Case Note
Case ID
Counsellor
Details
Client's first name or initials
Session Date
Session number
Session Type
Session Completed
Issues Raised
Employment Related Issues
Personal Issues
Risk Assessment
Self
Other
Clinical Scores
Clinical Outcome Total
Workplace Functionality Total
Client satisfaction
Client Case Details
Client's presenting issues:
Client reports she remains anxious and panicky, however she is managing her thoughts to reduce anxiety by self coaching and she is challenging herself to take small steps towards a return to work and normal day to day activities.
Client has seen her GP who has changed her medication and signed her off for a further 3 weeks
What does the client want from counselling?
Strategies to manage anxiety
How well is the client able to cope with their situation?
Not fit for work but is taking small steps to increase confidence by going outdoors. Client is planning to get on a bs if she can and to go into a shop
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
Client reports her children are supportive, her GP also. Client's manager is supportive.
Risk Management Support Plan
The risk issues presented?
How have you stabilised the client and what strategies did you encourage them to use?
What external support network is in place?
Emergency Contact Details:
Telephone Number:
Client Case Details
Case Status
Date of next session
Monday, 12th April 2021
Attachments
Submitted by
Rachel Murray
Submitted on
29th March 2021