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Dr Abidoye
               Nightingale House Surgery 1-3 Nightingale Road London N9 8AJ
               Dear Dr. Abidoye
               Re: Mr Simon CORDELL-
               DOB: 26 Jan 1981
               109 Burncroft Avenue, Enfield, Middlesex, EN3 7JQ
               New Assessment
               Dr Jarvis (ST5), Mr Cordell, Mr Cordell's mother.
               Diagnosis
               Adjustment reaction - predominantly anxiety
               Medication
               Nil
               Enfield Triage Service
               25 Crown Lane
               Southgate London N145SH
               Tel: 0208 702 5000 Fax:0208 362 0489
               GJ/r1058177
               NHS No. 434 096 1671
               18th March 2014
               Plan
               1.      If Mr Cordell would like to try medication Sertraline starting at 50mg for one week
               then increasing up to 100mg would be a good choice.
               2.      Crisis plan agreed with Mr Cordell if he feels like acting on his suicidal thoughts (call
               Crisis Team, or Samaritans or an ambulance).
               3.      Discuss with team at MDT for advice around sources of support.
               4.      Mr Cordell to consider psychotherapy to address problems from the past.
               Thank you for referring this 33-year-old man with low mood, suicidal thoughts, and anxiety.
               He attended an appointment at the Silver Street Clinic 11.03.14 with his mother Lorraine.
               Mr Cordell explained to me that he is under a lot of stress at the moment due to a pending
               court case. He told me he is accused of burglary, but that he had been wrongly accused and
               the police had falsified items on his criminal record. He said that the record had led to the
               judge placing restrictive bail conditions including being at home in his flat after 8 pm. This
               has meant Mr Cordell has not been able to work for the last nine months (as he normally
               works as a DJ and party host with most work going on beyond that time). The bail conditions
               have just been extended for a further six months. Mr Cordell feels that these restrictive
               conditions have made him feel "a prisoner" in his own home.
               Mr Cordell describes feeling anxious most days. He says he has a poor appetite and has lost
               "3 stone" in weight over the last 9 months. He says he often finds his thoughts are overactive
               and will not give him any rest. Mr Cordell says he finds it difficult to get off to sleep,
               sometimes not until 5am, but then will stay in bed until midday. His mother says she has
               noticed him become "more aggressive" and trying to isolate himself from others.
               Trust Chairman: Michael Fox
               Trust Chief Executive: Maria Kane
               Director of Community Housing and Adult Social Care: Ray James

               2
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               Dr Abidoye
               Nightingale House Surgery!
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