2/19/2024 EnchantaVaughn Approved Upon arriving to Quaaniensha’s residence she was in a positive and upbeat mood. QMHPA asked Quaaniensha how she was feeling this evening and if she had demonstrated any angry outburst toward anyone being as though that was one of her goals that she was wanting to work on. Quaaniensha admitted that she and her sister had exchanged words. Quaaniensha did not present any symptoms of S/I or H/I at the time of the session. QMHPA asked Quaaniensha to explain how she had handled the situation and if she was able to utilize learned anger management strategies to control situation. QMHPA then reiterated Quaaniensha’s goals reminding her of the importance of maintaining self-control when faced with confrontation as outbursts could escalate the situation at hand. QMHPA instructed Quaaniensha to write down at least 5 learned techniques and ways in which situation could have been avoided. QMHPA processed each strategy with Quaaniensha and provided her with praise for her ability to recognize more appropriate ways to deescalate from a negative situation. Quaaniensha was responsive to techniques and strategies provided by QMHPA. Quaaniensha agreed to continue practicing learned techniques however she stated that she is not sure if they will come to mind when she is put in those situations. She verbalized that she gets upset with the fact that when she tells her sister to do something she will hesitate to do it when she bends backwards for her. While at WaWa store Quaaniensha began to state that she was becoming frustrated at the lines. Quaaniensha was able to utilize learned techniques implemented by QMHPA to assist with her frustrations in the store.