3/30/2024 EnchantaVaughn Approved Upon arrival to the home setting, Ms. Broadnax appeared to be in a content mood evident by her facial expression such as a smile on the face. QMHP-A engaged her in a discussion to determine how her level of depression has been since the last session. Ms. Broadnax discussed with QMHP-A she has been better so far this week. Upon arrival, she did not present any symptoms of S/I. The purpose to this session was to discuss with Ms. Broadnax her ISP goals and how to control her depressive symptoms that she is facing on a daily basis. Once QMHP-A arrived to the home, Ms. Broadnax appeared to be in a positive mood evident by her facial expression and her conversation with QMHP-A. QMHP-A began the session by discussing with Ms. Broadnax behavioral interventions skills building. QMHP-A assisted Ms. Broadnax in developing an awareness of her depressive thoughts and actions as it relates to her diagnosis. QMHP-A assisted Ms. Broadnax in developing healthy coping skills that minimize her tendency to isolate. QMHP-A then taught Ms. Broadnax 3-4 positive alternatives to practice to reduce depression and anxiety. QMHP-A encouraged her to implement these into her daily living when she is not having session with QMHP-A. Ms. Broadnax maintained a positive attitude throughout today’s session, displaying minor anxiety, distraught responses and apprehensive composure in regards to accomplishing goals in accordance to her treatment plan. Ms. Broadnax engaged in topic discussions, presented minor reluctance and presented objectionable rebuttal towards QMHP-As’ directives presented. Ms. Broadnax utilized breathing techniques to control her exasperation and did display some aggressive behavior or emotional trauma during today’s intervention process. Ms. Broadnax shared that she has been using the breathing techniques to not allow herself to hyperventilate when her emotions became too compelling to manage earlier which is why she called the QMHP-A. Ms. Broadnax acknowledged QMHP-A’s comment but held tight to her position that she wasn’t going to back down from her neighbors because she was tired of them. QMHP-A processed with Ms. Broadnax, explaining that coping thoughts are especially helpful when you first notice that you’re feeling agitated, nervous, angry, or upset. Ms. Broadnax agreed with QMHP-A and expressed that she did not use self-encouraging coping thoughts or self-monitoring to assist her with handling distressing situations.