Page 1602 - 6. 2016 Diary 1st half New 26-05-21 No Table
P. 1602

3.2 "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".
               4.  Physical Examination on admission
               4.1 Physical exam, ECG and routine blood tests were initially refused by Mr Cordell,
                                                                      th
                   however he consented for this to be completed on 18  August 2016 results as follows:
               4.2 ECG: Normal sinus rhythm
               727,
               4.3 Physical examination: pulse 76bpm, warm and well perfused, cap refill <2 secs. No signs
                   of anaemia, no central or peripheral cyanosis. Heart sounds normal, no added sounds.
                   Chest clear. Abdo soft non-tender No calf swelling or tenderness. Neurology not formally
                   assessed but grossly intact.
               4.4 Blood tests have been within normal range.
               5.  Psychiatric History
               5.1 Mr Cordell has received previous diagnoses of Unspecified nonorganic psychosis F29 in
                   2015 and Adjustment disorder F34.2 in 2014.
               5.2 11/3/2014 - Mr Cordell was assessed by Dr Jarvis of Enfield Triage Team after a referral
                   by GP with a history of 9 months of anxiety symptoms which were exacerbated by an
                   upcoming court date. Diagnosed as Adjustment reaction. Dr Jarvis suggested IAPT, gave
                   option of sertraline, crisis plan, and contacts given
               5.3 19/11/14 Mr Cordell was referred to the Home treatment team due to concerns about his
                   mental state, |had become paranoid about his mother. Police also attended the house due
                   to Mr Cordell screaming out in distress, continued to present as verbally abusive and
                   paranoid Assessment terminated as not safe to enter the premises.
               5.4 25/11/14 MHA assessment completed, found to be much calmer, not legally detainable
                   under the MHA, given crisis contacts.
               5.5 8/12/15 Referred to Early intervention services, Mr Cordell presented as unwell, rapid
                   speech, thought disordered, spoke mostly about misdiagnosis and mistreatment by police,
                   paranoid persecutory delusions regarding conspiracies to damage his reputation and to
                   kill him organised by a global agency called 'Storm', referred to subliminal messages
                   through his TV. Believed that upstairs neighbour was stalking him. she has since moved,
                   and he felt that she was still harassing mm and had CCTV of this.
               5.6 19/1/16 Referred for MHA due to concerns by early intervention service - "He appeared
                   paranoid about people, police especially and had grandiose delusions. Not eating well. No
                   apparent evidence of self-harm or harm to others".
               5.7 22/1/16 "Simon presented as paranoid, suspicious, and grandiose with flights of ideas,
                   clear evidence that he is suffering from a mental disorder" Section 135 applied for as Mr
                   Cordell not allowing access to his property.
               5.8 2/2/16 MHA assessment completed, assessed as not detainable, plan made for follow up
                   with Early Intervention Service.
               5.9 29/2/16 Mr Cordell was discharged from EIS as he was not willing to engage with the
                   team and did not feel that he had a mental illness.
               728,
               6.  Past Medical History
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