1/23/2024 EnchantaVaughn Approved 1. Behavior: Laylah was upset at the onset of the session as she verbalized having had an argument with her mother prior to QMHP-C arriving to the home. Laylahâs mother came into the room and began to speak over Laylah explaining what occurred during the incident and eventually admitted being tired of Laylahâs lack of respect for her as a mother which mother reports the disrespect last abut 1-2 days in duration. 2. Behavior: Mother reports when Laylah cannot have her way she will last out on others within the home such as her siblings and her grandparents with behaviors lasting for 10 minutes in duration or even days. 1.Intervention: QMHP-C engaged Laylah in a one on one individual session with Laylah to address her displays of aggression and defiance towards authority and to educate on the consequences that will continue to occur until Laylah complies with rules. QMHP-C assisted Laylah in identifying possible triggers of anger and situations to avoid. QMHP-C addressed the importance of remembering to pick her battles with authority while keeping in mind situations that are a win-lose situation for her. 2. Intervention: QMHP-C assisted with identifying times in the past when she used positive coping strategies to solve problems and revisited the positive outcomes that should encourage her to use them again when she is faced with similar problems. QMHP-C processed with Laylah additional coping strategies she could use in the future to deal with stress or frustration more effectively without the use of verbally aggressive language that only escalate the conflict. QMHP-C challenged Laylahâs way of thinking throughout the session and facilitated role play and role reversal for understanding of skills taught. 1. Response: Laylah was receptive to QMHP-Câs intervention and the services that were provided to her during todayâs session. Laylah was complaint with this session as she acknowledged her disrespect towards her mother who she felt was targeting her all the time for conflict. Laylah was able to identify her role in the conflict and verbalized the need to make some changes. 2. Response: Laylah was verbal in identifying the things people do to trigger her anger but had difficulty accepting her role in some of those past conflicts as she feels others tend to trigger her anger purposely. Laylah acknowledged how effective it is when she takes the time to identify the feelings and changes she believes she goes through before becoming angered and attempting to de-escalate herself.