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ABC Walk-in Clinic is located in a large metropolitan city

how would I write Mental state examination on this patient Information for the Patient, Mr Mussa Ahmed MRN: 145060 AGE: 48 YRS Address: Garden Close, Bridgetown TAS 7248 Mussa is 48-year-old married man who lives with his wife and 2 (aged 6 and 2 years) young children. Although Mussa does not have a formal psychiatry history, Mussa reports that his journey to Australia, 5 years ago, was reported to be painful and traumatic. Mussa’s wife, Amina, describes how lately Mussa has become increasingly quiet and reclusive, which is out of character for Mussa. Amina, reports that this behaviour, has brought shame on her and their family. She has tried to make him happy and at times, possibly forcefully, but nothing seems to work. For the last month, Mussa has been so scared of the police saying that they were looking for him. Whenever, he hears an emergency siren he panics and tries to hide. Mussa reports that he has put cameras in the house to ‘protect’ himself from the police and so that he can see them when they come. Amina, reports that as far as she is aware, he was not wanted by authorities, nor has Mussa committed any crimes in Australia or Iraq. Background Information Mussa has been living in Australia for 5 years since he, and his family were granted refugee status. Although speaking English was a challenge at the beginning, Mussa managed to obtain a Certificate 3 in Building and Construction and has been working for a building company for the 3 years. They struggle financially but are getting by ok. Upon interview Mussa reports to the nurse, • That he is suspicious of the police alleging that they are looking for him. He has installed CCTV to ‘protect’ himself and panics when he hears these sirens. • That when he was in Iraq, he was arrested for protesting the government and was subsequently beaten. Whilst he was in custody, he was injured from a Grenade attack on the police vehicle he was in, with substantial physical injuries from shrapnel. Although he was not the target, Mussa blames the police and authorities for his injuries. • That he thinks that he is unwell due to the constant harassment from the police. • Although, his wife Amina is supportive she is exhausted and thinks that this illness brings shame to her and their entire family. If the nurse/health worker asks you relevant questions, please provide the following information: • Mussa should be avoiding eye contact, looking dishevelled and unkempt, act in a manner which would be untrusting and suspicious of the nurse and the line of questioning. • How the experiences of seeking asylum may have triggered stress and presenting characteristics, symptoms, and behaviours. • As the conviction grew that Mussa was in danger, he installed CCTV to protect himself and his family. The sound of sirens has begun to make Mussa panic. • How the arrest in Iraq, the injury from the grenade attack and injuries sustained from shrapnel, police beatings, and the overall experience of seeking asylum has impacted on Mussa current mental health. These experiences made him suspicious and untrusting. He also felt in imminent danger constantly. • The situation at home with his wife Amina, who is supportive, but states that she is exhausted and thinks that this ‘illness’ or situation, has brought shame to her and their entirely family.

 
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