1/9/2023 EnchantaVaughn Approved Behavior: Upon QMHPâs arrival, Client was reported misbehaving in the home today. Mom communicated that client hit his brother in the face when he got mad he couldnât play with a toy that wasnât his. Client remained upset, despite hurting someone else. Mother reports client has trouble with being able to manage his anger. Behavior: Client has a hard time communicating his feelings when heâs put on the spot. Client communicated poor sportsmanship and failed to take responsibilities for his actions. When inquired about what happened, client insisted he had no parts and that everything was his brotherâs fault. Client displayed angry behaviors as QMHP was reviewing with client ways to interact with his siblings as well as control his anger. Intervention: QMHP increased discipline for inappropriate behaviors. QMHP will help client develop healthy self-esteem by reducing level of anxiety and emotional reactions related to home or session and other independent functioning. QMHP will teach client necessary coping skills to decrease impulses. QMHP will brainstorm strategies with client and encourage self-monitoring. QMHP will provide mediation and relaxation techniques as needed. Intervention: QMHP inquired about evening activities. QMHP will collaborate with mother regarding behaviors and performance throughout the week. QMHP modeled appropriate ways for client to get positive attention from his family without needing to be violent or disrespectful. QMHP modeled language for client to use while in session, home and in the community that will promote pro-social behaviors and effective communication. QMHP reiterated to client the benefits of following the rules at home. Response: Client was able to be redirected successfully. Client stated he would try better self-management as the day pursues. Client expressed that he tries to think highly of himself. Client communicated that he feels that he will be better behaved, due to consistent support in the home and seeing QMHP 4x a week. Client showed interest in building interpersonal relationships with peers and authority to increase support system in the home, school, and community. Response: Client participated in the next activity to utilize and learn new interventions and strategies that he can implement in all areas of his life. Client was observed strategizing a plan to better himself by writing down his thoughts and feelings and exploring his creative side with arts and crafts. Client expressed appreciation to QMHP by smiling and giving good eye contact. Client was able to contain impulsive actions. Client was able to maintain his composure when he was confronted with the potential for conflict.