11/26/2023 EnchantaVaughn Approved Behavior: Client struggled once again today with controlling his aggression as he self reported he was involved in a verbal altercation 1x’s with moderate intensity during a 1 minute incident with a peer in the community. He reported this is the peer that threatened him a couple weeks ago but somehow he avoided the peer back then. Behavior: Client then reported the peer threatened him first and that is what caused him to threaten the peer back 1x’s with moderate intensity during the 1 minute incident. Client reported he was happy nothing more than threatening each other happened. Intervention: QMHP probed client as to the request for today’s individual counseling session. QMHP then reinforced the importance of respecting others even when they seem not to respect. QMHP utilized the "STAR" technique to educate client on the importance of decreasing verbal and physically aggressive behaviors at home and community. Intervention: QMHP probed client as to what was said when he treated the peer earlier today. QMHP verbalized to client the importance of always detaching himself from negative peers to reduce incidents of negativity. Response: Client seemed receptive to today’s individual counseling session, evidenced by his ability to verbalize understanding of session. Client had positive participation during the "STAR" technique which was used to educate him on the importance of decreasing hostile and aggressive incidents when dealing with peers in the community. Client reported it's hard to make changes to improve negative behaviors. He stated he needs to change his attitude but reported he will when others change their behaviors as well. He reported he didn’t have time to think out his actions. Response: Client exhibited the ability to communicate and interact with QMHP during session. Client responded positively to having been reinforced the importance of respecting others, controlling anger at all times even in the community. QMHP has scheduled the next counseling session in which he will work with client on reducing aggression.