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:
Sophia asked to use today to review the journey and look at the resources she has available. She does feel she sometimes overreacts and gets wound up still and we expolored the importance of emotional regulation .
What does the client want from counselling?
Client wishes to explore what other types of therapies are out there and she asked about CBT,EMDR, Hypnotherapy. Also she asked to explore feelings of being believed and acceptnace of complements as she works in a team and understanding these are relevant.
How well is the client able to cope with their situation?
Client describes being fully functional and working.
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?
We explored the importance of continues self care, with yoga, mindfulness, monitoring diet, alochol and drug intake as well as guided relaxation. Client thanked me for the journey and feels she is able to carry on on her own and we finished.
What external support network is in place?
Emergency Contact Details:
Telephone Number:
Client Case Details
Case Status
Status
Attachments
Submitted by
Dominic Quinn
Submitted on
29th March 2021