How can you assess mental state? Untreated dental abscess Generalized anxiety Sick note Obsessive rituals but does not want medication Having a heart attack Stepped care for depression in primary care Hands raw with washing Unresponsive in the emergency department Bipolar disorder Psychodynamic therapy Never felt better Aches and pains and loss of interest Constantly tearful Voices comment on everything I do I only smoked a bit of Cannibis and took a couple of Es Unusual persecutory beliefs Abdominal pain in general practice A drink a day used to keep my problems at bay Paracetemol overdose Spider phobia Deja vu and amnesia Self harming, substance misuse and volatile relationships My husband won't let me go out Intensely fearful hallucinations Flashbacks and nightmares Ataxia Unexplained medical symptoms: this pain just won't go away Can't concentrate after his daughter died Something's not quite right Tricyclic antidepressant overdose Suicidal risk assessment Paranoia with movement disorder My nose is too big and ugly Can I section her to make her accept treatment Disinhibited and behaving oddly Transference and counter transference Depression progressing to myoclonus and dementia Bulimia nervosa - constipation Fever, muscle rigidity, mental confusion 'Alien impulses' and risk to others Feels like the room is changing shape Unable to open my fists Intense fatigue Epilepsy and symptoms of psychosis I'm impotent I love him but I don't want sex Treatment of heroin addiction Exhibitionism Rapid tranquillization Palpitations Thoughts of killing her baby My wife is having an affair A man in police custody Stalking An angry man Treatment resistant depression Treatment resistant schizophrenia Low mood and tired all of the time A profoundly deaf man 'hearing voices' I am sure I am not well Repeating the same story over and over again Progressive step-wise cognitive deterioration Seeing flies on the ceiling Cognitive impairment with visual hallucinations Paranoia - my wife is poisoning my food Acute agitation in a medical inpatient Woman is not eating or drinking anything A restless postoperative patient who will not stay in bed Parkinson's Disease She is refusing treatment. Her decision is wrong. She must be mentally ill Depression in a carer My wife is an impostor Marked tremor, getting worse He can't sit still Socially isolated Killed his friend's hamster and in trouble all the time Anorexia Cutting on the forearms Feelings of guilt Intense feelings of worthlessness Seeing things that aren't there Separation anxiety Soiling behind sofa She won't say anything at school Tics and checking behaviours Not eating, moving or speaking Attachment disorder Tantrums Gender identity disorder Blood in the urine in a healthy girl Child protection He doesn't play with other children Trouble in the classroom Restlessness A man with Down Syndrome is not coping Strange behaviour in a person with Down Syndrome Learning difficulties, behaviour problems and repetitive behaviour Malaise and high blood pressure Compulsive and aggressive behaviour in a man with Down syndrome
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