative thinking. QMHP prompted client to express how he believes parents and children should treat each other. 1. Response: Client admitted the underlying factors contributing to his pattern of blaming others for his behaviors stemmed from being in a toxic environment and seeing other families split apart. Client stated it’s easier to talk about other people than it is to talk about himself but plans to do better with avoiding conflict in the home. Client said he was feeling ecstatic and plans to have a wonderful day. Client shook his head and returned to the activity. Client displayed management of individualized behaviors at this time. The client has not overreacted with anger to minor frustrations or irritants in the home today. 2. Response: Client transitions smoothly and safely with the next activity, displaying appropriate behaviors. Mom and client grabbed loose leaf paper to take notes during the session. Client and mom demonstrated they understood the therapeutic interventions provided and plans to utilize them daily. Client was acceptive of the support, feedback, and encouragement. Client was happy Client exhibited good social behaviors. Client was able to reevaluate himself and display a more positive attitude toward siblings, mom, and counselor.