Competency Goal 1

Goal 1: Christiana will stabilize her mood.

Christiana was in a good mood when the QP met with her for a session.
Christiana listened as the QP explained how good communication should be between the family members.
Christiana reflected on the QP describing each communication boulder for her to choose which boulders she uses.
Christiana informed QP that she uses sarcasm, her mother puts her down, crabby voice, hostile criticism, blame games, and dumping.
Christiana stated, "my mom says mean and hurtful things, but I don't let it bother me, but if I say hurtful things back to her she is ready to get into an argument with me."
Christiana acknowledged, "I cannot get my mother to do anything therapy related."
Christiana focused on how to play the C-Boulders game by cutting

out C-Boulder pieces and putting them in a bowl where everyone can find them, so whenever someone uses a C-Boulder in a conversation, the person listening gives him or her a C-Boulder piece, but if the offending person apologizes and says it again nicely he or she can put the boulder piece back.
Christiana made slight progress with stabilizing her mood, as indicated by Christiana acknowledging that she uses C-Boulders at home; however, she has agreed to reduce her usage and communicate in loving manner.

Goal 2: Christiana will prevent a crisis situation.

Christiana stated, "my sister doesn't listen to me at all when I tell her to do something then I end up having to tell her multiple times before she complies."
Christiana instructed her sister to go eat her breakfast; however, she refused saying she was scared to go into the kitchen, but the QP informed her if she went into the kitchen to eat herself the QP would check on her.
Christiana commented, "my mom told me the same thing I need to pick and choose my battles with her, but it is just no that easy" and the QP agreed it is not going to be easy for her to do it because of her skill set and age.
Christiana reported, "when I start counting backwards she will listen and stop doing what she is supposed to sometimes."
Christiana's sister was observed in her face several times and started spitting and would not stop; therefore, Christiana picked her up and put her out the room then they both start pushing back and forth on the

door.
Christiana's sister appeared crying but was able to sit on the stairs and calm down before she came back in the room.
Christiana and her sister listened as the QP shared it appears they aggravate in each other on purpose at times and they need to find out what is going to work for them to get through the day peacefully.
Christiana's sister commented, "she is harsh to me" because she heard the QP used the word during the communication boulder activity.
Christiana made slight progress with preventing a crisis situation, as indicated by Christiana and her sister not getting along which occurs daily and Christiana feels like she is the only one that punish when there is conflict.