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          28/02/2014   10 00     02688059994                   NIGTINGALE SURGERY                      p AGE 02/03








                    JJRI S WARREN               NIGHTINGALE HOUSE SURGERY
                    DRJTHOMAS                   1-3 NIGHTINGALE ROAD

                    DRD ABIDOYE                 EDMONTON
                                                  LONDON         N9
                                                BAI Tel: 0208 805
                                                9997 Fax: 0208805

                                                  www.nightingalehousesurgery.nhs.uk




                    26 February 2014
                    DA/KM/12444





                    PRIVATE & CONFIDENTIAL

                    Consultant Psychiatrist
                    Enfield Mental Health Triage
                    Team

                    Chase Farm Hospital                       URGENT

                    Dear Doctor
                    Re:    Mr. Simon Cordell DOB: 26-Jan,.1981 NHS No: 434 0961671
                            109 Burncroft Avenue, Enfield. Middlesex. EN3 7JQ Tel No: 07961833021


                    Thank you for seeing this 33-year-old Afro-Caribbean man. He gives a history of symptoms of
                    anxiety and depression, which have been on-going for a few months. His symptoms have
                    progressively got worse and he has been having some suicidal thoughts, although he has not made
                    any concrete plans to do anything. He says that the only reason he has not acted on these suicidal
                    thoughts is because of his ex- patient and family.

                    He is currently involved with the criminal justice system and is -currently - on probation. He is
                    under curfew and there have been imposed- restrictions on his movements. He says he is finding
                    it very difficult to cope with the conditions of his - sentence, mainly the confinement t, his home.
                    He says that his relationship with is partner appears to have broken down because of what he
                    describes as the tough - conditions of his probation. He continues to feel very low and anxious
                    when he is confined- to his home. - He is having difficulty sleeping.






                    He has had problems with depression in the past and was referred to the psychiatric services in 20I
                    1s. He has agreed to commence anti-depressant medication today in the form of Sertraline 50mg
                    once daily. He requested some sleeping tablets and I have given him 10 tablets! of Zopiclone
                    3.75mg 1-2 tabs nocte to be used Infrequently.
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