1/27/2024 EnchantaVaughn Approved QMHPA arrived to the home of Kaila. QMHPA informed Kaila that this session was going to focus on her mental health. Before QMHPA began the session, QMHPA allowed Kaila the opportunity to discuss with QMHPA any current situations that she felt needed to be addressed. Kaila did not present any symptoms of S/I or H/I at the time of the session. QMHPA assisted Kaila in improving and maintaining her ability to positively cope with symptoms of depression and anxiety. QMHPA encouraged Kaila to express to this QMHPA how she was currently feeling and discuss with QMHPA any things that were bothering her. QMHPA listened as she was engaging in conversation with QMHPA about what QMHPA requested from her at the beginning of the session. QMHPA also praised Kaila for appropriately identifying her mood. QMHPA reminded Kaila of the importance and the benefits for identifying her feelings, mood and triggers in order to gain a deeper awareness of the connection between her feelings and her behaviors. QMHPA challenged Kaila to identify and articulate areas of needed improvement with adult living skills. QMHPA encouraged Kaila to make a note of the things that she wanted to improve on and set a goal and a time frame to complete her task. During the session she was able to express to QMHPA her mood and articulate her feelings of sadness and depression to QMHPA by stating to QMHPA that she just wants to seek employment so that she can have her own funds and she do not have to rely on others to do things for her. She continued to inform QMHPA that she has been adhering to her medication management and on a consistent basis and she believes that is the only thing besides her counseling sessions that are keeping her mind focused. Kaila was able to provide QMHPA with some areas of improvement that she wanted to work on; however, she was unable to provide QMHPA with a time frame. She indicated that she would have a time frame for QMHPA on the following week.