1/4/2024 EnchantaVaughn Approved QMHPA arrived to the home of Ms. Brown. Upon arrival to the home, Ms. Brown appeared to be in a positive mood evident by her facial expressions such as a smile on the face while engaging in general conversation with QMHPA. QMHPA inquired about her morning. She verbalized to QMHPA that her morning was going well and that she was feeling a lot better as she reports chemotherapy just drains her out. QMHPA informed Ms. Brown that this session was going to focus on her feelings of anxiety and depression and being able to express them in an assertive manner. Upon arrival, she did not present any symptoms of S/I. QMHPA began the session by inquiring about Ms. Brown current thoughts, feelings and emotions. QMHPA listened to Ms. Brown discuss any new problems and/or concerns since last session. QMHPA probed Ms. Brown about feelings of anxiety and depression. QMHPA reiterated utilizing coping skills when negative feelings are triggered. QMHPA encouraged Ms. Brown to continue using her journal as a healthy outlet to verbalizing her thoughts when she's feeling overwhelmed and/or having difficulty with communicating her thoughts. QMHPA educated Ms. Brown on relaxation techniques to learn to calm down when feeling stressed and having thoughts of negativity. QMHPA assisted Ms. Brown with identifying automatic negative thoughts that contributes to her negative attitude and hopeless feelings. Ms. Brown appeared to be receptive to QMHPAs’ interventions and services that were provided to her during the session. Ms. Brown discussed with QMHPA that she utilizes calming techniques to relax when frustrated at situations, people, and things will support her with reducing her stress levels. Ms. Brown reported to having too much time to herself which she thinks a lot. She expressed that she struggles with racing thoughts that sometimes she can't control her on anxiety. Ms. Brown revealed that she journals but it has been inconsistent. Ms. Brown expressed to Ms. Brown that her level of self-understanding about self-defeating behaviors are linked to feelings of depression.