Scenario: You are the SpR on the acute psychiatric ward. Ms Naomi Sullivan, a 34-year-old unemployed woman, was admitted yesterday under Section 2 of the Mental Health Act following repeated attendances at a local radio station where she attempted to see the breakfast show presenter. Police were called after she refused to leave and became agitated. She has no previous psychiatric history. She is currently on intermittent observations and has not yet been started on medication.
Please take a psychiatric history and perform a risk assessment.
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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 Depending on when this video is viewed, information may be outdated.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.