3/26/2023 EnchantaVaughn Approved Behavior: Upon arrival to the home setting, Client and QMHP-C discussed Client’s behavior at home. Client followed all directions given by mom and counselor. Client made constant eye contact during session and displayed a calm demeanor without getting angry or frustrated. Behavior: During the second portion of the session, client was able to display on task behaviors evident by her paying attention to what was being discussed with the QMHP-C. Client was able to understand the importance of her implementing what she has learned during sessions to assist her with being able to manage in the future. Intervention: QMHP-C engaged Client in a session on the importance of exploring conflict. QMHP-C educated Client during the session that conflict involves having a disagreement with someone. QMHP-C shared with Client that no matter how hard we try to avoid a conflict they are sure to keep happening. QMHP-C explained that it is possible to learn how to resolve conflicts in such a way that everyone is happy. QMHP-C processed with Client and shared some positive ways to resolve conflicts, such as peer mediating, talking to an adult about the situation, using I feel statements to express how you feel so you do not offend the other person. Intervention: QMHP-C challenged Client to explain how she would resolve a conflict in a positive manner using one of the methods discussed or using another positive method. QMHP-C educated Client about appropriate touch and personal boundaries. QMHP-C processed Client thoughts and feelings. QMHP-C engaged Client in conversation regarding her recent behaviors, progressions, and setbacks. QMHP-C modeled proper positive behavioral expectations for Client to encourage additional layers of support and understanding of rules and expectations. QMHP-C explored Client’s responses and provided appropriate feedback. QMHP-C supported Client making good decisions and having positive behaviors in the home. Response: Client admitted that some of her tension come from not receiving the love and attention she desires by her parents. Client stated that she wished she could spend time with her father who is absent in her life. Client informed QMHP-C that she has been learning a lot in each session. Client thanked QMHP-C for helping her family communicate with each other in a more positive and productive way. Client stated that talking and sharing things in her life helped her to evaluate her poor choices and correct her mistakes. Client went on to report that she will practice therapeutic techniques with her family when she feels that it is the right time and place. Response: Client has attempted to utilize what she acquired from today’s and previous sessions to reduce symptoms of ADHD. Client responds well to praise and support. Client is observed problem solving on her own and handling her emotions appropriately. Client responds well to feedback. Client responds well to the positive reinforcement provided by QMHP-C and is seen increasing self-esteem and confidence. Client said she was going to practice coping strategies and relaxation techniques in all aspects of her daily living routine in hopes that she will be a better person, student, and friend.