Station 53
Peter Drinkwater
Age: 16 years old male
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Lisa Drinkwater, the mother of Peter Drinkwater, a 16-year-old boy. You’re calling today because you’re very concerned about changes in your son’s behaviour over the last 2–3 weeks.
Peter has been behaving unusually. He says people are watching him, and you’ve heard him talking to himself as if he’s speaking to people who aren’t there. He says he hears 2 voices. Thevoices sometimes tell him to take his clothes off inappropriately, and at other times, they tell him that he is from Africa and is a king there, even though he has never been to Africa and has no known connection to it.
He has also become increasingly irritable. He often gets angry, shouts irrationally, and has threatened to cause harm, particularly towards you and his 12-year-old sister.
He has no fever and has not been unwell in anyway.
You’re extremely worried that something might be seriously wrong with him mentally.
You’ve asked Peter to see the GP, but he’s refused.
Social History: You’ve found out he’s been drinking alcohol and smoking. While you’re not sure about drug use, you have smelled cannabis in his room before. He is in Year 11 and currently preparing for his GCSE exams.
There is a family history of mental illness — schizophrenia in Peter’s cousins (your niece and nephew), and bipolar disorder in his father, which is currently well controlled.
Ideas: You suspect this might be a mental health problem.
Concerns: You’re scared he may harm himself or his younger sister.
Expectations: You want help and advice on what can be done urgently.
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.