Page 1703 - 6. 2016 Diary 1st half New 26-05-21 No Table

• “Appearance and Behaviour: 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 formal
thought disorder. Denied thoughts to harm him or others.
• Perceptions: denied hallucinations
• Insight: limited. Aware of reasons for admission but does not agree that he may have a
mental illness”
• "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
• 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:
• ECG: Normal sinus rhythm
782,
• 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.
• Blood tests have been within normal range.
5. Psychiatric History
• Mr Cordell has received previous diagnoses of Unspecified nonorganic psychosis F29
in 2015 and Adjustment disorder F34.2 in 2014.
• 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
• 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
• 25/11/14 MHA assessment completed, found to be much calmer, not legally
detainable under the MHA, given crisis contacts.
• 08/12/15 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.