1/2/2023 EnchantaVaughn Approved Behavior: Upon arrival, client was witnessed being destructive and violent when being directed in the home. During this time, mom was not in the mood to deal with her disorderly conduct. It was noticed client required 3-4 prompts from her mom prior to being sent to QMHP for further assistance. Client was not on task or attentive to her therapy, exhibiting poor self-control, as evidenced by her pacing back and forth and being out of her seat the entire time her counselor was trying to converse with her about her evening. Behavior: Client was confronted by QMHP and asked why she made such a big fuss when she was in the wrong to begin with. Client missed both opportunities to apologize and had a meltdown when things didn’t go her way. Client was able to process and explain why she was destroying things in the home. Client was acceptive of redirection from her counselor. Client was educated that no one is going to allow her to ruin the living space, especially when someone is there to support her. Intervention: QMHP began the session by inquiring about client’s current thoughts, feelings, and emotions. QMHP facilitated family session to encourage open communication with client and mom to process on various ways to express feelings and thoughts in a controlled manner. QMHP discussed with client and mother on assertiveness and respectful behaviors towards each other. QMHP modeled effective ways to communicate by exploring more constructive ways to discuss problematic behaviors. Intervention: QMHP educated the client that most people try to learn ways to control certain behaviors, but sometimes it can be difficult. QMHP informed client that when you have self-control (e.g. avoiding hitting, pushing, screaming, crying, etc.) you not only help yourself, but you also positively affect others (physically or emotionally). The QMHP advised client that when people see you lose control they might feel scared of you, upset or angry. QMHP enlightened the client that this applies in any situation or setting. Response: The client began the session with demonstrating negative behaviors but became more respectful, as the session continued. Client engaged in self-reflection, discussing what contributed to her misbehaviors. Client was able to identify the role she plays in each situation. Client communicated her understanding of following directives and being respectful to authority figures and how she plans to make sure she does it more often. Client is observed correcting her mistakes and making better choices going into the next activity. Response: The family was receptive to the information provided. The family shared that they will try to go back to having more positive moments as they did in the past few weeks instead of arguing and fighting all the time. The family reported that they will continue to work on building with one another and supporting one another. Client expressed that she tries to think highly of herself but sometimes she’s reminded that she has a mental illness and is not like every kid but is determined to prove to her family that she is capable of healthy changes.