                                                    Intake Note

Larch Counseling PLLC                                                           Date and Time: 10/14/2024 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                                Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                         Service Code:   90791
                                                                                Location:       Duvall Office
                                                                                Participants:   Client, mom



dummylink
Presenting Problem
Client has experienced trauma and the weight of parents divorce. Client has difficult time following directions and mother is concerned
that client could possible gave ODD. Client's mom would like client to learn more tools for self-soothing instead of thumb sucking

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Objective Content
Covered informed consent, confidentality.

Biopsychosocial Assessment
Identification:                           6, she/her
History of Present Problem:               since seperation
Psychiatric History:                      none
Trauma History:                           seperation of family
Family Psychiatric History:               will update later
Medical Conditions & History:             speech therapy
Current Medications:                      none
Substance Use:                            none
Family History:                           1 older sister, 1 older brother. Parents seperated, messy divorce. Child cries when at dads.
                                          Client behaves out of the ordinary when coming home from dad according to mom
Social History:                           friendly, has friends at school.
                                                                                                                              Page 1 of 2
                                                    Intake Note

Larch Counseling PLLC                                                             Date and Time: 10/14/2024 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                                  Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                           Service Code:   90791
                                                                                  Location:       Duvall Office
                                                                                  Participants:   Client, mom



 dummylink
Spiritual/Cultural Factors:               Christian
Developmental History:                    all normal. speech delayed
Educational/Vocational History:           1st grade, smart, does well in school
Legal History:                            none execpt the divorce for parents
SNAP:                                     Funny, smart, and kind
Other Important Information:              reviewed paperwork

Plan
Create treatment plan, meet with mom privately

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 10/24/2024 at 2:05 ᴘᴍ.




                                                                                                                                Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 10/17/2024 3:41 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Dr.Bowker Bowker
Relationship to Patient: PCP

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Sent ROI and opened lines of communication


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 10/17/2024 at 3:42 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 10/21/2024 12:00 ᴘᴍ - 1:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Mother; client not present



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Medications
none

Symptom Description and Subjective Report
Mom was engaged and present

Objective Content
Clincian finished intake with mother

Interventions Used
Exploration of Coping Patterns and Exploration of Relationship Patterns

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: No Progress

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: No Progress

   3. The clinician will show the client unconditioned positive regard
       Progress: No Progress



Plan
Continue current treatment plan

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 10/24/2024 at 8:51 ᴘᴍ.



                                                                                                                              Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 10/21/2024 3:28 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Phone

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Updated Dad on treatment plan going forward


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 10/21/2024 at 3:29 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                 Treatment Plan

Larch Counseling PLLC                                                           Date and Time: 10/24/2024 8:46 ᴘᴍ
Clinician: Danielle Smith, LMHCA
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Presenting Problem
Client has experienced trauma and the weight of parents divorce. Client has difficult time following directions and mother is concerned
that client could possible gave ODD. Client's mom would like client to learn more tools for self-soothing instead of thumb sucking

Treatment Goal
Client will have a safe place to regulate emotions, process and discuss emotions, and gain tools to help regulate big feelings in
everyday life. Client will learn self-soothing tools to help regulate emotions.

Objective 1
Client will be able to process emotions, identify
Estimated Completion: 6 months (4/24/2025)

Objective 2
Client will learn self-soothing and coping skills for when the client is experiencing big emotions
Estimated Completion: 6 months (4/24/2025)

Objective 3
The clinician will show the client unconditioned positive regard
Estimated Completion: 6 months (4/24/2025)

Prescribed Frequency of Treatment
Every 2 Weeks

I declare that these services are medically necessary and appropriate to the recipient's diagnosis and needs.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206 signed this note and declared
   this information to be accurate and complete on 10/24/2024 at 8:49 ᴘᴍ.




                                                                                                                          Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 11/11/2024 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present
Client and clinician processed different imaginary scenarios that weren't always age appropriate.
Clinician explored where the client was learning these things

Objective Content
Child and Clinician had imaginary plan led by the child
Built rapport

Interventions Used

                                                                                                                            Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 11/11/2024 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylinkof Emotions, Role-Play/Behavioral Rehearsal, and Supportive Reflection
Exploration

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: No Progress

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing



Plan
Build rapport
Continue current treatment plan
Assess imaginary play

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 11/13/2024 at 1:27 ᴘᴍ.




                                                                                                                             Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 11/13/2024 1:23 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Mother wanted a session summary from Monday Novemeber 11th. Sent summary session to both parents


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 11/13/2024 at 1:24 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                  Date and Time: 11/13/2024 1:24 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Mother asked for session summary from Novemeber 11th. Sent to both parents


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 11/13/2024 at 1:24 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 11/18/2024 12:00 ᴘᴍ - 1:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Dad; client not present



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Medications
none

Symptom Description and Subjective Report
Dad was engaged and present
Dad shared concerns about the client and goals for client

Objective Content
Clincian finished intake with dad.

Interventions Used
Exploration of Coping Patterns, Exploration of Emotions, Exploration of Relationship Patterns, Supportive Reflection, and
Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Not Addressed

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Not Addressed

   3. The clinician will show the client unconditioned positive regard
       Progress: Improved



Plan
Build rapport
Continue current treatment plan
Assess imaginary play

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus

                                                                                                                              Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                 Date and Time: 11/18/2024 12:00 ᴘᴍ - 1:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                      Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018               Service Code:   90837
                                                                      Location:       Duvall Office
                                                                      Participants:   Dad; client not present



dummylink
   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 11/25/2024 at 3:47 ᴘᴍ.




                                                                                                                     Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 11/25/2024 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present



Objective Content
Child and Clinician had imaginary plan led by the child
Built rapport

Interventions Used
Exploration of Emotions, Role-Play/Behavioral Rehearsal, and Supportive Reflection

                                                                                                                            Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 11/25/2024 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing



Plan
Build rapport
Continue current treatment plan
Assess imaginary play

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 11/25/2024 at 3:53 ᴘᴍ.




                                                                                                                             Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 12/9/2024 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present
Client shared recent choking incident with food, but didn't want to talk to much about it

Objective Content
Child and Clinician had imaginary plan led by the child
Built rapport

Interventions Used
Exploration of Emotions, Role-Play/Behavioral Rehearsal, and Supportive Reflection

                                                                                                                            Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 12/9/2024 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing



Plan
Build rapport
Continue current treatment plan
Assess imaginary play

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206 signed this note and declared
   this information to be accurate and complete on 12/11/2024 at 2:36 ᴘᴍ.




