11/19/2023 EnchantaVaughn Approved Upon arrival to the home setting, Ms. Kaila appeared to be in a positive mood evident by her facial expressions such as a smile on the face. QMHPA engaged her in a discussion to determine how her behavior/feelings has been since the last session. Ms. Kaila reports she is still a little hurt from what she has been through with her boyfriend, but she is trying to get herself together because she has a mind full of things racing and she is unable to control them. Upon arrival, she did not present any symptoms of S/I. QMHPA reviewed Ms. Kaila goals and began reviewing anger management techniques to assist Ms. Kaila with maintaining a positive attitude and good mood stability. QMHPA asked Ms. Kaila how she and her sister had been getting along since QMHPA and Ms. Kaila reviewed this last in a session and encouraged her to provide positive feedback and comments when discussing their relationship. QMHPA provided social support and encouragement throughout discussion and session. QMHPA continued to model appropriate communication skills and provided Ms. Kaila with an opportunity to engage in the use of appropriate communication skills. QMHPA continued to stress to Ms. Kaila the importance of maintaining that open line of communication with her family members. QMHPA worked with Ms. Kaila on reframing from past experiences in positive light by instructing Ms. Kaila to identify positive traits and characteristics about build positive relationships with her family. Ms. Kaila was receptive to feedback and information provided by QMHPA. She was able to provide good mood stability and maintain a positive attitude. Ms. Kaila required some redirection as she had begun to use inappropriate language when discussion the underlining issues with she and her sister. Ms. Kaila agreed to tone down her language and participated in role play scenarios to assist her in identifying the issue amongst her and her sister and other family issues. Ms. Kaila demonstrated understanding of the importance of maintaining an appropriate attitude and being considerate of others. Ms. Kaila agreed to work on her attitude and try to apply learned strategies to assist her negative actions. However Ms. Kaila stated that she continues to struggle with applying the techniques during situations as she tends to forget. Ms. Kaila was able to demonstrate learned techniques throughout provided scenarios; she mirrored herself and identified ways to better present her attitude.