10/17/2023 EnchantaVaughn Approved Behavior: At this time, client behaviors were viewed as aggravated, impolite, and troubled. Client was annoyed with mom correcting him every time he did something wrong. Client was verbally aggressive. Client did not show interest in today’s session. Client lacks the manners needed to meet his objectives. Client continues to express and elaborate on the negative relationship between him and his guardian. Behavior: During the second portion of the session, client was inattentive during the session, as client was throwing items at his brother when discussing his behaviors with his mother. Intervention: QMHP reviewed and gave feedback regarding ADHD and its causes and affect toward client’s well-being and emotional functioning. QMHP monitored, observed, and redirected client behaviors as needed. QMHP monitored client individualized behaviors in collaboration with parent, himself, his peers, siblings, and environment. QMHP encouraged client to make good choices and to avoid negative thoughts about himself. QMHP processed client positive behaviors. QMHP assisted client in developing more social skills. Intervention: QMHP reflected on client goals and objectives. QMHP explored positive self-talk, use instruction modeling, and increase social communication skills with positive reinforcement role play activities. QMHP educated client on behavior modification to help client identify what behavior he needs to decrease and avoid daily. QMHP utilized behavior modification system to aid the client with following directions given by authority figures. Response: Client listened carefully while QMHP was reviewing information on his disorder. Client realized his mental disorder causes him to feel insecure about everything. Client appeared to be enlightened by this conversation. Client continued to discuss mental illness and its causes as a family. Client displayed interest in learning about Attention Deficit Hyperactive Disorder formally known as ADHD. Client believes he will get better if he continues to work hard. Response: Client reported a decreased stress level due to his modulation of social contact, and the success of this was reviewed. Client responded well to feedback, interacting well with others. Client implemented his plan for restoring relationships, and this was reviewed. Client acknowledged QMHP and explored his options. Client proceeded to reduce the aggression in his voice while calming down.