7/19/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C greeted Leona upon arrival to the home setting. Upon arrival to the home setting, Leona appeared to be in a content mood. QMHP-C inquired about her day. QMHP-C informed Leona that this session was going to focus on reducing angry and verbal outburst. 2. Behavior: Leona actively participated in the session as she was cooperative throughout the session. 3. Behavior: Leona participated in the session without incident. Leona appeared to be sad as she was reporting to QMHP-C on her mother is getting on her nerves now they have moved. 1.Intervention: QMHP-C began the session by inquiring about Leona’s current thoughts, feelings and emotions. QMHP-C provided Leona with the opportunity to express her thoughts and feelings accordingly as she appeared angry. QMHP-C processed with Leona about her feelings and reasons for her frustrations in which she chose to deny. QMHP-C used a feelings chart to assist Leona with appropriately recognizing her feelings of anger. 2. Intervention: QMHP-C began processing with Leona regarding her mother's perception of her behaviors. QMHP-C provided thought-stopping examples with Leona to avoid reacting with aggressive behaviors toward authority and peers. QMHP-C discussed journaling with Leona and the ability to gain insight into her own feelings. 3. Intervention: QMHP-C engaged Leona in writing for instances jotting down a couple of feelings, contacting QMHP-C, and engaging in positive self-talk. QMHP-C provided Leona several ways positive self-talking can help her get through difficult moments. QMHP-C role-played with Leona different techniques to demonstrate appropriate ways to show feelings. QMHP-C openly discussed the importance of expressing feelings of depressive moods and not holding in feelings inside as she then will explode in a negative way when time presents itself. 1.Response: Leona appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. During the session, Leona was observed by QMHP-C as she distracted and upset. When asked she denied being angry and upset even though her facial expression displayed a frown. She was resistant to the therapeutic approach. 2.Response: Leona also discussed with QMHP-C that she has been in arguments with her friends due to them wanting to start trouble amongst her and others and that is something that she is not going to allow to happen. Leona verbalized to QMHP-C that she is trying to control herself but these “little” children are going to make her act out of her character. 3. Response: Leona appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Leona was able to identify feelings and thoughts since the last session as gave QMHP-C examples of situations that took place in the home that caused her moods to change.