                                                                                                                            Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 1/6/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present
Client had a hard time answering any questions that clincian asked

Objective Content
Child and Clinician had imaginary plan led by the child
Client processed and worked through big feelings
Built rapport

Interventions Used

                                                                                                                          Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 1/6/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylinkof Emotions, Role-Play/Behavioral Rehearsal, and Supportive Reflection
Exploration

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing



Plan
Build rapport
Continue current treatment plan
Assess imaginary play

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 1/6/2025 at 7:38 ᴘᴍ.




                                                                                                                           Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 1/6/2025 4:00 ᴘᴍ - 5:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   DAD; client not present



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Medications
none

Symptom Description and Subjective Report
Dad was engaged and present
Dad shared concerns about the client and goals for client

Objective Content
Dad processed things he had been seeing and hearing at home with the client

Interventions Used
Exploration of Coping Patterns, Exploration of Emotions, Exploration of Relationship Patterns, Supportive Reflection, and
Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Not Addressed

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Not Addressed

   3. The clinician will show the client unconditioned positive regard
       Progress: Not Addressed



Plan
Create treatment plan, meet with mom privately

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus




                                                                                                                           Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                 Date and Time: 1/6/2025 4:00 ᴘᴍ - 5:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                      Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018               Service Code:   90837
                                                                      Location:       Duvall Office
                                                                      Participants:   DAD; client not present



dummylink
   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 1/6/2025 at 7:42 ᴘᴍ.




                                                                                                                  Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                       Date and Time: 1/6/2025 7:48 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    CPS
Relationship to Patient: CPS

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Clincian contacted CPS, for safety concerns regarding threats to my client. The threat included was "That the client would be thrown
off the balcony for not listening". Said by a new person the client is living with.

Case Contact: Sherry Jackson
#5581786


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 1/6/2025 at 7:50 ᴘᴍ.




                                                                                                                        Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 1/9/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   mom; client not present



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Medications
none

Symptom Description and Subjective Report
Met with mom to discuss goals about the client
Mom was able to share what she had been seeing at home

Objective Content
Clincian went over goals
Clincian reccomended that mom watch the content, and what she talks about it front of child (age-appropriate only)
Clinican reccomended that mom not speak ill of dad
Clinican and mom discussed setting boundaries, and developing a more stable rountine

Interventions Used
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Not Addressed

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Not Addressed

   3. The clinician will show the client unconditioned positive regard
       Progress: Not Addressed



Plan
Change treatment plan

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Change treatment goals or objectives
                                                                                                                           Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                Date and Time: 1/9/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                     Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018              Service Code:   90837
                                                                     Location:       Duvall Office
                                                                     Participants:   mom; client not present



dummylink
   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206 signed this note and declared
   this information to be accurate and complete on 1/13/2025 at 4:05 ᴘᴍ.




                                                                                                                 Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 1/9/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Dad and stepmom; client not present



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Medications
none

Symptom Description and Subjective Report
Client met with dad and step mother to go over things that have been seeing at their house that are a concern



Objective Content
Clincian went over goals
Clincian reccomended that dadwatch the content, and what she talks about it front of child (age-appropriate only)
Clinican reccomended that dad not speak ill of mom
Clinican and dad discussed setting boundaries, and developing a more stable rountine

Interventions Used
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Not Addressed

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Not Addressed

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing



Plan
Change treatment plan

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus
                                                                                                                                Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                 Date and Time: 1/9/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                      Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018               Service Code:   90837
                                                                      Location:       Duvall Office
                                                                      Participants:   Dad and stepmom; client not present



dummylink
   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 1/13/2025 at 4:07 ᴘᴍ.




                                                                                                                       Page 2 of 2
                                                 Treatment Plan

Larch Counseling PLLC                                                           Date and Time: 1/13/2025 4:11 ᴘᴍ
Clinician: Danielle Smith, LMHCA
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Diagnosis
F43.25          Adjustment disorder with mixed disturbance of emotions and conduct

Presenting Problem
Client has experienced trauma and the weight of parents divorce. Client has difficult time following directions and mother is concerned
that client could possible have ODD. Client's mom would like client to learn more tools for self-soothing instead of thumb sucking

Treatment Goal
Client will have a safe place to regulate emotions, process and discuss emotions, and gain tools to help regulate big feelings in
everyday life. Client will have stabilizationan and structure. Client will behave in age appropariate manners and not be burden with
adult things.

Objective 1
Client will be able to process emotions, identify
Estimated Completion: 6 months (7/13/2025)

Objective 2
Client will learn self-soothing and coping skills for when the client is experiencing big emotions
Estimated Completion: 6 months (7/13/2025)

Objective 3
The clinician will show the client unconditioned positive regard
Estimated Completion: 6 months (7/13/2025)

Objective 4
The client from the parents will be given structure and stabilization.

Objective 5
The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be around
age appropriate things

Prescribed Frequency of Treatment
Every 2 Weeks

I declare that these services are medically necessary and appropriate to the recipient's diagnosis and needs.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 1/13/2025 at 4:14 ᴘᴍ.




                                                                                                                          Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                         Date and Time: 1/17/2025 2:08 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Sent the following email to mom

Hello Veronika and Matthew,
I wanted to summarize what we discussed on January 9th, 2025. I spoke with you both at different times, and wanted to make sure
this information is available in case you need to refer back to it.
Our discussions included goals for Raina, while there might be more concerns brought up, we all agreed these are good starting
points.
1) Create stabilization and structure for Raina.
    It is the adults responsibility to create the structure for Raina. This can include consistent routines with school, transitions,
bedtime, etc. You can have different routines at each one of your homes, but they should be consistent and stable within your home. I
also recommend that each of you help Raina with making her nightly call to the other parent.
2) By creating stability and structure, Raina will hopefully be better able to manage big emotions, and reactive behaviors.
  It's the adults responsibility to hold boundaries for Raina and hold her accountable when she does have unwanted behavior. The
adults will more consistently hold boundaries without the use of yelling, or other fear reducing methods of behavior management. (We
are humans, when we do lose control such as yelling, repair is key here. Making sure to apologize, and having adults model
accountability)
3) Monitoring age appropriate content and discussions.
   Both mom and dad need to monitor what content Raina is watching or viewing. I would eliminate any access to the internet without
direct adult supervision. Discussions should be watched closely, and only age appropriate things discussed around Raina. Parents
should not be bad mouthing the other one, talking about grown up things. The goal is to not burden Raina with adult things and create
a safe environment for her to have loving and trusting relationships with both parents.
Let me know if you have any concerns or questions on this.
Danielle




                                                                                                                        Page 1 of 2
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 1/17/2025 2:08 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 1/17/2025 at 2:08 ᴘᴍ.




