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General Adult Psychiatry

You are an ST4 in Psychiatry in a community team.

A care co-ordinator informs you that Sam, a carer, is in reception appearing anxious and distressed.

He/she is demanding to see a senior doctor and has a complaint following a consultation with a CT1 doctor last week.

Sam’s son Adrian has just recovered from a first episode psychosis and was discharged one month ago after admission under the Mental Health Act.

Following last week’s consultation he is refusing medication Olanzapine due to worries about weight gain.

You have Adrian’s permission to talk to family.

You have 15 minutes with the carer but you can finish earlier if you choose to do so.

Suggestions on points to be covered in this scenario please!





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