11/4/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C engaged mother in a discussion to determine behaviors since the last session. Mother verbalized to QMHP-C on how client continues to shut down on her and not communicate her thoughts and feelings on a daily basis lasting up to an hour before her to express her thoughts and feelings and wanting to communciate with her mother. 2. Behavior: During the second portion of the session, client continued to struggle with learning how to verbalize to QMHP-C as well as her mother her thoughts and feelings when it relates to her not being able to have her needs met which causes her to displaying aggressive behaviors lasting 5-10 minutes on a daily basis. 1.Intervention: QMHP-C supported Client with making good decisions and following directions. QMHP-C interacted with Client by playing games and talking about her strengths and attributes so that Client is more confident around her family and feel comfortable communicating with an adult about her thoughts and feelings. QMHP-C gave positive feedback and encouragement throughout the session especially during challenging or stressful tasks. Intervention: QMHP-C had one on one with Client to reflect on her evening. QMHP-C prompted Client to prepare for tomorrow and remember to go to bed on time so that she is ready for a new day and doesn’t have any troubles. QMHP-C facilitated a discussion to explore Client feelings and things she liked and disliked about counseling at home. QMHP-C offered active listening skills and showed Client respect while she was sharing her ideas and thoughts about services. QMHP-C praised Client for her cooperation and managing her behaviors as best as she could. 1.Response: Client is striving for a good report every day. Client wants to make her counselor and parent proud by doing a good job at home. Client is very independent but can be a team player as well. Client reviewed last week discussion with psycho educational and retained a lot of the information she was taught which motivates her to pay more attention and take her time. Client is observed problem solving on her own and handling her emotions appropriately. Client avoids meltdowns and lashing out when upset or frustrated. 2. Response: Client maintains etiquette by sitting in her seat during instructed activity, raising her hand and asking appropriate questions, being respectful in the house, remaining quiet during quiet time and active during activity time, listening to her mother, modeling appropriate behavior, and earning a reward without impulsive behaviors.