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. Sadness and fear of losing relationship
2. Anxious about making partner irritated
3. Overdrinking
What does the client want from counselling?
1. Space to process emotions coming up during past two weeks
How well is the client able to cope with their situation?
Client feels bad about their behaviour and v scared about losing her relationship.
Knows the over drinking is part of her avoiding her fear but it’s straining the relationship as partner gets irritated. Her gut has also become more irritable and feeling in pain.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
1. Family and friends
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