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:
Michelle has had a bad review in her work meeting, she was quite emotional. Lily has been in hospital, they think she is going to have to have keyhole surgery to expand one of her arteries. Sion is back at work 3 days a week. She and her sister went for the extra scan for the pregnancy, and everything is fine, there are no worries with this baby's health. They are going up to Hull on Easter weekend to have a picnic in her brothers back garden.
What does the client want from counselling?
To talk about the anxiety surrounding Lily's health
How well is the client able to cope with their situation?
She is coping really well at the moment.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
Family and friends
Risk Management Support Plan
The risk issues presented?
Noo risk presented
How have you stabilised the client and what strategies did you encourage them to use?
N/A
What external support network is in place?
No external support in place.
Emergency Contact Details:
Husband
Telephone Number:
07818555409
Client Case Details
Case Status
Status
Attachments
Submitted by
Sonia Prescott
Submitted on
29th March 2021