More Psychiatric Fraud – Drug-Induced Hyponatraemia


More Psychiatric Fraud - Drug-Induced Hyponatraemia (±x)

Published on 27th October 2017

Joseph S R de Saram (JSRDS)

Information Security Architect / Intelligence Analyst / Computer Scientist / Human Rights Activist / COMSEC / SIGINT / TSCM

Enter more text here

Following on from other articles in the CHIS series:-

Hyponatremia is decrease in serum sodium concentration < 136 mEq/L caused by an excess of water relative to solute. Common causes include diuretic use, diarrhea, heart failure, liver disease, renal disease, and the syndrome of inappropriate ADH secretion (SIADH).

Clinical manifestations are primarily neurologic (due to an osmotic shift of water into brain cells causing edema), especially in acute hyponatremia, and include headache, confusion, and stupor; seizures and coma may occur.

Diagnosis is by measuring serum sodium.

Serum and urine electrolytes and osmolality and assessment of volume status help determine the cause. Treatment involves restricting water intake and promoting water loss, replacing any sodium deficit, and correcting the underlying disorder.


Hyponatremia reflects an excess of total body water (TBW) relative to total body sodium content. Because total body sodium content is reflected by ECF volume status, hyponatremia must be considered along with status of the ECF volume: hypovolemia, euvolemia, and hypervolemia (see Table: Principal Causes of Hyponatremia). Note that the ECF volume is not the same as effective plasma volume. For example, decreased effective plasma volume may occur with decreased ECF volume (as with diuretic use or hemorrhagic shock), but it may also occur with an increased ECF volume (eg, in heart failure, hypoalbuminemia, or capillary leak syndrome).

Sometimes, a low serum sodium measurement is caused by an excess of certain substances (eg, glucose, lipid) in the blood (translocational hyponatremia, pseudohyponatremia) rather than by a water-sodium imbalance.

Hyponatremia - Endocrine and Metabolic Disorders - Merck Manuals Professional Edition

Learn about the causes, symptoms, diagnosis & treatment of Electrolyte Disorders from the Professional Version of the Merck Manuals...

The PERFECT Case Study

Am J Ther. 2008 Sep-Oct;15(5):492-4. doi: 10.1097/MJT.0b013e31817276e9.

Antipsychotic-induced hyponatremia: case report and literature review.

Kohen I1, Voelker SManu P.

Author information


“We report a case of hyponatremia in a patient that occurred 3 days after initiation of treatment with aripiprazole. The patient was a 50-year-old man admitted to an inpatient psychiatric unit for exacerbation of schizophrenia.

He was started on aripiprazole and developed hyponatremia that resolved when the medication was stopped.

We postulate that the

hyponatremia was due to an aripiprazole-induced syndrome of inappropriate secretion of antidiuretic hormone.

There have been numerous case reports in the literature of hyponatremia in the literature associated with atypical antipsychotics.

We caution clinicians to be aware that the potential hyponatremic-inducing effects of atypical antipsychotics can occur rapidly after initiation of the medications.”

Antipsychotic-induced hyponatremia: case report and literature review.

See comment in PubMed Commons below Am J Ther. 2008 Sep-Oct;15(5):492-4. doi: 10.1097/MJT.0b013e31817276e9. 1 The Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, Ambulatory Care Pavillion, Room 2106, 75-59 263rd Street, Glen...

and this one too:-

Aripiprazole-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH).

Bachu K1, Godkar DGasparyan ASircar PYakoby MNiranjan S.

Author information


“Aripiprazole is a newer atypical antipsychotic agent used for effective treatment of schizophrenia. It significantly reduces unwanted side effects of older typical antipsychotics by targeting, with high affinity, dopamine D2/D3 and serotonin 5-HT1A/5-HT-2A receptors. Its documented mechanism of action makes it an unlikely agent to cause syndrome of inappropriate antidiuretic hormone secretion (SIADH).

We present the first reported case of

SIADH caused by aripiprazole in a patient with history of schizophrenia without other precipitating factors to explain hyponatremia or SIADH.”

Aripiprazole-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH).

See comment in PubMed Commons below Am J Ther. 2006 Jul-Aug;13(4):370-2. Aripiprazole is a newer atypical antipsychotic agent used for effective treatment of schizophrenia. It significantly reduces unwanted side effects of older typical antipsychotics...


For some reason Edward de Saram (“EDS”) kept telling me to ‘stop drinking so much water’ or words to that effect. I was completely stunned to hear this nonsense, and I was getting irritated by him turning up to Sri Lanka and telling me what to do. I eat and drink whenever I need to, and given the various matters I was working on, I had to be alert at all times so would do nothing to compromise that.

I knew immediately that EDS was trying to make it appear that I was not taking care of myself and he was trying his hardest to fabricate symptoms of schizophrenia in his discussions with me and third parties.

Substance-Induced Mental Disorders

Background As I wrote in the following article, Edward de Saram obtained and poisoned me with psychotropic medication that 'conveniently' fabricated...

However, it was not working and I could see EDS was getting frustrated. That is when he started poisoning me with a view to inducing the symptoms of schizophrenia.

Try Hard - Inchoate Offences

Criminal Attempts Act 1981 Attempted criminal liability is governed by the Criminal Attempts Act 1981, which was based on the recommendations of the Law Commission Report (1980 No 102) and to address in part the House of Lords decision in Haughton v. Smith...