                                                                                                             Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                         Date and Time: 1/17/2025 2:08 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Sent the following email to dad

Hello Veronika and Matthew,
I wanted to summarize what we discussed on January 9th, 2025. I spoke with you both at different times, and wanted to make sure
this information is available in case you need to refer back to it.
Our discussions included goals for Raina, while there might be more concerns brought up, we all agreed these are good starting
points.
1) Create stabilization and structure for Raina.
    It is the adults responsibility to create the structure for Raina. This can include consistent routines with school, transitions,
bedtime, etc. You can have different routines at each one of your homes, but they should be consistent and stable within your home. I
also recommend that each of you help Raina with making her nightly call to the other parent.
2) By creating stability and structure, Raina will hopefully be better able to manage big emotions, and reactive behaviors.
  It's the adults responsibility to hold boundaries for Raina and hold her accountable when she does have unwanted behavior. The
adults will more consistently hold boundaries without the use of yelling, or other fear reducing methods of behavior management. (We
are humans, when we do lose control such as yelling, repair is key here. Making sure to apologize, and having adults model
accountability)
3) Monitoring age appropriate content and discussions.
   Both mom and dad need to monitor what content Raina is watching or viewing. I would eliminate any access to the internet without
direct adult supervision. Discussions should be watched closely, and only age appropriate things discussed around Raina. Parents
should not be bad mouthing the other one, talking about grown up things. The goal is to not burden Raina with adult things and create
a safe environment for her to have loving and trusting relationships with both parents.
Let me know if you have any concerns or questions on this.
Danielle




                                                                                                                        Page 1 of 2
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 1/17/2025 2:08 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 1/17/2025 at 2:09 ᴘᴍ.




                                                                                                             Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 1/20/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present
Client was able to answer some questions with new structure
Client shared recent incidence with biting her brother
Client shared what she thought of each of family member

Objective Content
Client and clinician played with dolls to illustrate each family member

Interventions Used

                                                                                                                           Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 1/20/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: No Progress

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: No Progress



Plan
Continue treatment plan
consent book

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 1/22/2025 at 3:45 ᴘᴍ.




                                                                                                                            Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 2/3/2025 2:00 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Email

Reason for Communication
Check in

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Emailed dad over concerns for client


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/3/2025 at 2:01 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                  Progress Note

Larch Counseling pllc                                                         Date and Time: 2/5/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Telehealth
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present
Client was able to talk about something bothering her with her dad, client was fearful that she would never see her dad again

Objective Content
Client processed why she felt that way about her dad
Client shared what she watches on TV
Client and clinician played ice cream shop per clients request

Interventions Used

                                                                                                                          Page 1 of 2
                                                  Progress Note

Larch Counseling pllc                                                          Date and Time: 2/5/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Telehealth
                                                                               Participants:   Client only



dummylink
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: Progressing

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: Progressing



Plan
Continue treatment plan
consent book

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/6/2025 at 2:35 ᴘᴍ.




                                                                                                                           Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 2/6/2025 5:19 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    CPS
Relationship to Patient: CPS

Method of Communication
Phone

Reason for Communication
Check in

Billing Information
Time spent: 3 minutes
The patient will not be billed for this communication.

Communication Details
CPS called my personal line on 2/6 at 3:11. We talked for 2 mins and 27 seconds. Questions were asked about client's wellbeing.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/6/2025 at 5:22 ᴘᴍ.




                                                                                                                      Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                         Date and Time: 2/6/2025 5:22 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Emailed mom about concerns I had about client. Email below



Hello,
I wanted to let you both know of something concerning Raina brought up in our last session.
Raina mentioned to me that she was "really worried", and that "she was going to miss dad so much". When I asked her what she
meant by this, she said "She was scared that she wasn't going to see dad ever again". I reassured her that she would always have a
relationship with dad and asked her what made her think this. She responded "I don't know, I just can't stop thinking about it".
I would love any insight from either of you, of what could possibly spark this thought?
One of the things I talked about with both of you, is creating stability between the homes. Making sure Raina knows and gets
reassurance from both of her parents, that she will have a loving and stable relationship with each of her parents is key here. I would
ask that each of you just reiterate that to her.
Please let me know if you have any questions or insights. I will keep working with Raina on this. :)
Thanks!
Danielle


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/6/2025 at 5:22 ᴘᴍ.




                                                                                                                           Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                         Date and Time: 2/6/2025 5:22 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Emailed dad about concerns over client. Email below



Hello,
I wanted to let you both know of something concerning Raina brought up in our last session.
Raina mentioned to me that she was "really worried", and that "she was going to miss dad so much". When I asked her what she
meant by this, she said "She was scared that she wasn't going to see dad ever again". I reassured her that she would always have a
relationship with dad and asked her what made her think this. She responded "I don't know, I just can't stop thinking about it".
I would love any insight from either of you, of what could possibly spark this thought?
One of the things I talked about with both of you, is creating stability between the homes. Making sure Raina knows and gets
reassurance from both of her parents, that she will have a loving and stable relationship with each of her parents is key here. I would
ask that each of you just reiterate that to her.
Please let me know if you have any questions or insights. I will keep working with Raina on this. :)
Thanks!
Danielle


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/6/2025 at 5:23 ᴘᴍ.




                                                                                                                           Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 2/7/2025 12:42 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Phone

Reason for Communication
Treatment coordination

Billing Information
Time spent: 20 minutes
The patient will not be billed for this communication.

Communication Details
Spoke with Father via the phone over concerns about the client


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/7/2025 at 12:42 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 2/10/2025 1:37 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Emailed parens over concerns that occured over the weekend


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/10/2025 at 1:37 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 2/10/2025 4:17 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    CPS
Relationship to Patient: CPS

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Clincian reached out to update CPS after being made aware of some concerns by father. CPS called clinican last week, and at the
time clincian did not have answers to the questions they were asking.

Case Contact Keri Thornhill
Number- 5619864


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/10/2025 at 4:18 ᴘᴍ.




                                                                                                                     Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                             Date and Time: 2/13/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                                  Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                           Service Code:   90837
                                                                                  Location:       Duvall Office
                                                                                  Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present and happy to be in therapy
Client acted out how each adult handles conflict in family when she gets in trouble with puppets. During this she showed that mother's
partner yells at her, tells her to turn around, and repeatly spanks her behind.

Objective Content
Client explored how each of her adults make her feel when shes in trouble
Client and clincian worked on ways to understand what we are feeling

Interventions Used

                                                                                                                               Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 2/13/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: Regressed

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: No Progress



Plan
Continue treatment plan
more exploring emotions
comfort corner

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/14/2025 at 2:04 ᴘᴍ.




