4/9/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C greeted Khanilya upon arrival to the home setting. Upon arrival to the home setting, Khanilya appeared to be in a content mood evident by her facial expressions such as a smile on the face. QMHP-C engaged mother in a discussion to determine behaviors since last session. Mother report Khanilya got a little upset because it was Easter and she did not get something in her basket and she threw her whole basket at the wall. 2. Behavior: Khanilya participated in the session without incident; however, she was agitated at times as she was discussing how she was really upset with her mother about what was not in her basket. 1.Intervention: QMHP-C began the session by inquiring about Khanilya’s current thoughts, feelings and emotions. QMHP-C began session by retrieving update on Khanilya's behaviors via self-report. QMHP-C openly discussed with Khanilya about her relationship with her mother and if there have been any improvements in communication. QMHP-C engaged Khanilya in a therapeutic role play as well as a role play on expressing thoughts and feelings accordingly and being more assertive with those feelings without being disrespectful when explaining herself to her mother. 2.Intervention: QMHP-C provided Khanilya with examples of how to engage her mother in conversation and discussed being receptive to criticism and feedback from her mother whenever they engage in conversation with each other. QMHP-C role-played with Khanilya reactive and nonreactive responses as well as respecting her mother's limitations and boundaries which can be perceived as disrespectful. QMHP-C discussed her ability to follow rules and regulations set by her mother as she has been refusing to listen to directives while also educating her on ways to assist het with being able to manage her anger without displaying negative behaviors when she cannot have her way. 1.Response: Khanilya appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Khanilya struggle in sessions when confronted about her behaviors toward her mother as she appears to have mixed feelings. Khanilya has difficulty with express her feelings and thoughts as she hates her mother in one instance and loves her the next. 2.Response: Khanilya reports that she has close relational ties with her mother sometimes which depends on their week. Through role-playing Khanilya was able to understand reactive and non-reactive responses and learning that all feedback from her mother maybe positive/negative and that she has to take in consideration that she has to take the good with the bad.