Improving Lizzie's Emotional and Behavioral Regulation

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Goal 1: Lizzie will improve her emotional and behavioral regulation.

• Lizzie and her mother appeared to be in a good mood when the QP arrived for the session.
• Lizzie shouted, "respect, rules, and rewards."
• Lizzie focused of the 5Rs such as rules, responsibilities, rewards, rituals, and routines, but every time the QP tried to say and what the R was Lizzie would yell over the QP.
• Lizzie reflected on her mother throwing her baby brother a party which is a ritual for her mother to make all the decorations and bake the cake for each of their parties.
• Lizzie's mother commented, "Lizzie and her brother have limited responsibilities, but when I tell them to do something they argue back with me instead of getting it done."
• Lizzie acknowledged, Mama cleans my room" then Lizzie's mother admitted to going in her room to cleaning up because Lizzie plays in her room sometimes.
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• Lizzie's mother informed the QP that UNC TEACCH wrote her letter about scheduling an appointment for orientation to learn about the TEACCH program.
• Lizzie made slight progress with improving her emotional and behavioral regulation, as indicated by Lizzie reflecting on the 5Rs to have structure in her home and make it a happy place.

Goal 2: Lizzie will comply with the treatment recommendations of her medical and mental health providers.

• Lizzie was observed jumping on the QP, laying on her lap, and walking behind her while seated on the couch.
• Lizzie's mother informed her if she didn't stop she was going to have to go to her

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