11/29/2023 EnchantaVaughn Approved QMHPA greeted Ms. Broadnax upon arrival to the home setting. Upon arrival to the home setting, Ms. Broadnax appeared to be in a positive mood evident by her facial expressions such as a smile on the face. QMHPA inquired about her morning. Ms. Broadnax verbalized to QMHPA that her morning was going well. QMHPA informed Ms. Broadnax that this session was going to continue to focus on depression and coping skills. Ms. Broadnax did not present any symptoms of SI or HI at the time of the session being conducted. QMHPA began the session by inquiring about Ms. Broadnax’s current thoughts, feelings and emotions. QMHPA utilized open discussion with Ms. Broadnax to have her express concerns and anxieties. QMHPA engaged Ms. Broadnax in a skills building activity. QMHPA explained to Ms. Broadnax that the purpose of this activity was to teach Ms. Broadnax the basic concepts of how to identify and verbalize her emotional needs. QMHPA assisted Ms. Broadnax with contributing factors that triggers underlying feelings of depression. QMHPA provided Ms. Broadnax tentative examples of how her distorted thinking controls her day to day functions and how she thinks about situations, people, and things. QMHPA reviewed journaling, and listening to music to help problem solving and conflicting behaviors. QMHPA challenged Ms. Broadnax to face uncomfortable situations using coping skills to build confidence about herself. QMHPA assisted Ms. Broadnax with identifying the negative cognitive messages that feed her fear of rejection and failure. Ms. Broadnax appeared to be receptive to QMHPA’s interventions and services that were provided to her during the session. Ms. Broadnax reported that she didn't realize that she was in her own way as it relates to her thoughts and feelings about people, things, and situations. She reported that she has been hurt for so long, been mistaking as a man on a daily basis and struggles with herself image as these are contributing factors to most of her depressive feelings. Ms. Broadnax was helped to realize that her frequent remarks about herself impede on building positive thinking and building her confidence. Ms. Broadnax admitted that she over thinks a lot to things by analyzing her own thoughts.