Antidepressants have become a particular issue as their use has increased, and as awareness of perinatal mental health has improved. We now understand much more about the risks associated in either untreated...
‘Do you gamble?’ This is not a question that has been a routine part of my mental health consultations. Until recently, the sheer size and impact of problem gambling had completely gone under my radar....
Beryl is an 82 year old lady presenting with a ‘muzzy head’. ‘What do you mean by muzzy head’, you ask ‘Oh you know - just muzzy!’ she replies, giving you a slightly exasperated look. Hmmm… clear as mud,...
Janette, aged 46, attends for a medication review. Her records show a diagnosis of chronic low back pain and mixed anxiety and depressive disorder. She’s been taking analgesics and sertraline for over...
I talk to much in consultations. Frequently I hear myself explaining to the patient: “well, that was a lot of me talking… any questions?” Inevitably there is, more often than not: “Can you just remind...
I have only cared for one patient in my career so far who died by suicide. We had an excellent relationship, with regular consultations and an honest rapport. Their family often attended too, and we were...