                                                                                                                            Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                         Date and Time: 2/14/2025 2:07 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
In Person

Reason for Communication
Safety issues

Billing Information
Time spent: 15 minutes
The patient will not be billed for this communication.

Communication Details
Disclosed to dad about puppet information. That raina demonstared that Collin spanks her when she is trouble.

At this time not disclosing to mom, due to escalation of safety concerns by partner.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/14/2025 at 2:08 ᴘᴍ.




                                                                                                                 Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 2/14/2025 2:08 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    CPS
Relationship to Patient: CPS

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Spoke to CPS on 2/14/2025. Clinician followed up with questions about bruises. Clinician disclosed the use of corporal punishment by
mom's partner. Clinician stated that client said mom/dad/step mom do not use spanking as a punishment only mom's partner.

Case number-5621715
Contact-Vinjo Chow


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/14/2025 at 2:11 ᴘᴍ.




                                                                                                                       Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 2/17/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present
Client shared that she did not want clinician telling her mom about spankings in fear of being in trouble
Client used puppets to show how she feels sad when she leaves her dad house, and asked clincian directly "why she has to leave
dad"
Client used puppets to show how she is disciplined client stated "all my mom does is yell at me and doesnt play with me"

Objective Content
Client used play as a way to show her emotions
Client acted out with puppets each emotions, and gave examples of each


                                                                                                                           Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 2/17/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Interventions Used
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: Regressed

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
       around age appropriate things
       Progress: Progressing



Plan
Continue treatment plan
more exploring emotions
comfort corner
Thumb sucking

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/28/2025 at 10:27 ᴀᴍ.




                                                                                                                            Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                   Date and Time: 2/17/2025 3:16 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Dan Clausen
Relationship to Patient: Therapist

Method of Communication
In Person

Reason for Communication
Safety issues

Billing Information
Time spent: 20 minutes
The patient will not be billed for this communication.

Communication Details
Discussed with supervisor/owner Dan Claussen about CPS called, and how to proceed with both parents.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/17/2025 at 3:17 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 2/17/2025 3:17 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Jessica MIlian
Relationship to Patient: therapist

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 20 minutes
The patient will not be billed for this communication.

Communication Details
Spoke with Jessica Milian (Supervisor) on 2/13 for 20 minutes to consult on CPS call and how to handle the situation with mom.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/17/2025 at 3:20 ᴘᴍ.




                                                                                                                       Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                  Date and Time: 2/24/2025 1:45 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Emailed both mom and dad treatment reccomendations. Mom responded by telling me she did not agree. Dad responded in
agreement.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/24/2025 at 1:46 ᴘᴍ.




                                                                                                                Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                     Date and Time: 2/28/2025 10:23 ᴀᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Jessica Milian
Relationship to Patient: Clincian Supervisor

Method of Communication
In Person and Zoom

Reason for Communication
Treatment coordination

Billing Information
Time spent: 25 minutes
The patient will not be billed for this communication.

Communication Details
Clincian spoke with Jessica Milian (Supervisor) on 2/27 about how to proceed with Mom's email and gudiance on CPS call.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/28/2025 at 10:24 ᴀᴍ.




                                                                                                                    Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 2/28/2025 12:05 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    CPS
Relationship to Patient: CPS

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Spoke to CPS on 2/28. Clincian reported more information after the recent CPS call. Clincian was advised to make an informational
report from her supervisor Jessica.

Intake Number 5629627


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 2/28/2025 at 12:06 ᴘᴍ.




                                                                                                                      Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                            Date and Time: 3/3/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                                 Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                          Service Code:   90837
                                                                                 Location:       Duvall Office
                                                                                 Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged, but disregulated a few times through out our session.
Clinician was approached by mom in the lobby. Mom shared that client hasnt been sleeping well, and is lying. When client came into
room, she repeatedly say "all i do is lie, I am liar", and "I am not good".
Clinician asked client if client lies to her, client shared "she has, and that it isnt Collin who spanks her, but her mom". Client shared
that mom had spanked her the night before. Client said she lied for mom to not get in trouble.
Client also shared that "my mom doesn't play with me like this, she never has"

Objective Content
Client used play as a way to show her emotions
Client acted out with puppets each emotions, and gave examples of each
                                                                                                                               Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 3/3/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Interventions Used
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: No Progress

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
       around age appropriate things
       Progress: No Progress



Plan
Continue treatment plan
more exploring emotions
bedtime chart
follow up with Jessica for guidance on spankings

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/5/2025 at 8:47 ᴘᴍ.




                                                                                                                           Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 3/7/2025 1:52 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Jessica Milian
Relationship to Patient: Therapist

Method of Communication
Zoom

Reason for Communication
Treatment coordination

Billing Information
Time spent: 30 minutes
The patient will not be billed for this communication.

Communication Details
Clincian spoke with supervisor over new safety concerns after interactions with both client and mother on Monday 3/3/2025.
Supervisor advised clincian to reach to DCYFS and speak directly to the client's case worker.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/7/2025 at 1:54 ᴘᴍ.




                                                                                                                       Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                       Date and Time: 3/7/2025 1:54 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Dan Clausen
Relationship to Patient: Supervisor

Method of Communication
Phone

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Clincian reached out to Dan Claussen for gudiance on emailing with social worker, and protocol.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/7/2025 at 1:55 ᴘᴍ.




                                                                                                              Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 3/7/2025 2:05 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    CPS (DCYF)
Relationship to Patient: CPS

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 7 minutes
The patient will not be billed for this communication.

Communication Details
Spoke with the woman from DCYF that orginally called me. Was told to relay new information to client's social worker Gracey
Pearson by email instead of calling the intake line. The woman said to call the intake line if anything was critical.

Gracey Pearson
gracey.pearson@dcyf.wa.gov
425-515-5925


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/7/2025 at 2:08 ᴘᴍ.




                                                                                                                      Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                       Date and Time: 3/7/2025 2:10 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Gracey Pearson
Relationship to Patient: DCYF

Method of Communication
Email

Reason for Communication
Safety issues

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Clincian emailed Gracey Pearson to find out if emailing new information was the correct process.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/7/2025 at 2:10 ᴘᴍ.




                                                                                                              Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                    Date and Time: 3/7/2025 2:40 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Gracey Pearson
Relationship to Patient: DCYF

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Talked to Gracey (social worker) with DCYF about process with new information. She informed me to send her an email with new
information, but if anything was urgent I could call the intake line.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/7/2025 at 2:42 ᴘᴍ.




