9/19/2023 EnchantaVaughn Approved Behavior: QMHPA greeted Kaila upon arrival to the home setting. Upon arrival to the home setting, Kaila appeared to be in a positive mood evident by her facial expressions such as a smile on the face. QMHPA inquired about her morning. Kaila verbalized to QMHPA that her morning was going well. QMHPA informed Kaila that this session was going to focus on coping with feeling of depression and stabilizing her mood. Kaila did not present any symptoms of S/I or H/I at the time of the session. Intervention: QMHPA began the session by inquiring about Kaila’s current thoughts, feelings and emotions. QMHPA explored triggers associated with depression or anxiety with Kaila. QMHPA conducted a skill building activity with Kaila. QMHPA explained to Kaila that the purpose of this activity was for her to be able to identify her mental health symptoms that may cause anxiety, depression or frustration. QMHPA advised Kaila about her diagnosis may cause her to have mood swings often, frustrated by minor things and serious depression. QMHPA discussed with Kaila childhood relationships that may cause her to become depressed. QMHPA explained to Kaila about learning to verbalize thoughts and feelings in a respectful manner. QMHPA assisted Kaila with positive self-talk to assist with her negative emotions. Response: Kaila appeared to be receptive to QMHPAs’ interventions and services that were provided to her during the session. Kaila discussed with QMHPA during the session that she feels some type of way because she doesn’t have members to vent to when she has problems. Kaila indicated to QMHPA that her family would talk negative about her within minutes and then turn around and talk good about her. Kaila was agreeable about her depressive symptoms. Ms. Kaila said she becomes overwhelmed at times and will make sure that she adhere to her medication to make sure that she is controlling those moods and other depressive symptoms that she encounter. Plan: QMHPA will help the client differentiate symptoms that are a direct effect of her severe and persistent mental illness (e.g., a product of delusion), as opposed to a separate diagnosis of an anxiety disorder (1x weekly).