Intended for healthcare professionals

Filler A memorable patient


BMJ 2008; 337 doi: (Published 21 August 2008) Cite this as: BMJ 2008;337:a551
  1. John Baruch, consultant psychiatrist
  1. 1Tindal Centre, Aylesbury
  1. john.baruch{at}

    My patient lives alone. She has had a long string of compulsory admissions for psychosis and has been insisting on reducing her neuroleptic against advice. On a routine visit, her community psychiatric nurse finds her distressed and distracted. She denies any problems, declines a suggestion that she increase her medication, and insists that the nurse leave. Later that day a member of our crisis team goes to her flat, but she refuses to let …

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