                                                                                                                    Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                           Date and Time: 3/7/2025 2:42 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Gracey Pearson
Relationship to Patient: DCYF

Method of Communication
Email

Reason for Communication
Safety issues

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Clincian sent email on 3/7 to Gracey Pearson addressing new safety concerns that Raina shared with me on Monday 3/3. Email is
below.

Hi Gracey,
Thank you again for taking my call. I saw Raina on Monday 3/3/2025 where she shared new information with me.
Raina entered my office telling me "I am a bad kid, all I do is lie. I am bad" She shared that mom yells at her all the time, tells her she
is lying, and spanks her. When asked how often she gets spanked, Raina replied with " a lot." Raina also said that at her dads house
she is never spanked.
Raina has also asked me questions "why she has to leave dads house", and made statements that "mom doesn't play with her".
It should be noted that I have not spoken to mom about the use of corporal punishment with Raina. After my interactions with both
Raina and mom I have increased concerns of how that information will be used. For that reason I have not talked to the mom about
any new information that has been shared with me.
Thanks for your time! Let me know if you have any other questions.
Danielle



   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/7/2025 at 2:43 ᴘᴍ.




                                                                                                                              Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 3/10/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   dad; client not present



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Medications
none

Symptom Description and Subjective Report
Dad was engaged and present
Dad shared concerns about the client and goals for client
Clincian shared updates on client

Objective Content
Dad processed things he had been seeing and hearing at home with the client

Interventions Used
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: No Progress

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: No Progress

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
       around age appropriate things
       Progress: No Progress



                                                                                                                            Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                 Date and Time: 3/10/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                      Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018               Service Code:   90837
                                                                      Location:       Duvall Office
                                                                      Participants:   dad; client not present



dummylink
Plan
Continue treatment plan
more exploring emotions
bedtime chart
follow up with Jessica for guidance on spankings

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/10/2025 at 9:36 ᴘᴍ.




                                                                                                                   Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                         Date and Time: 3/13/2025 8:33 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Phone

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Father reached to clincian over billing and other concerns he had for the client. Father reported teacher concern over client's learning.
Father reported that he was worried about the client missing school next week when she is already struggling.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/13/2025 at 8:39 ᴘᴍ.




                                                                                                                           Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 3/13/2025 8:34 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Jessica Millian
Relationship to Patient: Therapist

Method of Communication
Zoom

Reason for Communication
Treatment coordination

Billing Information
Time spent: 30 minutes
The patient will not be billed for this communication.

Communication Details
Discussed client's case with clincial supervisor.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/13/2025 at 8:35 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 3/17/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present. Client was regulated all of session.
Client shared again that "mom spanks me, but not collin". Client said "she has done it more then a few times"
Client explored family, and shared that "she doesn't like collin, but likes monica but has to pretend she doesn't when she is with
mom".
When playing family, client came up with scenario that dad would leave and it would all happen in court, when clincian asked client if
this pretend play related to her life client said" yes but she did not want to talk about it because it doesn't make her feel good".
Client also shared that her mom told her "the lepurchaun was mean and scary" client said she was scared to go anywhere by herself
because of this.

Objective Content
                                                                                                                           Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 3/17/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Client used play as a way to show her emotions
Client used pretend play to help navigate her own story

Interventions Used
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: No Progress

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: No Progress

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: No Progress



Plan
Continue treatment plan
more exploring emotions
follow up with mom on language around step parents

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/19/2025 at 3:48 ᴘᴍ.




                                                                                                                            Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 3/27/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client, stepmom



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present. Client asked for extra session this week to talk. Client also asked for stepmom to be in the room
with us.
Client shared "mom is getting an RV from a man I have to call grandpa", Client stated that "the grandpa tries to hug her and she
doesn't want to be hugged. That he is creepy and gross." Client shared that she couldn't share this with mom because she will be
mad, and still make her hug him. Client repeatedly asked me to not talk to mom about this. Client also stated" That he has tried to kiss
me on the lips, but i told him no. But he doesn't listen" Client stated "i don't want to live next to him"


Client also shared "mom was watching the TV show Wednesday, and when i told her it was to scary she ignored me"

Objective Content
                                                                                                                           Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 3/27/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client, stepmom



dummylink
Client processed what it means to move somewhere she doesn't want to
Client and clinician worked on ways to advocate for ourselves when we don't want hugs or kisses with phrases such as "No thank
you, I am not in the mood to hug"

Interventions Used
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: Regressed

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: No Progress



Plan
Continue treatment plan
more exploring emotions


Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/31/2025 at 4:29 ᴘᴍ.




                                                                                                                            Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 3/31/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present
Client made it clear she didn't want to talk today but wanted to play since mom brought her
Clinician started singing "you are my sunshine" when playing with the dolls, client made it very clear she dint want that song sung and
told clinician "mom sings me this song"

Objective Content
Client used play as a way to show her emotions



Interventions Used
                                                                                                                           Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 3/31/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: No Progress

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: Regressed

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: No Progress



Plan
Continue treatment plan
more exploring emotions


Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/31/2025 at 4:31 ᴘᴍ.




                                                                                                                            Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                       Date and Time: 3/31/2025 4:32 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Client received call from dad 10 minutes before session on Thursday 3/27. Dad said that mom's car was parked in front of our offices
and Raina was refusing to come in because mommy had showed up. Clinician went outside to talk to Raina, to tell her that we were
safe, mommy wasn't in the building and reassure her that mom would not be coming. Clinician also offered to lock lobby door, and
office door that way mom wouldn't be able to enter the building. Raina agreed to this, but wanted to check the building to make sure
once inside and it was locked. Throughout the session if she heard a noise she would ask me make sure it wasn't her mom.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/31/2025 at 4:34 ᴘᴍ.




                                                                                                                        Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 3/31/2025 4:34 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 25 minutes
The patient will not be billed for this communication.

Communication Details
Clincian spoke with dad on Friday 3/28 to address safety concerns regarding Raina's living arrangements.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/31/2025 at 4:35 ᴘᴍ.




                                                                                                              Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 3/31/2025 4:35 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Dan Claussen
Relationship to Patient: Therapist

Method of Communication
Phone

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Clincian spoke with supervisor on 3/28 to address safety concerns, of mom being parked outside the front on Thursday. Supervisor
advised clincian to reach out to Gracie at DCYF.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/4/2025 at 2:13 ᴘᴍ.




                                                                                                                      Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                           Date and Time: 3/31/2025 4:36 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Gracey Pearson
Relationship to Patient: DYFS

Method of Communication
Email

Reason for Communication
Safety issues

Billing Information
Time spent: 15 minutes
The patient will not be billed for this communication.

