4/18/2023 EnchantaVaughn Approved AM) Upon arrival, client was observed eating breakfast and listening to announcements. Client appeared to be in a good mood, as evidenced by his upbeat and cheerful spirit. Client was seen listening and following directions without talking back to authority. Client was able to successfully complete his assignment and turn it in on time. Client was given a small break to refocus and recoup. Client was observed relaxing and engaging in conversation with his peers without aggressive tone. (PM) Client was observed in lunch being polite and respectful to staff. Client was observed displaying appropriate behaviors. Client was monitored and supported for conducting himself appropriately. Client entered his session with a positive attitude. Client participated in team building exercise. Client became frustrated when he could not express his thoughts during group discussion and started having episode, turning his back toward his counselor and covering his face. Client was not acceptive of feedback from peers or authority and displayed a lot of temper tantrums when he didn’t receive the attention that he desired. Client finally got his attitude together and completed exercise. (EOD) Client returned to class in a calm manner and exhibited a positive attitude. Client was monitored and supported for his participation and treating others fairly. Client is seen preparing for dismissal and listening to announcements. Client was able to achieve objectives 2 and 3, but failed to achieve objective 1, as witnessed. (AM) QMHP will teach client necessary coping skills to decrease impulses. QMHP will brainstorm strategies with client and encourage self monitoring. QMHP will assist client with self monitoring skills to enable him to participate in fundamental learning. QMHP will provide mediation and relaxation techniques. QMHP inquired about after school activities. QMHP will collaborate with teacher regarding behaviors and performance. (PM) QMHP applauded client for being the bigger person. QMHP will review and give feedback regarding ADHD and its causes and affect toward client well being and academic functioning. QMHP will provide client with support and encouragment. QMHP will monitor, observe, and redirect client behaviors as needed. QMHP will build rapport. QMHP will explore positive self talk, use instruction modeling, and increase social communication skills with positive reinforcement role play activities. (EOD) QMHP will educate client on behavior modification to help client identify what behavior he need to decrease and avoid daily. QMHP will utilize behavior modification system to aid the client with following directions given by authority figures. QMHP will meet with client daily to discuss progress and expectations that are working and not working in school daily. (AM) Client communicated positive affirmations and self talk. Client utilized self monitoring skills in class. Client displayed management of individualized behaviors. The client has not overreacted with anger to minor frustrations or irritants. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. (PM) Client was able to reevaluate himself and display a more positive attitude toward peers and authority. Client has become more involved in age appropriate social activities and was given positive reinforcement for these choices. Client demonstrated expectations and responded well to feedback. Client reported a decreased stress level due to her modulation of social contact, and the success of this was reviewed. (EOD) As the client developed understanding of academic expectations, she reported increased satisfaction and function. Client responded well to feedback, interacting well with others. Client implemented her plan for restoring relationships, and this was reviewed.