8/14/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, Kaila appeared to be in a content mood evident by her facial expression such as a smile on the face. QMHPA engaged her in a discussion to determine how her level of depression has been since the last session. Kaila discussed with QMHPA she has been better so far this week. Upon arrival, she did not present any symptoms of S/I. Intervention: The purpose to this session was to discuss with Kaila her ISP goals and how to control her depressive symptoms that she is facing on a daily basis. Once QMHPA arrived to the home, Kaila appeared to be in a positive mood evident by her facial expression and her conversation with QMHPA. QMHPA began the session by discussing with Kaila behavioral interventions skills building. QMHPA assisted Kaila in developing an awareness of her depressive thoughts and actions as it relates to her diagnosis. QMHPA assisted Kaila in developing healthy coping skills that minimize her tendency to isolate. QMHPA then taught Kaila 3-4 positive alternatives to practice to reduce depression and anxiety. QMHPA encouraged her to implement these into her daily living when she is not having session with QMHPA. Response: Kaila maintained a positive attitude throughout today’s session, displaying minor anxiety, distraught responses and apprehensive composure in regards to accomplishing goals in accordance to her treatment plan. Kaila engaged in topic discussions, presented minor reluctance and presented objectionable rebuttal towards QMHPAs’ directives presented. Kaila utilized breathing techniques to control her exasperation and did display some aggressive behavior or emotional trauma during today’s intervention process. Kaila shared that she has been using the breathing techniques to not allow herself to hyperventilate when her emotions became too compelling to manage earlier which is why she called the QMHPA. Kaila acknowledged QMHPA’s comment but held tight to her position that she wasn’t going to back down from her neighbors because she was tired of them. QMHPA processed with Kaila, explaining that coping thoughts are especially helpful when you first notice that you’re feeling agitated, nervous, angry, or upset. Kaila agreed with QMHPA and expressed that she did not use self-encouraging coping thoughts or self-monitoring to assist her with handling distressing situations.