Communication Details
Clincian emailed Gracey with DCYF to share new details of living situation with Raina. Email is below;

Awesome thank you. Raina asked last week to speak with me, (it was our off week from therapy), her dad made an appointment for
Thursday 3/27. Ten minutes before our session her father called my line, and said Raina was freaking out because her mom's car
was parked out front (I can't confirm this, as I don't know what the mom drives) but Raina was able to describe the car out front
perfectly. I had to go outside to Raina's car, to provide reassurance that her mom was not in our building and that she would not be
allowed in our building. I even went as far as saying I would lock the main lobby office door, so that no one else could enter our
building (I was the only therapist left for the night). With my reassurance, Raina did enter our building as long as I locked the door.
Throughout our session if she heard a noise she would ask me to go make sure mom hadn't come in, which I did.
She then shared with me that mom knew a man she called "grandpa" but isn't her actual grandpa was buying them a RV to live on his
land. She shared that the man always wants hugs from her but she doesn't want to give him hugs, because he's creepy and gross.
She also shared that he has tried to kiss her on the lips but she told him she doesn't like that or not but he still tries. She told me she
doesn't want to live next to this man in the RV.
She also asked repeatedly for me to not tell mom about this. That I could only speak about it with dad and stepmom because she
doesn't want mom to get mad. This concerns me as a professional but also makes it difficult because I don't want to ask mom about
my concerns, in fear that the blame will be put on Raina.
Thank you again for your time. Let me know if you have any questions or if I should relay this information somewhere else.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/31/2025 at 4:37 ᴘᴍ.




                                                                                                                             Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 3/31/2025 4:37 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
SMS/Text

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Clincian texted dad update on safety concerns on Monday 3/31. Clincian let dad know that she had emailed Gracey for living
concerns


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 3/31/2025 at 4:38 ᴘᴍ.




                                                                                                                      Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                    Date and Time: 4/4/2025 2:11 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Gracey Pearson
Relationship to Patient: DCYF

Method of Communication
Email

Reason for Communication
Safety issues

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Emailed Gracey with new information regarding mom parked out front situation. Confirmed it was mom through sibling. Gracey was
updated.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/4/2025 at 2:12 ᴘᴍ.




                                                                                                                    Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                        Date and Time: 4/4/2025 2:13 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Phone and Email

Reason for Communication
Safety issues

Billing Information
Time spent: 30 minutes
The patient will not be billed for this communication.

Communication Details
Client's father asked to speak to clincian on 4/3/2025. Clincian spoke with father for 30 minutes along with stepmom Monica. Client's
father shared that Raina had stayed two extra nights at their house. During this time Raina's behavior was great. They also shared
that Raina that morning had told them "I made my decision, I want to live here with you guys".


They also shared that Monica went to a baseball game where all parties were at. They shared that Raina got in trouble for talking to
Monica, and when Raina asked if she could stay an extra night at her dad, mom said yes.They reported after that Raina said she
would cuddle her mom the next night, and her mother said "we will see about that". They were concerned about using
cuddles/connection as a weapon.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/4/2025 at 2:18 ᴘᴍ.




                                                                                                                         Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 4/4/2025 2:18 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Clinician received an email from mom worried about behavior at bed time, and Raina using emotional manipulation against her.
Clincian texted mom and let her know she would respond to email once she was back in the office.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/4/2025 at 2:21 ᴘᴍ.




                                                                                                                     Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                       Date and Time: 4/4/2025 2:21 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Jessica Milian
Relationship to Patient: Supervisor

Method of Communication
Zoom

Reason for Communication
Treatment coordination

Billing Information
Time spent: 55 minutes
The patient will not be billed for this communication.

Communication Details
Clincian went over the conversations she had the following week with mom, dad, Gracey with Supervisor to best support this family.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/4/2025 at 2:22 ᴘᴍ.




                                                                                                                       Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 4/6/2025 6:17 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
SMS/Text

Reason for Communication
Check in

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Mother texted me that she was a good parent and sent me four videos of her children.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/6/2025 at 6:18 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                         Date and Time: 4/6/2025 6:18 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 30 minutes
The patient will not be billed for this communication.

Communication Details
Dad asked to speak on a phone call with me on 4/4. He told me it was urgent. Dad told me that during school pick up, the mother
came up to him asking why he called he CPS. He told her he didn't. He said that he felt she was trying to intimidate him with her
fiance Collin present. He said he had to get school officials to get involved to ask her to leave, as well as calling the police. He
described this situation as unhinged and stated he would be filing a protection order against her and Collin. He wanted to relay this
information bout of safety concerns for myself.

Dad also shared that his other two children told him the night before that Raina was slapped across the face, spanked, and thrown
against the door.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/6/2025 at 6:22 ᴘᴍ.




                                                                                                                           Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                          Date and Time: 4/6/2025 6:22 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Gracey Pearson
Relationship to Patient: DCYF

Method of Communication
Email

Reason for Communication
Safety issues

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Clincian emailed Gracey on 4/6 with updated concerns about the Father's information. The email is below:

Good Evening Gracey,
Hopefully this will be my last email to you! Thanks again for taking the time to read all my emails and be supportive of this family.
Raina's father called me on Friday night to notify me of a couple different things. He told me that the children told him (all second
hand information at this point), that Veronika spanked, slapped and threw Raina against the door the night prior. I am meeting with
Raina tomorrow, so I will be curious if this is something she brings up in our session.
Lastly, I know there was an altercation at school with the parents. Involving who called DCYF, since it was my email that reopened all
this I just wanted to ask if my name will be given to Veronika. I understand that's not your choice, I just want to make sure I am taking
any safety precautions as this seems to be escalating.
Thank you again for all your time and dedication.
Danielle


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/6/2025 at 6:23 ᴘᴍ.




                                                                                                                             Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                     Date and Time: 4/6/2025 6:25 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Jessica Milian and Dan Claussen
Relationship to Patient: Supervisors

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 25 minutes
The patient will not be billed for this communication.

Communication Details
On friday 4/4 clincian spoke with both Jessica Milian and Dan Claussen for supervison related to all the new information given.
Clincian was advised to reach out to Gracey again about physical punishment being used by mom. Supervisors also helped clinican
address any safety concerns within the office.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/6/2025 at 6:27 ᴘᴍ.




                                                                                                                    Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 4/7/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client, monica step mom



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged, but really did not want to talk today. In the first 4 minutes of our session the client immediately shared a small
spot on her chest where she says "mommy did this to me". When asked about it client had a hard time answering.
The client eventually shared that "mom had spanked her multiple times, and slapped her across the face when she wouldn't go to
bed"

Objective Content
Client engaged in play with the client to build trust

Interventions Used

                                                                                                                            Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 4/7/2025 1:00 ᴘᴍ - 2:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client, monica step mom



dummylink
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Progressing

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: No Progress

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: No Progress



Plan
Continue treatment plan
more exploring emotions


Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/7/2025 at 7:48 ᴘᴍ.




