Psychiatry Liaison

Liaison psychiatry consultations for inpatient mental health referrals

Kavitha Nair, 52F — PSYCH-2026-041

Oncology — Bed 8 · Referred by: Dr. Priya Rao (Oncology)

Urgent

Seen

Reason: Acute suicidal ideation — patient expressed wish to die, refused further palliative treatment

MSE: Affect: tearful, constricted. Thought: hopelessness, passive suicidality. Orientation: intact. Insight: partial.

Diagnosis: Major Depressive Episode with Suicidal Ideation in the context of terminal illness (ICD-10 F32.2)

Start Mirtazapine 7.5 mg ON (appetite benefit + antidepressant). Psychology referral made (CBT for terminal illness). Family meeting scheduled. Safeguarding — nursing obs QID. DNAR discussion deferred pending capacity assessment.

Gopal Mehta, 45M — PSYCH-2026-040

General Ward 2 — Bed 3 · Referred by: Dr. S. Patel (Surgery)

Semi-urgent

Follow-up Required

Reason: Post-operative delirium — hyperactive, pulling lines, not recognising family

MSE: Agitated, disoriented to time and place. Fleeting visual hallucinations (snakes). No suicidality.

Diagnosis: Hyperactive Delirium, post-operative (ICD-10 F05.0)

Identify and treat precipitants: infection screen, electrolytes. Haloperidol 0.5 mg IM PRN (not exceeding 2 mg/24h). Bright light during day, family at bedside, reorientation. Non-pharmacological measures first.