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 is feeling a little more settled since the move and is beginning to challenge some of her anxieties and is considering future options, so worked together to help address some of clients lack of confidence issues to allow her to feel more enabled.
What does the client want from counselling?
A place to feel heard and supported to challenge her issues.
How well is the client able to cope with their situation?
Client copes with day to day life ok but wants to feel more confident to move forward in her life.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
Husband and some other family members.
Risk Management Support Plan
The risk issues presented?
Client is stable emotionally but on occasions her anxiety comes to the fore but client does know how to deal with this on a daily basis.
How have you stabilised the client and what strategies did you encourage them to use?
Client is stable.
What external support network is in place?
none
Emergency Contact Details:
Husband
Telephone Number:
07854397687
Client Case Details
Case Status
Date of next session
Monday, 19th April 2021
Attachments
Submitted by
Sara Bevins
Submitted on
29th March 2021