Page 1459 - 6. 2016 Diary 1st half New 26-05-21 No Table

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Duty Doctor CT3 M Cheema
New admission to HAW, St Ann's Hospital
Date of admission: 16/8/16
MHA Status: Section 2
Diagnosis: Previous diagnoses of Unspecified nonorganic psychosis (F29) and Adjustment
disorder (F432)
Medication:
Nil
Allergies:
Unknown - Simon is unsure if he has any allergies
Background/PPHx:
-Has previously been open to Enfield EIS, discharged in March 2016 due to non-engagement
-Has been assessed under the MHA in 2014 and early 2016 but was not detained as there was
not sufficient evidence
of a mental disorder
-no previous admissions to hospital
-Notes state that he was known to CAMHS and has previously attempted to end his life when
he was 16 y/o (by jumping from a window)
Circumstances leading to admission:
Arrested at his home address after his mother raised concerns about his mental state - he was
allegedly verbally threatening towards his neighbour and (?) neighbour's children. Simon's
mother called police who arrested him. He was seen by the FME at Wood Green police
station, then referred for MHA.
Interview:
I reviewed Simon on HAW with RMN Titi.
Simon stated that he has been very busy setting up his company recently. Spoke about
working very hard and spending years 'studying'. He spoke in grandiose terms, describing his
company as managing mental health services and working in the entertainment industry. He
spoke about buying speakers for £50,000 each and hiring out equipment to Glastonbury and
Isle of Wight festivals. Simon stated that he owns a 'city' and it is his job to understand the
various roles that people have in society so that he can 'look after people'. When asked how
he was able to fund these projects he described a system of fundraising using 'charity bars'
and websites.
Simon denied making any threats to harm others and denied such thoughts at present. He
denied any thoughts to harm himself. He categorically stated that he does not believe he has a
mental illness, and that he has consistently refused to take medication in the past for this
reason. He also does not take medication for physical health problems as he does not believe
he needs it. Simon stated that his sleep is 'good' - sleeps for exactly 8 hours per night. Energy
levels are increased.
Simon said that he has been depressed in the past but became quite irritable when asked about
details of this. He denied ever taking antidepressants; he was previously given Sertraline, but
it is unclear if he took it.
MSE:
-A+B: medium height, slim mixed-race gentleman. Slightly dishevelled, dressed in black
tracksuit, noted to be missing several teeth. Initially good rapport but became quite irritable at
times -Speech: Fast rate, pressured speech. Tangential.
-Mood: subjectively Tm really good', objectively appears elevated -Thoughts: no FTD.
Denied thoughts to harm himself or others.
-Perceptions: denied hallucinations