Being as though I put the last one on I thought I would put this on so that you can see where I am... There will be another one that follows more than likely as I attempted last week and so the SW is sending out another.... She is a 23 year old lady who presented to A+E following an OD on 14th May. I asessed her in A+E and she was reluctant to talk to me about what had happened. Over time she did manage to talk a little about difficulities. She was unsure about how he got to A+E and had reported thought of harming herself continuously over the last 18months. She began to SH about 18months ago and said she is unable to identify a trigger. The most serious OD was in Spet 2007 where she was in hospital for 3 nights. She reports her mood is up and down and experiences feelings of emptyness. Her sleep is poor and keeps waking through the night. She is unsure wht casuses anxiety and it can make it difficult for her to go out at times. Appetite is variable amd reports hacing no enjoyment and interests but is unable to identify anything premorbidity that she enjjoyed. She has been to A+E numerous times with previous self harm both cutting and overdosing. She has seen people from DPM. She said it was possibly easier for her to talk to a male and that she had got on well with *** On examination she was casually dressed (I wonder if I had been in a ball dress or something what that would have said - to me from what I remember I was in my PJ bottoms and a didgy jumper). She made poor eye contact and established a poor rapport. She tended to keep her head down and covered her face with her hair ( it is called having a fringe!!!!) and was difficult for her to make spontaneous conversation. Her mood was low and she was very anxious especially when anyone walked past the room. She denied any paranoid thoughts. In terms of further risk I feel that she is at high risk of further self harm and attempted suicide... End What gets me is I can't really remember this at all. It is all a blur to me and cant remember what I said. I find it hard to be honest as I fear labels, psych hospitals and all that it entails. I think I care too much about what other people think of me. I was a little more honest with the person I saw last week and I talked to her about my paranoid thoughts. I am off to the doc tomorrow - I need a note from him as to why i didnt sit exams and also i think I need to talk to him about what I am feeling again at the moment and how all I am thinking about is when I can make a sucessful suicide!!!!