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Progress Notes Page 45 of 53

Duty Doctor (CT1)- New ward admission Patient seen at 10.30

MHA Status: Section 2
PC: Patient was arrested due to complaints received regarding harassment of neighbours. He was taken to Wood green
police station, found to have a manic presentation with grandiose delusional ideas and was detained under MHA.
Background: Patient previously given diagnosis of unspecified non-organic psychosis. He has a long-standing MH
background and has been under both CAMHS and adult services in the past. Over the past few years he has engaged
poorly with services and is not currently on any medications. More recently he has been reviewed by EIS/Enfield north
locality team.
Simon was seen in the quiet room with nursing staff present.
Prior to entering the room, Simon started to ask a lot of questions and asked the nurses for a pen for 'the meeting'.
When nursing staff stated that he should wait till we get to the room to ask questions he responded 'she is in a male role
so it's only fair that I speak to her in the same way'.
On arrival to the room he remained calm and polite. He started the conversation by asking for my name, which he
wrote down on a paper. He then stated he has been detained here illegally because they think he is grandiose. He then
went onto give me a timeline of events which were largely related to the police and his connection with mental health
services. In summary he holds paranoid ideas that the police have charged him 'in illegal ways' for an ASBO for
organisation of illegal raves'. This has led to several on-going issues with the police who have involved mental health
services and it is a conspiracy against him.
He states he wasn't assessed properly by doctors today and that the doctors who saw him today have previously tried to
section him and 'failed' because he has 'video recordings' to prove he is innocent. He referred to multiple acts and dates
which apparently are being broken by keeping him here.

He states he has several businesses that the police have tried to stop, including 'owning festivals' and a newspaper
called 'horrific corruption’ and associated newsroom which he uses to expose police and doctors who are working in
illegal ways. He states he has 'been wronged 78 times by the police' and will 'expose all of the doctors and police’
involved.
He spoke about being a 'privileged member of the community' and has never tried to hurt anyone. He reports the police
have framed him in a 'sex scandal' and caused multiple issues. 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 videographic 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.

https://rio.beh-mht.cse.thirdparty.nhs.uk/rio/Reports/RiOReports.asp 08/01/2019
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