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 struggling with possible having a relapse of cancer. Her son and how he is behaving at the moment. As well as self isolating and returning back to work and the classroom later in the week.
What does the client want from counselling?
To get back into a more positive place
How well is the client able to cope with their situation?
Client is struggling with the possible relapse of cancer. She mentioned how she is trying to push this to the side until she has her appointment. How she doesn’t speak openly and has worries. We discussed support groups and how these mind be a form of support.
Coping better with her sons behaviour and how she is able to manage this.
Going into the classroom this week has its ups and downs. Client said how she is concerned but a little excited also.
What is the client’s support network? (Family, friends, GP, Mental Health team etc.)
Mainly her partner
Risk Management Support Plan
The risk issues presented?
No risk
How have you stabilised the client and what strategies did you encourage them to use?
Have worked with strategies and discussed support groups
What external support network is in place?
Support groups
Emergency Contact Details:
Telephone Number:
Client Case Details
Case Status
Status
Attachments
Submitted by
Nijole Gemal
Submitted on
29th March 2021