7/7/2023 EnchantaVaughn Approved QMHPA greeted Kaila upon arrival to the home setting. Upon arrival to the home setting, appeared to be in a positive mood evident by her facial expressions such as a smile on the face. Kaila did not present any symptoms of S/I or H/I at the time of the session. QMHPA begin session by inquiring about Kaila's emotional well-being. QMHPA processed with Kaila about her health changes and things she needs to document. QMHPA taught Kaila that her feelings and emotions can affect her mood. QMHPA reiterated to the Kaila that it is important to practice using coping in order to assist with dealing with feelings and emotions. QMHPA engaged Kaila in a discussion to verbalize feelings and emotions she would have during different situations. QMHPA assisted Kaila in brainstorming different coping skills Kaila would utilize when dealing with feelings and emotions. QMHPA asked Kaila how she knows if her coping skills are effective, what signs she would look for.) QMHPA verbalized to Kaila that there are many internal and external methods for coping with anger. Kaila was receptive to feedback and information provided QMHPA. While exploring Kaila’s current emotional well-being, she verbalized to QMHPA, she was in a positive mood. Kaila discussed with QMHPA she continues struggle with being able to control her anger when she is upset. She discussed with QMHPA, “I do not have time for ignorance when I have a good heart and I am trying to do everything possible to keep me from not reverting back to the person I use to be”. Kaila discussed with QMHPA she has been trying to implement the learned coping skills taught to her during sessions to prevent depression and other symptoms of anxiety.