Page 1107 - 10. 2nd half 2018 New 26-05-21 No Table

He described a negative relationship with neighbours and states that they bang from above
continuously. He states a previous partner was pregnant and the neighbours banging led to
the baby being lost.
He denies having a MH illness and states he will get out of here once he has his laptop
containing video graphic proof and was requesting a tribunal. During the course of the
conversation he refused to acknowledge he has been sectioned and was adamant he would
be able to leave but was not forceful or physically attempting to leave.
PMH: Nil
DH: Nil
NKDA
SH:
Denies drug or alcohol use (current or past)
Personal history:
Abuse as a child from father.
Mental State Examination:
Simon is a 37-year-old male, who was appropriately dressed. He engaged in conversation
and made eye contact throughout. Calm and polite, no aggression but did become mildly
restless at points.
Pressurised speech, difficult to interrupt. Flight of ideas noted.
Described mood as good. High levels of energy and labile mood.
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Progress Notes
Page 46 of 53
Paranoid delusions about the police and MH services and some grandiose delusions noted.
No perceptual abnormalities noted.
Orientated to TPP
Lacks insight, does not believe he has a MH condition and not willing to engage with services
historically or currently. Unlikely to take medication willingly.
Risk:
No risk to self-identified.
Risk of physical and verbal aggression towards others noted. This in turn, increases risk of
others retaliating, therefore harm towards Simon.
Impression:
Simon is a 37-year-old who has a background of a psychotic disorder. He presents with a
deterioration in his mental state, with manic and psychotic symptoms.
Plan
1. Urine drug screen
2. Bloods in morning
3. Collateral history would be beneficial

Si Note:
1

2