9/21/2023 EnchantaVaughn Approved Behavior: Client became upset when he realized mom and QMHP were talking about him and it wasnât for a good reason, since he got in trouble for hitting his little brother and saying mean things to his sister. Behavior: Client is unable to identify many significant positive hopeful things in his life and is provided with examples of those. Client had difficulty focusing and paying attention, especially when it wasnât his turn to talk. Intervention: QMHP facilitated a discussion to talk about common mistakes children with ADHD make and how he can make better choices. QMHP discussed anxiety and explained it is a normal part of life. QMHP gave client the opportunity to express and explore his perceptions of how his symptoms of ADHD can affect his relationships with family and friends. QMHP encouraged client to present healthier habits and routine by challenging himself to make better choices and try new things at home. Intervention: QMHP introduced client to psycho social activity regarding social distancing and staying healthy. The QMHP educated client that it is vital to wash his hands and wear his mask. QMHP redirected client to an alternative activity that was more laid-back and curated to him. QMHP will review key concepts of being responsible with his family. QMHP will provide mediation and relaxation techniques, as well as, simple praises and encouragement to continue the positive behaviors he was exhibiting. Response: Client was resistant and unruly, as he did not display any forms of empathy or concern in response to the talk therapy. Client displayed an unemotional and flat facial expression on his face, as he appeared disinterested in the instructions, role playing techniques and modeling techniques that were implemented with teaching his effective communication and assertiveness skills to express his anger more appropriately. Client promised he would try his best to correct himself when he finds himself getting off track. Response: Client had to be redirected in regard to the relaxation and calming imageries implemented on his ISP. Client did not offer verbal communication when inquired about his social distancing and wearing his mask. Client expressed feelings of annoyance when he had to communicate directly with QMHP without relying on his mom to speak for him. Client exhibits low self-esteem throughout the session. Client mentioned that he is willing to make attempts to improve his actions and behaviors daily.