More than six months after his referral, Matt still hasn’t been able to return to his job, and has had to find alternative employment. He tells me another psychiatrist from his mental health practice produced a report saying he was “low risk”, but didn’t wish to have further involvement with the appeal he is making to his employer. He has subsequently been seeing an OCD specialist, who is happy to advocate for him and has declared him “no risk” to other people - but the appeal to his former bosses is proving to be a long and difficult process. He hasn’t had contact with his son for more than six months, and is on an NHS waiting list for further treatment.