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:
1. Anxiety, sadness and frustration
2. Relationship with sister
3. family's denial of her epilepsy
What does the client want from counselling?
1. Space to be heard and to manage her anxiety
How well is the client able to cope with their situation?
1. Client feels stressed with current relations with sister regarding mum's wlfare
2. recognises how stress can trigger her epilepsy and wants to avoid this
3.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
1. husband and other sister
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
Friday, 2nd April 2021
Attachments
Submitted by
Lina Mookerjee
Submitted on
29th March 2021