12/4/2023 EnchantaVaughn Approved Upon arrival to the home setting, QMHPA opened up session with Ms. Broadnax and asked about any mental health emergencies at this time. Ms. Broadnax did not present any symptoms of SI or HI. QMHPA began the session by encouraging Ms. Broadnax to strength her communication skills when it comes to expressing her thoughts and feelings. QMHPA followed up with Ms. Broadnax regarding the communication skills with her family members. QMHPA discussed desire to have what she perceived as traditional communication skills and how that might be harmful to her emotional health. QMHPA educated Ms. Broadnax on the benefit of compartmentalizing her communication skills and being more discerning about how she communicates. QMHPA suggested for Ms. Broadnax to identify the traits of beneficial communication skills and harmful communication skills. QMHPA actively listened as Ms. Broadnax listed the traits of both types of communication skills. QMHPA asked Ms. Broadnax to list people in her life that fell into both categories. QMHPA encouraged Ms. Broadnax to work on building the beneficial communication skills before repairing the harmful ones. QMHPA also advised Ms. Broadnax that some of the communication skills may require purging in order her to maintain her emotional and mental health. QMHPA advised Ms. Broadnax that certain communication skills may cause more harm than good. Ms. Broadnax appeared to be receptive to QMHPAs’ interventions and services that were provided to her by QMHPA. Ms. Broadnax stated that her communication skills with her family continue to be a concern for her especially now because all she feels is anger and resentment about her life and those in it. Ms. Broadnax would not elaborate. Ms. Broadnax referenced her inability to let go of some of the negativity in her life that may be harmful. Ms. Broadnax admits that she cannot seem to find a way to repair her life or those things that are troublesome. Ms. Broadnax referenced being unhappy within her family but wanting to be able to forgive and make amends to those she feels has made her feel unhappy so that she could proceed with the rest of her life. Ms. Broadnax discussed not being able to move past things from her past. Ms. Broadnax participated in the exercises willingly. Ms. Broadnax demonstrated knowledge of healthy and unhealthy communication skills. Ms. Broadnax was verbal while relaying instances of perceived dysfunction in her interpersonal relations of her family. Ms. Broadnax listened actively, fully participated and gave feedback throughout the visit.