Scenario: You are the liaison psychiatry SpR. You have been asked to review Mr Anthony Blake, a 37-year-old bus driver, on the neurology ward. He was admitted two days ago following a witnessed seizure whilst at home. His wife called an ambulance after finding him unresponsive with urinary incontinence. CT head was normal. EEG showed left temporal sharp waves. Neurology have started levetiracetam 500mg twice daily and requested psychiatric review because Mr Blake has been describing unusual experiences over the past 8 months that his wife fears may be psychiatric in nature.
Please take a history from Mr Blake.
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Disclaimer: This video is intended for educational purposes only, targeted for the CASC exam – taken by psychiatry UK trainees in order to achieve membership of the Royal College of Psychiatrists. It should not be taken as clinical guidance or advice. It is also not intended to be an accurate portrayal of a real psychiatry consultation. For those revising for the CASC exam, this video should be used as a guidance and does not necessarily depict a gold-standard approach. Depending on when this video is viewed, information may be outdated.
Video Contributors:
Dr Raquel Clarke-Castillo is a Psychiatry Speciality Registrar, specialising in Forensic Psychiatry in London
Dr Damir Rafi is a Psychiatry Speciality Registrar in Forensic Psychiatry, currently working in London.