6/27/2023 EnchantaVaughn Approved QMHPA greeted Ms. Broadnax. Ms. Broadnax appeared to be in a good mood evident by her disposition. QMHPA engaged her in a discussion on how her day was going. She indicated that it wasn’t going bad. Upon arrival, she did not present any symptoms of S/I. QMHPA reiterated Ms. Broadnax’s goals discussed the importance of maintaining good mood stability and practicing stress relief techniques when she becomes frustrated. QMHPA reiterated anger management techniques and reviewed stress relief techniques to assist her with controlling and maintaining good mood stability. QMHPA implemented anxiety reduction techniques to assist Ms. Broadnax with episodes where in which she becomes anxious or frustrated. QMHPA provided social support and promoted positive and healthy expectations. QMHPA reviewed different levels of stress and provided Ms. Broadnax with stress chart to aid her in managing her stress level on a daily basis. QMHPA encouraged Ms. Broadnax to utilize chart as this would help her recognize when she has become frustrated and assist her with deescalating down from her highest levels. QMHPA engaged Ms. Broadnax in a skills building activity. QMHPA reviewed anger management techniques and instructed Ms. Broadnax to be mindful of her stress levels and to utilize learned techniques to assist her with her mood as well. QMHPA discussed deep breathing, counting to 10 as well as muscle relaxation to assist Ms. Broadnax with her anger and anxiety. QMHPA instructed Ms. Broadnax to discuss and jot down ways in which she could relieve stress as she had learned several ways during previous sessions. Ms. Broadnax was receptive to feedback and information provided QMHPA. Ms. Broadnax actively engaged in conversation and was able maintain good mood stability when discussing situations that frustrates her and causes her to present a negative attitude. Ms. Broadnax agreed that she becomes anxious during situations as she does not know what to expect however is expecting things to work in her favor. Ms. Broadnax stated that she does however recognize the importance of utilizing learned techniques however these techniques go out the window when she faced with the actual situation. Ms. Broadnax informed QMHPA that she would work on applying techniques to assist her with her anxiety and her mood when she is faced with situations that frustrated.