Page 1188 - 10. 2nd half 2018 New 26-05-21 No Table

she asked me for a letter to be given to the legal dept, of Enfield council, advocating for
simon to have a two bed property so that someone can stay to provide support for him.
I told her we do not write letters of this nature but that if the dept got in touch with us we
would answer any questions they had.
she gave the details as Ludmilla Lyavoo tel 02083798323 ludmilla.lvavoo@enfield.gov.uk
I explained to his mother that I intended on applying for a section 3 as I felt he needed some
treatment
5/11/18
I interviewed simon.
we went over some of the things, he maintained that the neighbour one floor above was
persecuting him and was able to locate him in his flat and then bang, flush the toilet and
make noise, the purpose of which was persecution.
he confirmed that this happens at all times of day and even if he changes his routine etc.
I asked him about the neighbour directly above
he said he was OK. but went on to describe one time when he 'went mad in his flat,
following me round and banging on the floor like crazy' He admitted that he confronted him
after this, but denied any assault etc (I have been informed that he attacked this neighbour
and that he was subsequently very frightened to flush his toilet)
I explained to Simon that I felt he was unwell with a paranoid psychosis and that I felt he
needed to take some treatment, he disagreed and then accused me of 'being leaned on by
people above you' On closer questioning he was referring to the police.
I asked him if he smoked much cannabis, he said he used to, then said every now & then. I
asked him about the smell of cannabis in his room, he said that he'd had a few visitors.
he agreed to provide a urine sample
at l/v
he is relatively well presented
his speech is rapid but not pressured, he makes frequent legal references some of which I
know to be inaccurate (ie around the mental health act) and remains very preoccupied with
his perceived persecution, of which this admission is part.
he is not elated or depressed in his mood
his thinking is unclear and his answers are often very circumstantial, in my view he is at
times thought disordered he remains paranoid with a complex system involving his
neighbour, the council, police and the NHS I suspect he suffers with auditory hallucinations
he is insightless and will not accept any treatment
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IMP - I have made an application for a section 3. he suffers with a paranoid psychosis, most
likely schizophrenia and there are risks to his health (mental), safety (retaliation) and to
others-he has threatened his neighbours, filmed through their letter box etc. in response to
his paranoia 6 caused considerable psychological distress.
if this is upheld then we will start a trial of antipsychotic treatment, I do not wish to do this
prior to any section 3 as it will not be beneficial to take medication against his will unless he
is subsequently detained on a section 3.

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The Doctor’s Folder / pub Book Issue: 1!