2/12/2023 EnchantaVaughn Approved 1. Behavior: Client became upset when she realized mom and QMHP were talking about her and it wasnât for a good reason, since she got in trouble for hitting her little sister and saying mean things. Client continued to demonstrate quiet behaviors during the session. Client had to be told more than once to show authority the proper respect and to look forward when someone is talking to her. Client frowned up her face and looked away from QMHP. Client failed to utilize appropriate coping strategies and communication skills within the home. 2. Behavior: Client is unable to identify many significant positive hopeful things in her life and is provided with examples of those. Client had difficulty focusing and paying attention, especially when it wasnât her turn to talk. Client continues to avoid mental health counselor prompts and directives. Client was reminded to concentrate on the whole purpose of the session. After about 15 minutes of reflective thinking, client was given a break and directed to deep breathe, stretch, and regroup. 1. Intervention: QMHP facilitated a discussion to talk about common mistakes children with ADHD make and how she can make better choices. QMHP discussed anxiety and explained it is a normal part of life. QMHP gave client the opportunity to express and explore her perceptions of how her symptoms of ADHD can affect her relationships with family and friends. QMHP encouraged client to present healthier habits and routine by challenging herself to make better choices and try new things at home. 2. Intervention: QMHP introduced client to psycho social activity regarding social distancing and staying healthy. The QMHP educated client that it is vital to wash her hands and wear her mask. QMHP redirected client to an alternative activity that was more laid-back and curated to her. QMHP will review key concepts of being responsible with her family. QMHP will provide mediation and relaxation techniques, as well as, simple praises and encouragement to continue the positive behaviors she was exhibiting. 1. Response: Client was resistant and unruly, as she did not display any forms of empathy or concern in response to the talk therapy. Client displayed an unemotional and flat facial expression on her face, as she appeared disinterested in the instructions, role playing techniques and modeling techniques that were implemented with teaching her effective communication and assertiveness skills to express her anger more appropriately. Client promised she would try her best to correct herself when she finds herself getting off track. 2. During the session at the home, mother expressed clientâs behaviors have improved but she still has to remind client about remaining consistent with reacting positively when being reprimanded or redirected. Mother and client displayed good communication. Although mom is more stressed with the end of her pregnancy, she has cut back on work to spend more time with her daughter. Client responds well to praise and encouragemeResponse: Client had to be redirected in regard to the relaxation and calming imageries implemented on her ISP. Client did not offer verbal communication when inquired about her social distancing and wearing her mask. Client expressed feelings of annoyance when she had to communicate directly with her QMHP without relying on mom to speak for her. Client exhibits low self-esteem throughout the session. Client mentioned that she is willing to make attempts to improve her actions/behaviors daily.