Page 248 - 10. 2nd half 2018 New 26-05-21 No Table
P. 248
illness not believing they have a mental health problem and don't require treatment. Says
she is happy to encourage her son to engage with services as far as possible.
Originator: HAGUE; Angela 19Jun 2018, 14:33 [Nursing]
Home visit today as arranged with Amal Pomphrey from EIS. Client previously under EIS
from 2015 discharged in January this year, difficult to engage. History well known so not
repeated.
Simon was friendly and welcoming into his home. Put his pet dog outside in the garden,
visible through patio doors. Dog appeared in good health though Simon reported that his
dog is stressed about his neighbours the police and mental health services to the point it has
chewed some of the fur off his front paws.
Simon stood for some time keen to talk about the evidence he has gathered against the
police, and local authority, has taped and logged everything on a website. Showed his
website says not live as yet, all he has to do is click a button and it will show how he has
been unfairly treated by the local authority and police. Website and all written video and
audio recordings linked. Showed a couple of examples CCTV inside his flat, conversation
with ASBO team and written documents. Also showed us paper files that the has maintained
in large ring binders, containing copies of e-mails and all correspondence. Informed us that
he tapes all conversations he has with health, local authority, and police staff. Has CCTV
cameras placed internally and externally around his flat.
Spoke of how his issues began many years ago trouble with the police over holding illegal
parties. Reported that he is currently not going out feels afraid. No restrictions placed on
him regarding going out other than not allowed in Industrial areas or 24-hour venues such
as Mac Donalds or Tescos. Reported recently in court with regards to his neighbour,
representing himself does not feel he needs a solicitor. Recommendation is that he has an
assessment with a psychiatrist. However said he will not attend as the letter has not been
properly dated and stamped and therefore believes he is not bound by it.
Mental state:
Simon was casually dressed, his hygiene appeared fair. He maintained good eye contact and
rapport. His speech appeared slightly pressured difficult to interrupt but not irritable when
interrupted.
Grandiose ideas around his intelligence, says he is a millionaire property from wealthy
relatives who have deceased, successful businesses, earning hundreds and thousands of
pounds. Paranoid about his neighbours, believes they and others have spread information
that he may have had herpes. Paranoid delusions believe his neighbours are deliberately
following him from room to room banging on his ceiling. Believes they want to kill him.
Though he did not express any thoughts of wanting to harm anyone. Believes he is being
paid to look after vulnerable people in poor situations.
1828,
Appears to be a mood element to his condition pressured speech grandiose, tangential
jumping from topic to topic. However reported that at times his mood can be depressed and
upset by his neighbours. On one occasion he drank some liquid in an attempt to poison
himself, found by mother and taken to A&E discharged. Denied having any current suicidal
ideation or thought to harm himself.
There was no evidence of any hallucinations. Personality appears to be intact.
Simon appears to lack insight, asked if he believes he has a mental health condition denied
this said he has never taken medication as he does not believe he has any mental health
problem to require medication.