Understanding the MSE - Lisa (w/- commentary)

Summary

Lisa, a regular cannabis and occasional speed user, has been attending counseling sessions with Jenny for six months. Recently, she has been experiencing paranoia, believing she is being watched by cameras and hearing voices that criticize her and warn her about her boyfriend, Jonno. Lisa has been sleeping in a garden shed with a knife for protection and has stopped taking her antipsychotic medication. Concerned about her mental health, Jenny arranges an appointment with the mental health service for further assessment.

Takeaways

• 🌿 Lisa is a regular cannabis and occasional speed user who has been seeing a counselor for the past six months.
• 🏥 Lisa was admitted to a psychiatric hospital last year and was discharged with antipsychotic medication.
• 👥 She has recently moved out of her parents' home to live with her boyfriend, Jonno.
• 🔍 Lisa's counselor noticed she appeared restless, agitated, and was responding to unseen stimuli, indicating a possible mental health relapse.
• 🏠 Lisa believes there are cameras in her house watching her, leading her to sleep in the garden shed to avoid being watched.
• 🗣️ She hears voices that tell her she is worthless and that she needs to be cautious of Jonno, who she thinks might harm her.
• 🔪 Lisa has been sleeping with a knife to protect herself, showing signs of paranoia and delusions.
• 💊 Lisa has misplaced her medication and hasn't been taking it, which could be contributing to her current mental state.
• 🚫 There is a breakdown in communication with her parents, who are upset about her moving in with Jonno.
• 🤔 The counselor is concerned about Lisa's mental health and arranges for her to see a mental health worker for further assessment.

Q & A

How long has Lisa been seeing Jenny, the counselor?

Lisa has been seeing Jenny, the counselor, for the last 6 months.

What was the reason for Lisa's first admission to a psychiatric hospital?

Lisa's first admission to a psychiatric hospital was due to her mental health issues, and she was discharged with antipsychotic medication.

What substances does Lisa regularly use?

Lisa is a regular cannabis user and an occasional speed (amphetamine) user.

Why has Lisa moved away from her parents?

Lisa has recently moved away from her parents to live with her boyfriend, Jonno.

Why is Lisa unable to stay in the house according to the transcript?

Lisa believes there are cameras in the house that are watching her, which makes her feel unsafe and compels her to stay outside.

Where does Lisa sleep when she is not able to be in the house?

When Lisa feels she cannot be in the house, she sleeps in the garden shed.

What does Lisa believe about the cameras and voices she experiences?

Lisa believes the cameras are on the roof and in every room, watching her, and she hears voices that are telling her horrible things and that she needs to protect herself from Jonno, her boyfriend.

What does Lisa think Jonno has done to her according to the voices she hears?

The voices Lisa hears tell her that Jonno has put a transmitter in her stomach, and everyone knows what she is thinking all the time.

How does Lisa plan to protect herself from Jonno as per the voices' suggestions?

Lisa has been sleeping with a knife to protect herself from Jonno, as suggested by the voices she hears.

What is the current status of Lisa's medication?

Lisa has misplaced her medication and cannot remember the last time she took it, indicating she might not have been taking it for a while.

What action does the counselor, Jenny, take regarding Lisa's mental health?

Jenny, the counselor, decides to connect Lisa with her mental health worker and sets up an appointment for further assessment, given Lisa's symptoms and her non-adherence to medication.