14th June 2021

A 25-year-old man is brought to A&E by his girlfriend. He is very agitated and restless

A 25-year-old man is brought to A&E by his girlfriend. He is very agitated and restless, refusing to stay in the triage assessment area and insisting that he has to leave because he is due to “give a speech to the UN”. His girlfriend reports that he has been “acting crazy” for the past week, staying up until the early hours of the morning working on his UN speech, refusing to sleep, eat or go to work. His speech is very pressured, and it is difficult to obtain a history from him. Further collateral from his girlfriend reveals that he has a strong family history of bipolar disorder but has never been diagnosed with the condition. He is in good physical health, and she does not think he has used any drugs or alcohol. Routine blood tests are normal. He refuses admission and is deemed to not have capacity.

Which of the following statements about subsequent management is correct?

Select the SINGLE most appropriate option from the list below. Select ONE option only.