Key features of depression and its management in general practice.

 
"..I've been possessed by the devil.."

Further History
Omar says when he looks in the mirror he sees a repugnant figure he no longer recognises or likes. When you examine him he says, 'at different times I feel as though my teeth are rotting away'; 'I am in a coffin'; 'I am possessed by evil'. When you enquire whether he hears voices, he says the evil force is maintaining a running commentary on the worthlessness of his life and actions, and demanding that he commit suicide.


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