From the two Medical Articles above mine, note how Aripiprazol induces the symptoms of Schizophrenia as well as induces Hyponatraemia !!!

DEADLY - Sudden Cardiac Arrest triggered by Aripiprazol (Abilify)

Summary Sudden cardiac death is found among people who take Abilify, especially for people who are female, 20-29 old , have been taking the drug for ...


Actually this type of behaviour is CLASSIC Munchausen Syndrome by Proxy (“MSbP”)

As I wrote in the article:-

“In MSbP, an individual — usually a parent or caregiver— causes or fabricates symptoms in a child. The adult deliberately misleads others (particularly medical professionals), and may go as far as to actually cause symptoms in the child through poisoning, medication, or even suffocation. In most cases (85%), the mother is responsible for causing the illness or symptoms but since Edward de Saram (“EDS”) does not have balls then he fits into the 85% group.”

“Usually, the cause of MSbP is a need for attention and sympathy from doctors, nurses, and other professionals. Some experts believe that it isn’t just the attention that’s gained from the “illness” of the child that drives this behavior, but also the satisfaction in deceiving individuals whom they consider to be more important and powerful than themselves. This is classic Narcissistic Supply and the ‘enjoyment of the deceit’ often manifests visually as ‘Duping Delight’.”

“Because the parent or caregiver appears to be so caring and attentive, often no one suspects any wrongdoing. Diagnosis is made extremely difficult due to the the ability of the parent or caregiver to manipulate doctors and induce symptoms in the child.”

Munchausen Syndrome by Proxy MSbP

In MSbP, an individual — usually a parent or caregiver— causes or fabricates symptoms in a child. The adult deliberately misleads others (particularly...

An Interesting Type of Fraud

Here are two audio recordings from the Psychiatric Facility. Clearly if I have recorded the audio whilst I was incarcerated, it does confirm that I has zero cognitive deficiency and had full mental capacity 🙂


As is patently obvious the donkey Dulmini Jayasundara obsessed in telling me that I have been drinking too much water. Clearly (and she does confirm it) it is EDS who has informed her of my notes, meaning fabricated them.

The Psychiatric Fraud runs like this:-

(a) EDS has informed DJ that I am ‘drinking too much water’, and this would cause a reduction in Sodium ions;

(b) I was certainly not drinking too much water, and EDS’ assessment is as usual, based on nothing quantitative whatsoever. DJ incorrectly believes that 2 litres of water per day is too much and can cause dangerous hyponatraemia – she is absolutely wrong and anyone can check this independently;

(c) However it does confirm DJ’s fixed delusion that I have hyponatraemia, the lies surrounding which could ONLY have come from EDS as this nonsense is NOT referred to on the full audio recording;

(d) DJ wanted to take a blood sample, and listen to the manner in which she is demanding it. If I had provided one then the quantitative sodium ion concentration would have been determined. DJ is OBSESSED in me providing a blood sample, and the reason is as follows…


In the circumstances where EDS has poisoned me with Aripiprazole, hyponatraemia would have been induced. I knew this was a side-effect of Aripiprazole because on 14 December 2015 I reviewed the drug’s contraindications on the internet.

However I had been ‘swearing blind’ that I do not drink the volumes of water to cause hyponatraemia, which is THE FACTUAL POSITION.

Also had I told DJ that EDS had harmed me then I would be playing into their theory that I was paranoid or had ‘persecutory delusions’.

Luckily because I knew that I was being poisoned with Aripiprazole,

Die Hard - My Erection Saved My Life

Whilst my adversaries call me a dick, I do 'rise to the occasion' during investigations so perhaps there is an element of truth - ha ha! As I wrote in...

I knew that my sodium ion concentration would have been reduced. I also knew that after a few days the sodium ion concentration would return to normal as I was not being poisoned by EDS – I just had to be patient (literally!) and be calm 🙂

DJ was intent on using the reduced sodium ion concentration THAT SHE FELT SHE WAS GUARANTEED, to ‘confirm’ that (a) I had no insight and (b) I needed another party to make decisions for me because I was harming myself without knowing!!

DJ was expecting me to give a blood sample to prove MY assertions – however I do not prove anything to anyone, expect good Linkie Folk who are wondering why there have been delays in me making business payments – now you know!!

However if I had provided a sample, then I would have fallen right into their trap.


Techniques that I Employed

In this situation, I knew for a fact that there was absolutely no actual evidence to keep me in the psychiatric facility. I was the only one who actually had evidence of the call interception, cellular jamming and a whole host of other things.


I am sure my peers in the AU Australian Signals Directorate ("ASD"), UK Government Communications Headquarters ("GCHQ") and US Central Intelligence...

If I were going to obtain a Court Order to get myself out then I could not give my adversaries any ammunition against me. For example they could easily add substances to the blood sample or fake medical reports.

Accordingly, these baboons only had their ‘opinions’ and ‘flawed logic’ against my hardcore forensic evidence of electronic surveillance !!

Dulmini Jayasundara is just another Sad ShitLankanTM Fraudster…

I do hope the Royal College of Psychiatrists is reading about how these charlatans are using the UK to obtain credibility to further their fraudulent behaviour when they are back in their jungle environment 🙂

“You can take the monkey out of the jungle, but you can’t take the jungle out of the monkey.”

The case continues…


Joseph S R de Saram (JSRDS)

Information Security Architect / Intelligence Analyst / Computer Scientist / Human Rights Activist / COMSEC / SIGINT / TSCM