Table 2 History of admissions (excluding multiple admissions to acute mental health wards, A&E and general hospitals)
Year | Event/Treatment | Description | Legal status | Medication | Psychological Treatment | Length of stay (LOS, months) & Estimation of cost of psychiatric admissions* | Discharge BMI |
|---|---|---|---|---|---|---|---|
2000 | Traumatic Brain Injury | Patient suffered a brain injury from a horse-riding accident, leading to the onset of AN and other mental health issues | Sodium Valproate | 19.2 (as a jockey before the TBI) | |||
2001 | First Admission SEDU A | Initial admission to a SEDU, marking the beginning of over 30 psychiatric admissions | Informal | Citalopram | Some group therapies | 4 months ~ £60 k | 15 |
2002–2007 | SEDU B Repeated admissions | Multiple admissions to SEDU B and acute wards, including treatments like electroconvulsive therapy and various treatments | Compulsory | Olanzapine, Diazepam, Zopiclone | Psycho-dynamic group therapy, a CBT group, 1:1 therapy (humanist existential model) | 6 months ~ £90 k 9 months ~ £135 k 12 months ~ £180 k & shorter admissions | 18 (but water loading 4 kg) |
2011 | Hospital admissions in Paris | Collapsed while teaching, leading to further hospital admissions and detainment in a mental institution in Paris | Compulsory | Valium, Omeprazole | None | 2 months | 12 |
2011–12 | Return to England (SEDU C) | After severe deterioration in Paris, returned to England for treatment at SEDU C. Discharged self and returned to Paris, experiencing severe symptoms and hallucinations | Compulsory | Valium, Omeprazole | 1:1 therapy (Cognitive analytical therapy) | 2 months ~ £30 k 3 months ~ £45 k | 12 |
2012–2016 | SEDU C Repeated admissions | Multiple admissions to SEDU C in England, with continued struggle in treatment and care, leading to severe mental and physical deterioration | Compulsory | Olanzapine, Sodium Valproate | Same groups as in previous admissions 1:1 art therapy (6 sessions) | 5 months ~ £75 k 6 months ~ £90 k 8 months ~ £120 12 months ~ £180 + shorter admissions | 17.5 (at final admission, a variety of BMIs at previous admissions, including > 14) |
2017–2018 | I-CBTE at Cotswold House (Oxford) SEDU | Introduction to I-CBTE, leading to significant improvements in health and well-being | Informal | Olanzapine, Sertraline Lithium | I-CBTE & support from the whole MDT | 5 months ~ £75 k | 20 |
2018–2020 | Ongoing community treatment | Seamless transition to continued care in the community with I-CBTE therapy, dietary support, and consultant psychiatrist, leading to significant recovery | Informal | Olanzapine Sertraline Lithium | I-CBTE | 12 months | 20 |