4/5/2024 EnchantaVaughn Approved Behavior: At the beginning of the session, client expressed how she feels overwhelmed at times. Client wants to be able to balance everything and still be a kid. Client is afraid that she will be held liable for anything that goes wrong since she’s the oldest sibling. Client expresses that she misses having the attention to herself and wish she had her own room to do more girl stuff. Client was not happy with the way her mom expressed her recent behaviors and became very silent and distant at which behaviors last about 2-4 minutes in duration at which mother reports this behavior occurs on a weekly basis. Intervention: QMHP commended client on utilizing creative strategies to increase her understanding of feelings and emotions. QMHP processed client feelings and offered choices of what to do when faced with conflict or challenged in the home. QMHP will assist with reducing anger-provoking situations through self-talk and role play scenarios in order to prevent escalation and dealing with anger assertively. QMHP will continue to assist client with managing anger and frustration by reviewing and role-playing effective coping skills. QMHP encouraged client to continue to implement all she is learning as she begins to transition to the discharging process. Response: Client communicated that she felt safe and comfortable talking to the in-home counselor. Both client and guardian provided feedback, actively participated, and engaged with QMHP. Client was slightly hyperactive and required one on one attention to reduce symptoms. Client was provided with redirection for displaying emotional distress to minor irritants. Client practiced some of the examples of alternate behaviors (e.g. praying, drawing a picture, saying affirmations, and repeating positive “I-statements”).