8/26/2023 EnchantaVaughn Approved Behavior: QMHPA held an individual session with Kaila. Upon arrival at Kaila home, Kaila presented with positive affect, evident by her facial expression and body language. QMHPA informed Kaila that this session was going to focus on improving reduce depressive symptoms, anxiety and resolve causes leading to normalization of emotional state. Kaila did not present any symptoms of SI or HI at the time of the session being conducted. Intervention: QMHPA began the session by assessing Kaila emotional well-being. QMHPA questioned Kaila about her triggers and stressors. QMHPA explained to Kaila different exercises that are useful to help manage her triggers. QMHPA conducted a mental skill building activity that guided Kaila with arm/wrist rotations and finger movements. QMHPA taught Kaila different techniques to cope with her depression. QMHPA taught Kaila about situations that cause her to be depressed. QMHPA encouraged Kaila display positive emotions and think positive. QMHPA explained to Kaila holding your emotions in will not help you have to let out your feelings at. Response: Kaila actively participated in the session. While exploring Kaila emotional wellbeing, Kaila stated to QMHPA that she was in a positive mood. During the skills building activity, Kaila discussed with QMHPA that she has been a little depressed with some things that have been going on in her life; however, she declined to discuss them with QMHPA. Kaila discussed with QMHPA that she is at the point where she sometimes just feel like giving in the towel. Kaila was able to demonstrate the ability to utilize coping skills when she is upset.