1/15/2023 EnchantaVaughn Approved 1. Behavior: When QMHP arrived, client was in a laid-back mood, as evidenced by her calm and relaxed expressions. Client explained that she wanted to have session without mom present so that she could spend that time taking care of important duties around the house (i.e. cooking and cleaning). Client is still adjusting to the changes in the home and giving her mom space for self-care and to attend to her brother who also has mental and emotional issues. 2. Behavior: After having one on one with her counselor, client was able to figure out some things that she has been having trouble with. Client expressed that she didn’t want to be judged for her mistakes. Client explained her frustrations and why she has been more stressed than normal lately. Client was respectful of the session time and utilized this time to lay everything out on the table. Client shared positive and negative thoughts concerning her expectations and responsibilities in the home. 1. Intervention: QMHP conducted session today on decreasing disrespect for authority figures and taking ownership for her own actions. QMHP probed client about her behaviors yesterday. QMHP encouraged client to remain positive and more positive things will happen. QMHP prompted client to refrain from impulsive, hyperactive, defiant, and aggressive behaviors especially running, refusing authority instruction, and interrupting her mother while she’s working, helping her little brother, resting, cooking, or cleaning. 2. Intervention: QMHP utilized behavior modification strategies including removing client from the stimulant environment in efforts for her to reduce inappropriate behaviors. QMHP encouraged client not to complain and be more grateful. QMHP reviewed client schedule with her and supported as she prepped for the evening work she had. QMHP intervened to assist in explaining behaviors to client and what she needs to work on if she wants to meet her goals and objectives daily. 1. Response: Client was highly oppositional during session and displayed argumentative and frustrating behavior. Client displays moderate participation unless she’s distracted by her little brother. Client recognized when she’s not paying attention and quickly corrected herself. Client was able to identify both positive and negative behaviors while trying her best to display more positive behaviors. After applying different strategies and restraint by counselor, client was able to stabilize her negative behaviors and contribute to discussion. 2. Response: Client has a history of displaying aggressive, non-compliant behaviors towards authoritative figures in the home and/or community setting. This has been the first occasion in which client has displayed this level of behaviors in the presence of counselor. Client returned to activity ready to work and was more motivated to try and stay positive for the remainder of the day. Client acknowledges expectations and reviews goals and objectives with counselor and parent.