{"text":"The mesting | attended agreed that a further psychiatric opinion should be sou ht \nand | agreed to write to you to request this. | should say that neither nor \nTanya were at the meeting but arrangements were made for the recommendations \nto be fed back to them afterwards. | am assuming that because they have a\ufb01 \ndepartment and are currently involved with \nareed to involvement from your \n_that there would not be an cbjection to seeking a psychiatric opinion as \npart of tnis invoivement. \nMy personal view on Tanya is that she can become overwhelmed by emotional \ntensions and pressures arising from within the family situation (eg her father\u2019s \nunreliabifity and tensions arising from this at home, her difficulties relating to her \nmother's partier) and from her low self esteem which | would think can be linked (not \nexclusively) to her vulnerabilities within the family. Tanya is also a girl who has \nsignificant learning difficulties and ! think this does have implications for her social \nunderstanding and learning. So far as the recent incidents in school are concerned, \nher Sccial Worker.*reports that Tanya has said that she never had \nany intentions of serious self-harm. The school have been concerned that her \nbehavicur would escalate due to her needs to receive attention. \nA planning meeting to set up a package for Tanya has been set for Monday 30 \nNovember and it would be very helpful to have any relevant feedback your \ndepartment is able to provide before this meeting. | am copying this letter to - \nwho may be in mere of a position to respond within this timescale than you \nyourself are able to do. \nYours 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