A cut-up poem based on a letter written by a child psychiatrist about a child of 6 who was struggling with the aftermath of being stabbed in a park at the age of 5.
Mrs P requested psychiatric assessment of P
P behaved in a provocative self willed way
with a lack of restraint and was uninhibited in his behaviour
he was restless, enjoyed flaunting authority deliberately, consciously
with an awareness that
working himself up into a state of excitement would provoke
he has always had his own way
P is going to be a severe behaviour problem
Mrs P has tried all the usual disciplinary methods
with no effect.
given syrup of tryptisol1 25 mg 3 times daily to help mother restore
her authority
At school he is considered ordinary
his development history was straightforward
P is the youngest (eds note second youngest) of three (eds note five children)
Mr P thinks nothing is wrong.
Mr P opts out and works extraordinarily long hours
Mrs P thinks he blames her and undermines her
Mrs P has insight into the situation
and gets no support from her husband
P was attacked and stabbed in a park
This was not the cause of his present behaviour
It is the stresses and strains within the family
Arrange to see P at the clinic but doubtful much can be done
1) Amitriptyline (tryptisol) should not be used in children and adolescents aged less than 18 years, as safety and efficacy have not been established (see section 4.4). https://www.medicines.org.uk/emc/product/1560/smpc#gref