Page 1605 - 6. 2016 Diary 1st half New 26-05-21 No Table

Well kempt and casually dressed slim gentleman in his early thirties Staring eye contact,
remained seated throughout the interview.
15.2 Speech –
Fast pace and very difficult to interrupt, normal volume and tone.
15.3 Mood –
Subjectively ‘happy’, objectively appears quite irritable, reports sleeping well, good
appetite, positive plans for the future, no plans, or thoughts to harm self or others.
15.4 Thought –
Evidence of tangentiality, struggled to stay on topic without repeated prompting.
Overinclusive, spoke at length about minutiae of legal aspects of organising a festival,
grandiose plans to help others across the country which were difficult to follow. Denied
worries about the police, more focussed on health professionals and legal aspects of his
admission to hospital and alleged wrongdoings
15.5 Perception –
No evidence of responding to abnormal perceptions, denied same.
15.6 Cognition –
Alert and orientated to time place and person.
15.7 Insight –
Mr Cordell feels he does not have a mental disorder.
16. Factors affecting this hearing
16.1 Mr Cordell has made recordings of assessments and other interactions with health
professionals and police in the past and refers to this frequently. Mr Cordell has attempted
to make recordings of encounters with staff during his admission, there is a chance he
may attempt to make recordings of tribunal proceedings.
17. Opinion and Recommendations
17.1 Mr Cordell is currently suffering from a mental disorder:
17.2 He presents with persisting psychotic symptoms of paranoid persecutory delusions
involving police and mental health services, he also presents with pressured speech, and
has presented as elated and irritable, which may represent a mood disturbance Whilst Mr
Cordell has indeed had several encounters with the police and has a forensic history, it is
my opinion that his interpretation and experience of these encounters goes beyond reality
into beliefs of a delusional nature. These beliefs have dominated Mr Cordell's life and his
behaviour at the expense of his wellbeing and ability to function safely in the community.
17.3 In the past these persecutory ideas have also focused on family members and
neighbours, one of his neighbours was also a service user and needed to be rehoused as a
result of encounters with Mr Cordell. Mr Cordell presents with evidence of thought
disorder; his speech is pressured and tangential upon interview.
17.4 His mental disorder is currently of a nature or degree to justify ongoing
detention in hospital.
732,
17.5 If he insisted on leaving the ward, we would ask our home treatment team to monitor
him at home and offer him medication - historically Mr Cordell has not engaged well
with community services due to his lack of insight.
18. If Mr Cordell is NOT discharged from his Section:
18.1 We would encourage Mr Cordell to take antipsychotic medication, starting with a low
dose and monitoring closely for response and any side effects.
18.2 We would titrate the dose antipsychotic medication according to his mental state and
side effect profile.