NHS
Kent and Medway
NHS and Social Care Partnership Trust
Medway Community Mental Health Team
Britton House
Britton Farm
High Street
Gillingham
Kent ME7 1AL
T: 0300 303 3189
www.kmpt.nhs.uk
Our Ref: GP/EO/mlh
Date: 03 July 2023 (received 11 July 2023)
Clinic date: 26 June 2023
PRIVATE AND CONFIDENTIAL
Dr A Shah
Long Catlis Road Surgery
Parkwood Health Centre
Long Catlis Road
Rainham
Kent
ME8 9PR
THIS LETTER SERVES AS CARE PLAN DOCUMENTATION
Dear Dr Shah
Mr Shantanu Panigrahi
NHS Number: 628 477 1487 Date of birth: 8 Aug 1957
Primary Address: 3 Hoath Lane, Gillingham, Kent, ME8 0SL
Diagnosis:
Paranoid Schizophrenia
Current Medications:
Risperidone 2 mg bd
Sertraline 150 mg daily
Depakote 500 mg
Proposed Changes
-to take risperidone 4 mg at night, no morning dose
-to start aripiprazole 5 mg daily
-to increase Depakote to 500 mg morning and 750 mg nocte
-tocontinue with sertraline 150 mg daily
Review:
I spoke to Shantanu via telephone for a scheduled appointment on 26/06/23. He described being in crisis over a period of time and has been arrested by police four times in the last 18 months. He said he was accused of stalking, malicious communications and harassment. He tells me that he attended Medway Police Station recently for further questioning. He believes that Trolls hacked into his email and were responsible for all the police have accused him of but the police are not having it. His laptop and phones were taken away by the police. He also informed me that he took the Greenwich University to tribunal and lost the case. He believes that the state is against him and want to repatriate him back to India but says he is not going anywhere as he will resist them.
He lives with his family and is unemployed. He is undergoing some therapy at the moment and that seems to be helping him to cope with current crisis. He is also planning for holidays with his family to Turkey and India. His appetite is good and sleeps about 4 to 6 hours at night and naps during the day. He smokes about 10 to 12 cigarettes a day but no alcohol of illicit drug use. He is complaint with meds and has not reported any side effects. He is willing to continue taking treatment.
On the phone, he sounded worried but was able to ventilate his mind. His speech was normal in rate and volume but content mixed with delusional ideas. In answer to my question he wondered whether it is because of his illness that he is reasoning the way he is. He described his mood as being up and down and most times feels depressed. He did not express suicidal ideas and there is no indication that he is physically harmful to anyone. In my view, the major risk is that of believing his delusional ideas and acting on them and also being vulnerable on the social media if he continues his exploits on the social media. His insight is limited and does appear to have capacity to consent on his treatment.
The suggested changes which he agrees with is as outlined above. GP to please adjust repeat prescriptions accordingly.
Yours sincerely
(Signed)
Dr Emmanuel Oranusi
Locum Consultant Psychiatrist
Medway Community Mental Health Team
Private & Confidental
Cc Mr Shantanu Panigrahi
3 Hoath Lane
Gillingham
Kent
ME8 0SL
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