Areas of Clinical Practice

For any mental health difficulty, Dr Jacob Ellis will offer a detailed clinical assessment, formulation and clinical diagnosis.

He will work with your existing care network to develop a collaborative management plan to guide next steps.

Please see below for specific ways that a psychiatric assessment and formulation might help particular symptoms and conditions.

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Depression

  • Collaborative working with your psychological therapist to develop understanding of causes and triggers of symptoms

  • Prescription of antidepressant medications to manage symptoms of low mood, reduced energy, decreased concentration and poor appetite

  • Prescription of medication to help improve sleep initiation

  • Development of behaviourally activating strategies to gradually improve functioning over time

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Functional Symptoms

  • Recognition of the emotional impact of the complex medical journey and impact of symptoms on day to day life

  • Helping young people and families to understand the mind-body connection.

  • A clinical approach that recognises that functional symptoms are real, impairing and not “all in your head”

  • Development of a practical goal-based management plan in collaboration with multidisciplinary colleagues

  • Treatment of mental health symptoms as needed

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Anxiety

  • Collaborative working with your psychological therapist to develop understanding of causes and triggers of symptoms

  • Specific anxiety diagnosis (e.g. GAD, OCD, panic, social anxiety etc)

  • Prescription of antidepressant medications to help improve symptoms, e.g. reduction of frequency and intensity of panic, overthinking, sleep quality and low energy

  • Development of strategies to identify and manage triggers of symptoms in day to day life

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Self-Harm

  • Development of a clear safety plan to recognise and manage thoughts of self-harm, and personalised strategies to seek additional support from family, clinicians and emergency services

  • Close working with NHS CAMHS multidisciplinary services to provide wrap around care for a young person in mental health crisis

  • Parent work to support a young person with managing thoughts and urges to self-harm

  • Advocacy for the urgent needs of the young person to the wider clinical network

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ADHD

  • Evaluation of impact of symptoms and non-medical treatment strategies (such as tools to manage impulsivity and inattention, adaptations at school and understanding of family and wider network of diagnosis)

  • Prescription of stimulant and non-stimulant medication to manage symptoms of inattention, hyperactivity and impulsivity

  • Close monitoring of possible side effects including impact on appetite, weight, height and blood pressure

  • Shared care with NHS GP to provide ongoing prescriptions to minimise costs to families

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Liaison

  • Working with young people with complex networks of care and longer term health conditions (such as inflammatory bowel disease, epilepsy, cancer)

  • Contribution to multidisciplinary meetings to develop a clear shared understanding of a young persons goals and needs

  • Advocacy for that young person’s clinical needs to the wider health, education and social care network