1/25/2024 EnchantaVaughn Approved 1.Behavior: Upon QMHP-C’s arrival, Laylah showed a lack of empathy and consideration for the session. Laylah displayed a poor attitude toward mental health professional due to personal conflicts and external distractions with behaviors lasting for up to 3-5 minutes in duration. 2. Behavior: Laylah began to display rebellious and stubborn moods, as she then showed disrespect and negative behaviors towards QMHP-C. Laylah was disrespectful refusing to process her emotions by walking off and exhibiting increased frustration with behaviors lasting 2-5 minutes in duration. 1.Intervention: QMHP-C assessed her behaviors and mood in a genuine state when she was naturally being herself. QMHP-C inquired about Laylah’s day and provided affirmations. QMHP-C probed about any angry feelings or the inclination of safe and unsafe behaviors. Laylah modeled different ways to walk away from a conflict when frustrated. Laylah modeled how to separate herself from negative situations by counting to 10. Laylah demonstrated how to verbalize her feelings without yelling and being aggressive. 2. Intervention: certain behaviors and how she sometimes feels like the only way to respond is in a negative manner. QMHP-C continued to engage with Laylah and provided positive reinforcement as she participated in the session. QMHP-C educated Laylah about using good manners at home and offering alternative methods and suggestions to model appropriate language that Laylah should use to ask for things or to get someone’s attention 1. Response: During each intervention, mother expressed Laylah’s behaviors have improved but she still has to remind Laylah about remaining consistent with reacting positively to negative situations. Mother and Laylah displayed good communication with each other. Although mom is more stressed with Laylah choices and behaviors in the home despite challenges, she explains that she wants to spend more time with her daughter each day to teach her the principle of survival and gratitude. Laylah responds well to praise and encouragement and is seen paying attention to the activity and listening to QMHP-C 2. Response: Laylah expressed positive thoughts about her strengths but seem to be struggling with her weaknesses. Mother states to QMHP-C that she has considered implementing a minor schedule for Laylah to assist her with her completion of chores in the home, including but not limited to her bedroom. Mother mentions that schedule assists her as well and allows her to remain focused on completing individual tasks without negative reactions.