2/1/2024 EnchantaVaughn Approved 1.Behavior: QMHP-C arrived, Laylah was in her bedroom. Laylah appeared to be in a good mood as evidenced by her being more talkative than normal. Today’s session will focus on anger management as mother reports she will hit walls last for about 10 minutes in duration. 2. Behavior: Laylah presented withdrawn behaviors evident by her looking off at the walls when discussing ways to manage her anger as mother reports when she cannot have her needs met she will storm out the room and not speak for 20-30 minutes to anyone in the home. 1.Intervention: QMHP-C began the session by inquiring about Laylah’s current thoughts, feelings and emotions. QMHP-C engaged Laylah in a discussion in reference to how she felt she had been controlling her anger lately. QMHP-C encouraged Laylah to express her feelings in an appropriate manner. QMHP-C modeled active listening and at the appropriate times, open-ended questions were asked in order to get Laylah to be more detailed. Laylah was taught effective communication and assertiveness skills to learn how to meet her needs for attention and approval through appropriate verbalizations and positive social behaviors. Laylah was assisted in developing an awareness of how disruptive behaviors lead to negative consequences for herself and others. 2. Intervention: QMHP-C assisted Laylah in developing a list of her own needs and wishes and then the personal actions necessary to attain them, rather than being angry with others for not meeting her needs and wishes. QMHP-C attempted to assist Laylah in learning ways to think positively in anger-producing situations. QMHP-C modeled for Laylah how to replace thoughts that trigger angry feelings, and replace these thoughts with a more positive and accurate thought. QMHP-C discussed with Laylah how the thoughts of rejection can trigger feelings of worthlessness, hurt, and then anger. 1. Response: Laylah appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Laylah informed QMHP-C that she felt as if she had been controlling her anger fairly well despite the incident she had the other week with her peer in which she really felt as if she wanted to fight her. Laylah participated in the role-playing and role-reversal scenarios in which she was taught how to be assertive, communicate effectively while still being respectful in nature. 2. Response: Laylah laughed during some of the re-enactment of the scenarios. Laylah expressed that she was fully aware that when or if she commits disruptive behaviors, there might be consequences. However; Laylah tended to brag on how spoiled she is and the fact that her mother very rarely implements consequences for her, and if she does, they do not last long. Laylah verbalized that she does get mad when she does not get her way, but at times she feels as if she is justified because she is always being told that she can do something, but then someone changes their mind. Laylah did well with replacing negative and angry thoughts will more positive thoughts.