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SSRI Stories summary: Man, angry at neighbours and reporting violent thoughts, comes to NHS mental health services when he attacks the neighbours’ property with a machete. He is put in hospital in January, 2003. There he is calm and cooperative, and he claims not to be depressed. Nevertheless, the only treatment he receives is escitalopram. He complains of feeling “light-headed, ‘like I’ve had a few drinks’ “, but this is dismissed as not a potential side-effect of the meds. In March, 2003, he simply leaves the hospital. He is still taking the escitalopram; continuing it was part of his discharge plan. There is no follow-up, and probably there was no repeat prescription. If this were true, he would not have taken the meds past his initial prescription, the length of which is not disclosed in the Inquiry report. The report describes his behaviour in early 2004 as follows: “He had become increasingly irritated and disturbed by building works SB was carrying out”. He then planned to kill his neighbour Simon Breed, and did so, lying in wait and stabbing him when he returned home from work. It is possible that this severe irritability and potential psychosis was a withdrawal effect, but there is not enough information available to know.