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:
My client shared she stopped herself going down the other day, she awoke feeling maudlin and then started to think of everything she has, not what she has not.
We discussed her soon starting to do 2/3 days in the office, she is still volunteering at the vaccine centre, absolutely loves it.
We are starting to focus on how good mixing in the garden will be and she is hoping to book up a few nights in a Hotel on the Kent coast. She also has a Christian convention in September and a friend’s belated 60th birthday celebration. She said she feels the Counselling has been a stepping stone to brighter times.
What does the client want from counselling?
How well is the client able to cope with their situation?
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
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
Status
Attachments
Submitted by
Jill Abbott
Submitted on
29th March 2021