                                                                                                                           Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 4/7/2025 7:50 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Gracey Pearson
Relationship to Patient: DCYF

Method of Communication
Email

Reason for Communication
Safety issues

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Clincian followed up with Gracey after client confirmed without prompt that "mommy spanked me and slapped me across the face".
Email below:

Hi again :)
Follow up, within 4 minutes of our session Raina shared a spot on her chest (it was very hard for me to see anything), and stated
"mommy did this to me". She then shared with me without prompting from me that "mommy spanked me and slapped me across the
face".
Once again thank you! I really appreciate it.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/7/2025 at 7:51 ᴘᴍ.




                                                                                                                     Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                            Date and Time: 4/7/2025 8:00 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Clincian emailed mom back about bedtime concerns. Email is below

Hi Veronika,
It sounds like bedtime is really difficult. I think there is a lot going on right now, and I imagine Raina can feel that. When it comes to
bedtime it sounds like you are doing the things I would want you to do. Bedtime charts, reading, songs, cuddling, etc. I will be honest
with you, I am not a fan of corporal punishment used on children for a desired behavior. While not illegal, research suggests it can
have damaging effects on a child's behaviors. As a parent myself, I understand the frustration but I believe it's important to set the
example of being able to remain calm and firm without escalating our own behavior.
 A couple things come to mind here: do you guys have an awake/sleep clock? A lot of time this helps with early risers but might help
with Raina. It's a clock that you can set times it will turn red when the child should stay in their bed and green when they can come out
(this obviously excludes times when the child might be sick or have a nightmare).
I would also suggest setting the expectation with Raina an hour in advance, such as "we are all going to play UNO, but after its
bedtime" or "Raina you have an hour before bed, is there anything you want to do before we put our bodies to sleep?"
I would also limit all screen time at least an hour before bed as well.
I would keep maintaining this boundary in a calm and consistent way. No negotiating, if she comes out of bed, walk her back to bed,
and repeat the bedtime message "It's time for our bodies to get some rest, so we can have a fun day tomorrow".
Let me know if you have any more questions or any concerns!
Danielle


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/7/2025 at 8:00 ᴘᴍ.




                                                                                                                                Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                       Date and Time: 4/14/2025 2:54 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Clincian emailed with mom letting her know her concerns of meeting with Collin over bedtime issues. Clincian recieved supervision on
this matter, and was advised that she could meet with him but to keep it related to bedtime. Also remind parents, the primary parents
are the ones we want over seeing bedtime, connection, structure, boundaries, etc.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/14/2025 at 2:55 ᴘᴍ.




                                                                                                                        Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                        Date and Time: 4/14/2025 2:55 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Matthew Ralidak
Relationship to Patient: Father

Method of Communication
Phone

Reason for Communication
Safety issues

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Clincian spoke with dad about restraining order against client's mother and collin. Dad sent over the paperwork.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/14/2025 at 2:56 ᴘᴍ.




                                                                                                                   Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                    Date and Time: 4/14/2025 2:56 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment coordination

Billing Information
Time spent: 10 minutes
The patient will not be billed for this communication.

Communication Details
Mom emailed several times after recieving restraining order and texted phone. Mom had to cancel appointment for Raina on Monday
4/14. Clincian reached out to dad who is going to bring her in.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/14/2025 at 2:57 ᴘᴍ.




                                                                                                                   Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                       Date and Time: 4/14/2025 2:58 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Jessica Milian
Relationship to Patient: Supervisor

Method of Communication
Zoom

Reason for Communication
Treatment coordination

Billing Information
Time spent: 25 minutes
The patient will not be billed for this communication.

Communication Details
Clincian recieved supervision from supervisor where she was able to ask questions surrounding Collin and the client.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/14/2025 at 2:58 ᴘᴍ.




                                                                                                                       Page 1 of 1
                                                 Treatment Plan

Larch Counseling PLLC                                                           Date and Time: 4/14/2025 2:59 ᴘᴍ
Clinician: Danielle Smith, LMHCA
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Diagnosis
F43.25          Adjustment disorder with mixed disturbance of emotions and conduct

Presenting Problem
Client has experienced trauma and the weight of parents divorce. Client has difficult time following directions and mother is concerned
that client could possible have ODD. Client's mom would like client to learn more tools for self-soothing instead of thumb sucking

Treatment Goal
Client will have a safe place to regulate emotions, process and discuss emotions, and gain tools to help regulate big feelings in
everyday life. Client will have stabilizationan and structure. Client will behave in age appropariate manners and not be burden with
adult things.

Objective 1
Client will be able to process emotions, identify
Estimated Completion: 6 months (10/14/2025)

Objective 2
Client will learn self-soothing and coping skills for when the client is experiencing big emotions
Estimated Completion: 6 months (10/14/2025)

Objective 3
The clinician will show the client unconditioned positive regard
Estimated Completion: 6 months (10/14/2025)

Objective 4
The client from the parents will be given structure and stabilization.

Objective 5
The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be around
age appropriate things

Prescribed Frequency of Treatment
Every 2 Weeks

I declare that these services are medically necessary and appropriate to the recipient's diagnosis and needs.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/14/2025 at 3:00 ᴘᴍ.




                                                                                                                          Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 4/14/2025 3:00 ᴘᴍ - 4:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client only



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present but struggled talking. Client shared at one point really missing her mom. When clincian asked what
part she said all of her mom. Client shared though she was enjoying being at dads, she just wanted to be able to talk to mom.
Clincian asked about the "you are my sunshine" song, and client shared that she doesnt like the song because its the one mom sings.
Client shared that she gets nervous to share things in fear mom will be mad.
Client told the clincian today "she doesnt trust me anymore"

Objective Content
Client engaged in play with the client to build trust

Interventions Used
                                                                                                                           Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 4/14/2025 3:00 ᴘᴍ - 4:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client only



dummylink
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Maintained

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Maintained

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: Progressing

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: Progressing



Plan
Continue treatment plan
more exploring emotions
Trust?


Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/14/2025 at 8:21 ᴘᴍ.




                                                                                                                            Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 4/16/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Mom, and mom's partner Collin; client not present



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Medications
none

Symptom Description and Subjective Report
Mom asked clinician to meet with both her and partner to discuss bedtime. Mom was emotional and upset after everything that had
happened with restraining order and not seeing her children.


