1/7/2023 EnchantaVaughn Approved Behavior: Upon arrival, client was not in a good mood. Client was easily agitated by members of his household. Client would become tense when asked a question and often raised his voice in effort to demand respect at home or to get his point across. Client reported ongoing tension along temples of his head and increased stomach pains. Client said that whenever he skips or misses his medication regimen, he feels weak and unstable. Client appeared to be going through withdrawals and reframing from his natural setting. Behavior: Client rushed most of the conversation that was being addressed at this time and was quick to give dry responses to avoid having long conversations with his counselor. Client facial expression and body language were aligned with sadness. Client did not have his upright position and was often hunched over holding his head down low into his lap. There was very little direct eye contact. Intervention: QMHP interacted with client to identify the positive impact that in-home therapy will have on social, mental, and emotional well-being. QMHP interacted with client and his mother to identify the positive impact that his new medication will have on his social and family committments. QMHP educated client on how mood-altering foods (i.e. foods high in sodium and sugar) interact with prescribed psychotropic medications which can cause major side effects. Intervention: QMHP assisted client in recognizing his symptoms and other key factors associated with his diagnosis. QMHP will review goals and objectives. QMHP will coach client on communicating appropriately with members of his support system at least once per session. QMHP will explore several alternative appropriate ways in which client can express his anger in a more constructive way. QMHP will continue to assist client with managing his emotions, thoughts, and feelings. Response: While exploring his current relationships with his family members, client informed his counselor that his mother “hates” when his father leaves her stranded to take care of him by herself. Client admitted that he sometimes allows others to take advantage of him because he’s the oldest. As the counselor educated client on the inappropriateness of such, client was not completely receptive. Client also explained that his father also urges him to be more independent. Response: Client has shown he does not care about anyone else but himself. Client explained that it takes a lot of effort for him not to curse or snitch, especially when he is angered. Client stated that because of his current living arrangements, he awakens with an attitude. Client agreed to express himself appropriately that “it’s not him”, but the living arrangements that has him frustrated daily. Client was completely receptive to the interventions discussed during our session but had some minor disputes.