Page 15 - tmp
P. 15

Barnet, Enfield and Haringey fiV/fcl
             ENFIELD
                   Council                       Mental Health NHS Trust


            Private & Confidential                                                    Enfield Triage Service
            To be opened by addressee only                                                     25 Crown Lane
            Dr Abidoye                                                                             Southgate
            Nightingale House Surgery 1-3                                                             London
            Nightingale Road London N9 8AJ                                                          N14 5SH

                                                                                         Tel:  0208  702  5000
                                                                                         Fax:0208 362 0489

                                                                                         GJ/r1058177
                                                                                         NHS No. 434 096 1671
                                                                                         18 March 2014
                                                                                           th
            Dear Dr. Abidoye
            Re:     Mr Simon CORDELL-DOB: 26 Jan 1981
                    109 Burncroft Avenue, Enfield, Middlesex, EN3 7JQ
            New Assessment
            Dr Jarvis (ST5), Mr Cordell, Mr Cordell's mother.
            Diagnosis
            Adjustment reaction - predominantly anxiety
            Medication
            Nil


            Plan
                 1. If Mr Cordell would like to try medication Sertraline starting at 50mg for one week then increasing up
                    to 100mg would be a good choice.
                 2. Crisis plan agreed with Mr Cordell if he feels like acting on his suicidal thoughts (call Crisis Team, or
                    Samaritans or an ambulance).
                 3. Discuss with team at MDT for advice around sources of support.
                 4. Mr Cordell to consider psychotherapy to address problems from the past.

            Thank you for referring this 33-year-old man with low mood, suicidal thoughts and anxiety. He attended an
            appointment at the Silver Street Clinic 11.03.14 with his mother Lorraine.

            Mr Cordell explained to me that he is under a lot of stress at the moment due to a pending court case. He told
            me he is accused of burglary, but that he had been wrongly accused and the police had falsified items on his
            criminal record. He said that the record had led to the judge placing restrictive bail conditions including being
            at home in his flat after 8 pm. This has meant Mr Cordell has not been able to work for the last nine months
            (as he normally works as a DJ and party host with most work going on beyond that time). The bail conditions
            have just been extended for a further six months. Mr Cordell feels that these restrictive conditions have made
            him feel "a prisoner" in his own home.
            Mr Cordell describes feeling anxious most days. He says he has a poor appetite and has lost "3 stone" in
            weight over the last 9 months. He says he often finds his thoughts are over active and will not give him any
            rest. Mr Cordell says he finds it difficult to get off to sleep, sometimes not until 5am, but then will stay in bed
            until midday. His mother says she has noticed him become "more aggressive" and trying to isolate himself
            from others.









                                            Trust Chairman:    Michael Fox
                                            Trust Chief Executive:   Maria Kane
                                            Director of Community Housing and Adult Social Care: Ray James

                                                                   8
   10   11   12   13   14   15   16   17   18   19   20