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:
Her brother didn't turn up for his shift again today, she was very angry with him. She has been anxious most of the day so far. He won't answer the phone or reply to her text messages. She has interviewed and has another member of staff currently training. The GP has re-prescribed some more statins, she is going to start taking them. Chloe is still looking for a job, Cathy thinks she could drive Charlie to school when he starts back on the 19th of April.
What does the client want from counselling?
To talk over her issues.
How well is the client able to cope with their situation?
She is coping well under the circumstances.
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?
No risks 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?
Counselling support.
Emergency Contact Details:
Brother
Telephone Number:
07907529975
Client Case Details
Case Status
Date of next session
Wednesday, 7th April 2021
Attachments
Submitted by
Sonia Prescott
Submitted on
29th March 2021