11/20/2023 EnchantaVaughn Approved Upon arrival to the home setting, Ms. Kaila appeared to be in a content mood evident by her facial expressions such as a smile on the face as well as her engaging in general conversation. QMHPA engaged her in a discussion to determine how her feelings were since the last session. Ms. Kaila verbalized to QMHPA on how she continues to have some issues with her boyfriend and she does not understand why he is putting her through what he is putting her through. Upon arrival, she did not present any symptoms of S/I. QMHPA reiterated Ms. Kaila’s goals discussed the importance of maintaining good mood stability and practicing stress relief techniques when she becomes frustrated. QMHPA reiterated anger management techniques and reviewed stress relief techniques to assist her with controlling and maintaining good mood stability. QMHPA implemented anxiety reduction techniques to assist Ms. Kaila with episodes where in which she becomes anxious or frustrated. QMHPA provided social support and promoted positive and healthy expectations. QMHPA reviewed different levels of stress and provided Ms. Kaila with stress chart to aid her in managing her stress level on a daily basis. QMHPA encouraged Ms. Kaila to utilize chart as this would help her recognize when she has become frustrated and assist her with deescalating down from her highest levels. QMHPA engaged Ms. Kaila in a skill building activity. QMHPA reviewed anger management techniques and instructed Ms. Kaila to be mindful of her stress levels and to utilize learned techniques to assist her with her mood as well. QMHPA discussed deep breathing, counting to 10 as well as muscle relaxation to assist Ms. Kaila with her anger and anxiety. QMHPA instructed Ms. Kaila to discuss and jot down ways in which she could relieve stress as she had learned several ways during previous sessions. Ms. Kaila responded well towards the session as evidenced by positive feedback and engagement. Ms. Kaila discussed with QMHPA on how she is trying to control her anger as it relates to everything she has going on currently in her life. Ms. Kaila discussed with QMHPA that she is really going through it with the situation she is having as it relates to her and her boyfriend but she knows that she has to be the stronger person to prevent herself from getting out of her character and taking her to a place that she doesn’t want to go back to.