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A 58-year-old estate agent is brought in by his colleagues. He has been behaving strangely today and is refusing to communicate with anyone. He appears well-kempt with no evidence of deliberate self-harm.
Which of the following are the potential organic causes of depression?
What features would support a diagnosis of depression?
On examination he appears well-kempt, with no evidence of deliberate self-harm. He is co-operative with examination and shows no disinhibition or distress.
He does not talk much and when he responds to questions it is with the minimum amount of information. He reports a low mood, but no suicidal ideation or intent. His thought content and form are normal and he is orientated to time, place and person.
His family tell you that he has recently been divorced from his wife of 30 years. He is living alone in a flat 30 miles away from his work and family. His family feel that he should be admitted.
What factors would make you favour assessment and treatment as an in-patient?
See if you can think of six factors.