1/6/2023 EnchantaVaughn Approved 1. Behavior: Client appeared to be irritable as she was seen pacing back and forth, knocking over anything in her way. Client was observed making inappropriate comments and giving her mom a hard time all because she wasn’t allowed to go outside until all of her chores were done. Client chose to distance herself from everyone in the home, exhibiting a stubborn mood. Once client appeared to be calm, she began explaining how she felt disrespected due to her mom yelling at her. 2. Behavior: Client appeared to be calm after several interventions. Client apologized to her mom and returned to her therapy in a more constructive mood. Client promised to be more respectful and comply to home rules. Client’s attention-seeking behaviors decreased tremendously. Client continues to need help with achieving daily goals, due to her inability to control her anger in a healthy way. Client did not demonstrate necessary mental health skills, partially meeting her objectives today. 1. Intervention: QMHP processed client thoughts and feelings. QMHP engaged client in conversation regarding her mental illness symptoms, causes, and effects. QMHP explored client’s responses and provided appropriate feedback. QMHP utilized empathetic listening skills as client expressed her understanding of stressful situations. QMHP supported client making changes and attempting to show leadership skills without being told. QMHP praised client for her commitment in trying to show improvement even when no reward is given. 2. Intervention: QMHP educated client about using good manners at home and offering alternative methods and suggestions to model appropriate language that client should use to ask for things or to get someone’s attention. QMHP encouraged client to continue displaying age appropriate behavior in order to receive genuine love and support. QMHP asked client what she learned from owning up to her mistakes and doing the right thing. QMHP provided client with positive feedback due to her mature responses. 1. Response: Client demonstrates excellent rapport with QMHP. Client responds well to the positive reinforcement provided by QMHP and is seen increasing self-esteem and confidence within the home setting. Client is acceptive of redirection during one on one. Client was able to speak calmly and demonstrate her improved communication skills while engaging in self-reflection. Client wants to make her family and parents proud, so she decides to apologize for taking her frustration out on them and acting selfish. 2. Response: The client stated that she can be good and told QMHP that she will do her best to follow directions and stay attentive to others. Client was able to cooperate and comply to rules and regulations due to positive influences and communicating with her mom appropriately. Client shows empathy towards mom, as evidenced by her hugging, smiling, and complimenting her. Client is observed making better choices and doing what she is supposed to.