10/18/2023 EnchantaVaughn Approved Behavior: Client struggled with following directions and being respectful during session. Client discussed things he would like to do over what the QMHP instructed him to do. Client continued to give mom and QMHP a hard time after being asked to participate in the session. The client has to be reminded to communicate positive feedback and not to let his ego get in his way of learning and receiving help. Behavior: During the second half of therapy, client demonstrated a persistent failure to comply to the rules and regulations, which caused stress to mom and QMHP. Client expressed little interest in the selected activity and attempted to make inappropriate noises. Client was standoffish and distant, ignoring debriefing and refusing to communicate his feelings when inquired about why he wasn’t participating. Intervention: Before the QMHP started session with client in reference to his mood-altering behaviors, he retrained client on anger management techniques, as a way to help him regulate and regain his emotions and feelings. QMHP utilized a reflective thinking exercise to help the client better understand and identify his triggers and stressors. QMHP intervened aggressive behavior and motivated client to act in a civilized way. QMHP redirected client negative behaviors. Intervention: QMHP educated client about sharpening their senses and utilizing problem solving techniques daily. QMHP encouraged client to be respectful to authority and peers. QMHP reminded client to build healthy relationships with his family and use them for support. QMHP utilized cognitive skills to give the client a chance to openly and honestly discuss his feelings about his current state. QMHP utilized active listening skills and was empathetic with the client as he vented the overwhelming events that had occurred, resulting in him taking his frustration out on his mother. QMHP addressed the client’s thinking errors. Response: Client shared that he still works on his aggression sometimes by ignoring people, but it is only when people get completely annoying that he wants to yell and scream. Mom stated that she will continue to work on her approach and delivery with client as much as possibly, but she refuse to deal with his attitude. It was difficult for client to relax and remain stable when being instructed by the calming techniques during the session. Client was reluctant and hesitant. Response: Client had a difficult time processing his feelings and admitting he was wrong. Client admitted that losing out on sleep is not good for his health or education. Client implemented his plan for restoring relationships, and this was reviewed. Client engaged in self-reflection, discussing good and bad parts of his day. Client acknowledged that he tends to engage in disruptive behavior when he begins to become frustrated.