7/16/2023 EnchantaVaughn Approved Behavior: Once QMHP contacted client, client demonstrated no energy to come to session on her own. Client was sleep on the couch next to her brother. Her mom tried waking her up several times but struggled to do so. Behavior: Client was prompted to try her best to relax and pay close attention. Client was assured that the activity only required her to listen. Intervention: QMHP collaborated with mom regarding daily behaviors and performance in the home. QMHP reviewed and gave feedback regarding ADHD and its causes and affect toward client’s well-being and emotional functioning. QMHP monitored, observed, and redirected client behaviors as needed. QMHP monitored client individualized behaviors in collaboration with parent, herself, her peers, sibling, and environment. QMHP encouraged client to make good choices and to avoid negative thoughts about herself. QMHP processed client positive behaviors. QMHP assisted client in developing more social skills. QMHP inquired about possible challenges client can experience with applying this skill. QMHP provided positive feedback. QMHP reflected on client goals and objectives. Intervention: QMHP explored positive self-talk, use instruction modeling, and increase social communication skills with positive reinforcement role play activities. QMHP educated client on behavior modification to help client identify what behavior she needs to decrease and avoid daily. QMHP utilized behavior modification system to aid the client with following directions given by authority figures. Response: Client discussed mental illness and its causes with mom and QMHP. Client displayed interest in learning about ADHD. Client displayed self determination to stay focused and pay attention in session. Client utilized meditation and relaxation techniques. Client reported a decrease in symptoms following the relaxation techniques. Client displayed management of individualized behaviors. Response: Client was able to utilize coping skills to eliminate stressors and unwanted feelings. Client believes she will get better if she continues to work hard. Client was acceptive of support and encouragement. Client exhibited good social behaviors. Client was able to reevaluate herself and display a more positive attitude toward peers and authority. Client has become more involved in age appropriate social activities and was given positive reinforcement for these choices.