2/13/2024 EnchantaVaughn Approved QMHPA greeted Kaila upon arrival to the home setting. Upon arrival to the home setting, Kaila appeared to be in a pleasant mood evident by her facial expressions such as a smile on the face. QMHPA inquired about her day. Kaila verbalized to QMHPA that her day was going well. Kaila did not present any symptoms of S/I or H/I at the time of the session. QMHPA began the session by inquiring about Kaila’s current thoughts, feelings and emotions. QMHPA discussed with Kaila healthy relationship and being able to communicate with family and friends without displaying inappropriate behaviors. QMHPA explained to Kaila about letting go grudges in the past between family members. QMHPA explained to Kaila that depression can occur from previous grudges and carrying a chip on her shoulder. QMHPA reviewed with Kaila appropriate coping techniques to handle depression. QMHPA explained to Kaila when experiencing depression, she should interact with others, read, journal, or breathing exercises. QMHPA encouraged Kaila to work out or go walking when experiencing depression. QMHPA discussed with Kaila applying appropriate behavioral strategies to assist with anxiety and depression. Kaila appeared to be receptive to QMHPA’s interventions sessions and services that were provided to her during the session. Kaila said she is beginning to become depressed because her sister is doing too much and starting to do more things out of the normal that is causing her to be depressed. Kaila said she would walk but not in her neighborhood because they do too much shooting and honestly there is nothing safe in this world today.