1/12/2024 EnchantaVaughn Approved QMHP-A inquired about Kaila’s thoughts, feelings, and emotions. QMHP-A addressed Mental Health Education with Kaila and engaged her in a discussion on the importance of adhering to her medication on a consistent basis to stabilize her mood and attempt to reduce some of those depressive symptoms she encounters. QMHP-A educated Kaila on the symptoms of her Major Depressive disorder and how it can negatively impact her relationships with others. QMHP-A continued to encourage and reinforce the importance of identifying the triggers of her stress and depression as well as the importance of verbalizing her thoughts, feelings and emotions rather than isolating herself from others and suppressing her feelings. QMHP-A and Kaila reviewed once symptoms of Major Depressive Disorder with respect to how it can impact her physically and socially. QMHP-A assisted Kaila with scheduling an appointment with her PCP as well as her psychiatrist due to her communicating with QMHP-A she is trouble sleeping at night. Kaila appeared to be receptive to QMHP-A’s interventions and services that were provided to her during the session. Kaila was receptive to implementing relaxation and calming skills to help her decrease some of her anxiety. Kaila shared that she does not know how to distinguish between being assertive verses being aggressive. Kaila stated, “People say that I am unstable and I do dumb stuff”. Kaila shared that she feels her life is useless at times but she is never going to give up. Kaila was able to identify that feeling inadequate triggers her depression and her feelings of paranoia triggers her anger. Kaila has agreed to begin thinking positive and filling her day with positive things to do so she can help to decrease some of her depressive symptoms. At the end of the session, Kaila was able to schedule her appointments with minimal assistance from QMHP-A.