Case Histories: What Should They Include?

Case histories are documents that therapists prepare. A case history includes information about each individual client’s therapy. It starts with the client’s first visit, includes their own evaluation of their condition, any subsequent therapy, and, finally, the follow-up after therapy has finished. Each therapist has their own personal way of building a case history. Case histories are confidential documents. Therefore, if the client should ask for similar documentation as proof of their therapy, the therapist will prepare a different report. Case histories are a very useful psychological tool for the therapist. In the reports, they make recommendations that can be quite decisive…