PPS Declaration by Psychiatrist

PPS Declaration by Psychiatrist Declaration for: Patient's Name: Mrs. Eleanor Vance Date of Birth: 15/03/1972 Address: 24 Willow Creek Lane, Manchester, M1 1AB I, "Dr. Amelia Thompson", consultant psychiatrist, confirm that I have personally examined Mrs. Eleanor Vance on 1 November 2024 at "Northern Mental Health Clinic", 12 High Street, Manchester, M3 5FG. Following my examination and assessment, I am of the opinion that Mrs. Vance: 1. Requires treatment for a mental disorder: Yes 2. Is suffering from [Type of mental disorder]: Major Depressive Disorder, recurrent severe episode with psychotic features. 3. Requires admission to a hospital for treatment: Yes, due to significant self-neglect, active suicidal ideation, and paranoid delusions impacting her ability to care for herself safely in the community. 4. Is likely to benefit from the proposed treatment: Yes, a combination of antidepressant medication, antipsychotic medication, and structured psychotherapy is expected to alleviate her symptoms and restore her functioning. Reasons for my opinion: Mrs. Vance presented with profound anhedonia, severe psychomotor retardation, complete loss of appetite resulting in significant weight loss (10kg over 2 months), and persistent delusions that her neighbours are poisoning her food. She reported hearing voices telling her she is worthless and should end her life. Her personal hygiene has deteriorated, and she has not left her house for several weeks. She lacks insight into her illness and is unwilling to accept voluntary admission or engage with community mental health services at this time. Her current presentation poses a significant risk to her life and safety. Recommendations for ongoing care and treatment: Admission to an inpatient psychiatric unit for urgent stabilisation of her mood and psychotic symptoms. Initiation of antidepressant and antipsychotic medication, with close monitoring for side effects and therapeutic response. Individual psychotherapy focusing on cognitive restructuring and relapse prevention. Occupational therapy assessment to address self-care deficits. Discharge planning will involve a robust community mental health team follow-up. Signature: "Dr. Amelia Thompson" Date: 1 November 2024