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Reports sleeping, eating and drinking well. Later suggested this may not be the case stating
“In the night time when my neighbours are asleep that’s the best time for working”.
Personal Hx: Born at? Chase farm hospital (previous entry on Rio NMUH), normal delivery.
Was bullied at school by a female pupil. “I have loads of qualifications. My management
system is my qualification - motor trade, gas laying, paving lay, I understand the formation
of companies, my English is at 92%”
Family Hx: Has one brother and sister - he is the oldest brother. Parents recently broke up.
He sees his parents regularly. Denies any issues with his father. His grandmother had some
psychotic problems/depression after his grandfather passed away. Rio notes report his
maternal grandmother had BpAD/later changed to Schizophrenia, detained formally
multiple times, responded well to Clozapine.
Social: Works from home currently. Does 9-10-hour shifts building, his website. Previously
has had multiple different jobs including working at a market and brick laying. Has a new
baby on the way with Katy - due to get married soon? From Rio - “Enfield Council will be
seeking possession of SC’s flat via the courts. Lemy stated that in a recent court case the
judge recommended that Enfield Council re-house SC on the proviso that he engages with
the MH Team”
Forensic Hx:
Reports being linked to 500 cases but he has won every one. Says these are all linked to
driving offences.
From Rio - 2015- 5y ASBO for organising illegal raves- not allowed to enter industrial or
disused premises between 10pm and 7 am. Young Offender's Institution at the age of 16
after repeated driving offences (driving without a license). Taken into custody for threats to
kill.
Substance Misuse Hx:
“Clean as anything”
“Occasionally have a puff of a cigarrete” Denies drinking any alcohol
Note on Rio previous LSD and cannabis use
40
Progress Notes
Page 40 of 53
MSE
Age: 37-year-old male, mixed origin, slim build. He was wearing casual and dirty clothes. The
conversation was one sided with Simon keen to talk.
S: Pressured speech
M: Subjectively “fine, a bit elated”. Objectively elated
T: Thought disordered, tangential thinking, grandiose, persecutory delusions
C: Oriented to TPP
I: Limited insight - does not want any medications, never thinks he has had a mental health
disorder
Risk
To self - low
Denies any thoughts of self-harm or suicide. Previous reports of suicide attempt as
teenager.
To others - moderate