2/14/2024 EnchantaVaughn Approved Behavior: At the beginning of the session, client initially presented distant and closed off emotions as a way to avoid being told what to do. Client did not show any concerns to this behavior but instead insisted to be left alone. Even after given a few minutes to cool off and get herself together, client remained in a standoffish mood displaying uptight body language throughout the first half of the session at which behaviors last at least 10 minutes in duration. Behavior: Client was assured that the only way to gain from therapy is to share her feelings and be as clear with her intentions as possible. Client had a disappointed look on her face when she realized she was the cause to a lot of her issues in the home. Client switched moods once she was comfortable expressing herself to QMHP. Client expressed that she needed time regroup and reset. Client was able to recollect and focus on her therapy once she let go of the fears she had created in her mind at which mother reports when she cannot have her way her behaviors last about 10 minutes in duration. Intervention: QMHP utilized behavior modification strategies including removing client from the stimulant environment in efforts for her to reduce inappropriate and mischievous behaviors. QMHP explained and emphasized to client the importance of having self-control to avoid mood swings and to promote positivity. QMHP assisted client with managing her anger and frustration by reviewing and role-playing effective coping skills with client and encouraging mom to participate as well. Intervention: QMHP intervened to assist in explaining behaviors to client and what she needs to work on if she wants to meet her goals and objectives on a regular basis. QMHP assisted client by addressing the conflict she was currently facing in the home and informed the client of replacement behaviors in efforts to decrease attention-seeking behaviors significantly. QMHP modeled appropriate ways for client to get positive attention from her family without feeling the need to take the attention away from someone/something else. Response: Client anger is very intense this week. Client exhibited techniques for appropriate self-expression and active listening so that she could maintain a balanced mental state. Client understands that problem solving starts with thinking before acting. Client utilized conflict management skills to reduce tense emotions when faced with challenges in the home. Client focused on things she is good at and loves to do at home in order to stay motivated in therapeutic setting and make something out of herself. Response: Client informed counselor that most of her behaviors stem from past family history and assuming the worst. Client communicated that he wants to work independently instead of as a family so that she could gain clarity of her personal feelings without taking it out on someone she loves. Client understands that sessions are a privilege and she have to show more control of her actions and follow the interventions. Client is learning to calm down, think first, and respond without anger and frustration.