9/26/2023 EnchantaVaughn Approved Behavior: Client was redirected by QMHP for her displaying hyperactive behaviors evident by her engaging in conversation with her siblings during the session and wanting to hit them while the session was going. She was redirected for her behaviors and once she was redirected she was able to regain focus on the session. Behavior: Client reflected on what it has been like for her to live with ADHD. Client confirms that a lot of her actions come from being a part of a dysfunctional family but she wants to work on breaking the cycle. Client demonstrates ability to adapt to new challenges and was supported for her effort and commitment with achieving all of her objectives. Intervention: QMHP engaged client in a conversation regarding her recent behaviors, progressions and setbacks. QMHP explored client’s responses and responded accordingly. QMHP talked with client about the importance of adhering to rules and expectations in school, at home and in the community. QMHP separated client from inappropriate interaction, in efforts to reduce tension and stress-provoking situations. QMHP encouraged client to resist negative behaviors in efforts to refrain from requiring to be redirected by her mom over and over. QMHP reviewed examples of alternative appropriate behaviors she could engage in. QMHP isolated client from distractions to decrease disruptive behaviors and to reduce excessive talking in session. QMHP communicated with client on displaying appropriate control. QMHP utilized empathetic listening skills as client expressed her understanding of stressful situations. Intervention: QMHP held consultation with client and mother about effective intervention strategies that build on the client's strengths. QMHP provided positive gestures to encourage client on her positive behaviors both socially and academically. QMHP processed client thoughts and feelings. QMHP explored client’s responses and provided appropriate feedback. QMHP supported client with working on herself and trying her best to understand the purpose of each session. QMHP encouraged client to be mindful of other peers/family personal space. QMHP encouraged client to refrain from displaying negative behaviors towards her mom, to talk calmly and express herself without an attitude. QMHP explored the positive behavior options she was exhibiting with client to support her willingness to continue to make improvements with her mental, emotional, and physical health. Response: Client retained a lot of the information she was taught which motivates her to pay more attention and make better choices at home so that she can reduce conflict and avoid drama in the home. Client is observed problem solving on her own and handling her emotions appropriately. The client stated that she can be good and listen to her mom. Client was able to cooperate and comply to rules and regulations due to positive influence from her mom. Client implemented pro social skills successfully. Client maintains good etiquette by sitting in her seat during the session, raising her hand and asking appropriate questions, being respectful toward mental health professional, remaining quiet during quiet time and active during social time, listening to her mom, and modeling appropriate behavior. Response: Client told QMHP that she will do her best to follow directions and stay attentive to the activity. Client has difficulty staying focused when distracted and has to be reminded to get back on track and focus on herself. Client responds well to praise and support. Client is acceptive of redirection. Client understands that her actions have consequences. Client acknowledges she needs to work on her temper and controlling her anger when she doesn’t get her way. Client understands that her treatment plan is a behavior contract that will reflect her improvements and setbacks in program or in the home. Client wants to make her counselor and parents proud by doing a good job every day. Client said she was going to practice coping strategies and relaxation techniques in all aspects of her daily living routine in hopes that she will be a better person.