Mom and partner laid out the night of bedtime that transpired- Mom believes that Raina came home from dad and is dsyregulated.
Mom stated there no calming her down, screaming, screaming on the toilet. Mom did normal bedtime routine but eventually had to
take a break because Raina wouldn't stop screaming. Eventually mom lost control spanked Raina and told her to "get the fuck out"
from that point Alora came out screaming "to not hit her sister". Mom stepped away. Collin took over, and laid with them, and talked to
each of them and eventually got them both to calm down and sleep.
Mom showed remorse for her behavior
Alora shared that night that she was worried mom was going to lose custody.

Objective Content
Clinician went over bedtime strategies with mom and boyfriend
Clinician discussed the use of corporal punishment and the importance of remaining calm, and setting the example.

Interventions Used
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Not Addressed

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: Not Addressed

   3. The clinician will show the client unconditioned positive regard
       Progress: Not Addressed

                                                                                                                                 Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 4/16/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Mom, and mom's partner Collin; client not present



dummylink
  4. The client from the parents will be given structure and stabilization.
       Progress: Not Addressed

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: Deferred



Plan
Continue current treatment plan
Connect with Raina on bedtime

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/17/2025 at 4:02 ᴘᴍ.




                                                                                                                                Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                 Date and Time: 4/21/2025 8:00 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Jessica Milian
Relationship to Patient: Supervisor

Method of Communication
Zoom

Reason for Communication
Treatment coordination

Billing Information
Time spent: 55 minutes
The patient will not be billed for this communication.

Communication Details
Discussed with Jessica Milian on 4/21/2025 the client's case


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/21/2025 at 8:01 ᴘᴍ.




                                                                                                             Page 1 of 1
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 4/21/2025 8:01 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Dan Claussen
Relationship to Patient: Director

Method of Communication
Phone

Reason for Communication
Treatment coordination

Billing Information
Time spent: 30 minutes
The patient will not be billed for this communication.

Communication Details
Clinician had phone call on 4/21/2025 with Dan Claussen, Jessica Milian, and Mario Gasper to discuss client's case and coordinate
treatment planning


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 4/21/2025 at 8:02 ᴘᴍ.




                                                                                                                      Page 1 of 1
                                                  Progress Note

Larch Counseling PLLC                                                         Date and Time: 5/1/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                              Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                       Service Code:   90837
                                                                              Location:       Duvall Office
                                                                              Participants:   Client, Stepmom, partime



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client reported that she misses mom and is confused. Client reported that she likes being at dad's thought because she no longer
has spanks or yelling at her. Client says she no longer has to hear her mom called her "bad". Client called stepmom, "mom"
throughout our session.

Objective Content
Client did sand tray with clinician and created a story/scene where the mom was bad and died. Client said everything is ruined.

Interventions Used


                                                                                                                          Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 5/1/2025 7:00 ᴘᴍ - 8:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client, Stepmom, partime



dummylink
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: No Progress

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: Progressing

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: Progressing



Plan
Continue current treatment plan
Listening

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 5/8/2025 at 2:52 ᴘᴍ.




                                                                                                                           Page 2 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 5/14/2025 6:00 ᴘᴍ - 7:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client, Step-mom second half



dummylink

Diagnosis
F43.25         Adjustment disorder with mixed disturbance of emotions and conduct

Current Mental Status
Orientation:                               X3: Oriented to Person, Place, and Time
General Appearance:                        Appropriate
Dress:                                     Appropriate
Motor Activity:                            Unremarkable
Interview Behavior:                        Appropriate
Speech:                                    Normal
Mood:                                      Euthymic
Affect:                                    Congruent
Insight:                                   Excellent
Judgment/Impulse Control:                  Excellent
Memory:                                    Intact
Attention/Concentration:                   Good
Thought Process:                           Unremarkable
Thought Content:                           Appropriate
Perception:                                Unremarkable
Functional Status:                         Intact

Risk Assessment
Patient denies all areas of risk. No contrary clinical indications present.

Medications
none

Symptom Description and Subjective Report
Client was engaged and present. Client listened really well and was able to articulate different feelings. Client shared that she really
misses her mom but that she is glad she isn't getting slapped anymore. Client shared she does want to go back and live with mom,
but also wants to live with dad

Objective Content
Client and clincian did a feelings activity
Client and clincian played and colored

Interventions Used

                                                                                                                              Page 1 of 2
                                                  Progress Note

Larch Counseling PLLC                                                          Date and Time: 5/14/2025 6:00 ᴘᴍ - 7:00 ᴘᴍ
Clinician: Danielle Smith, LMHCA                                               Duration:       60 minutes
Patient:   Raina Soleil Goodnight-Ralidak, DOB 6/3/2018                        Service Code:   90837
                                                                               Location:       Duvall Office
                                                                               Participants:   Client, Step-mom second half



dummylink
Cognitive Reframing, Exploration of Relationship Patterns, Preventative Services, Structured Problem Solving, Supportive
Reflection, and Symptom Management

Treatment Plan Progress
Objectives

   1. Client will be able to process emotions, identify
       Progress: Progressing

   2. Client will learn self-soothing and coping skills for when the client is experiencing big emotions
       Progress: No Progress

   3. The clinician will show the client unconditioned positive regard
       Progress: Progressing

   4. The client from the parents will be given structure and stabilization.
       Progress: Improved

   5. The parents will monitor their speech, and content around the client. The client will not be burden with adult things and only be
      around age appropriate things
       Progress: Progressing



Plan
Continue current treatment plan
Listening

Prescribed frequency of treatment: Every 2 Weeks
Recommendation: Continue current therapeutic focus


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 5/15/2025 at 1:44 ᴘᴍ.




                                                                                                                              Page 2 of 2
                                                Contact Note

Larch Counseling PLLC                                                      Date and Time: 5/16/2025 6:41 ᴘᴍ
Note Completed By: Danielle Smith, LMHCA
Patient:           Raina Soleil Goodnight-Ralidak, DOB 6/3/2018



dummylink
Contacted Party
Name:                    Veronika Goodnight
Relationship to Patient: Mother

Method of Communication
Email

Reason for Communication
Treatment termination

Billing Information
Time spent: 5 minutes
The patient will not be billed for this communication.

Communication Details
Mother emailed clincian removing consent for treatment services. All future appointments have been canceled.


   Danielle Smith, LMHCA, Licensed Mental Health Counselor Associate, License MC61294206, signed this note and declared
   this information to be accurate and complete on 5/16/2025 at 6:42 ᴘᴍ.




                                                                                                               Page 1 of 1
