| Harry is a middle-aged business man with possible bipolar disorder and periodic alcohol overuse. He also has type 2 diabetes and chronic lower back pain. Last year, Harry and his GP had disagreements about the regulation of his diabetes. Harry thought that the GP should be able to regulate the diabetes better with new medication, but the GP felt that Harry should do more to eat healthier and lose weight. For some time, they did not talk and Harry expressed his discontent to the other staff members in the general practice, but slowly the relationship was restored and Harry decides that it would not be worth finding another GP to start it all over. However, Harry explains that he has put his diabetes completely on the shelf until the mental health stuff is in place. The GP and Harry have agreed to refer him to a psychiatrist. (Dyad I) |