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England and Wales High Court (Queen's Bench Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Queen's Bench Division) Decisions >> B v London Borough of Ealing & Anor [2008] EWHC 1262 (QB) (02 April 2008) URL: http://www.bailii.org/ew/cases/EWHC/QB/2008/1262.html Cite as: [2008] EWHC 1262 (QB) |
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QUEEN'S BENCH DIVISION
Strand London WC2A 2LL |
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B e f o r e :
(Sitting as a Judge of the High Court)
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B | Claimant | |
-v- | ||
(1) LONDON BOROUGH OF EALING | ||
PB | Defendant |
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PO Box 1336, Kingston-Upon-Thames KT1 1QT
Tel No: 020 8974 7300 Fax No: 020 8974 7301
Email Address: [email protected]
(Official Shorthand Writers to the Court)
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Crown Copyright ©
"In my opinion the focus of her anxiety related to speaking in public at school. She was able to work in a local shop without difficulty. She does not describe specific anxieties at home. In my opinion, however, it would be reasonable to state that the level of tension of violence at home would have been a significant factor in the production of her anxiety."
He then goes on at paragraph 69 to record:
"The claimant now presents with mild to moderate symptoms of agoraphobia. She is fearful of being out in public by herself or travelling long distances. She has a supportive family who help with some of these tasks but she is able to overcome her anxieties if it is essential.
70. In my opinion her current symptoms of anxiety are related to a number of factors and it is obviously difficult to be certain as to the causation of her current problems. There appears to be a family history of anxiety related difficulties in both her father and siblings. In my opinion, however, her upbringing has probably been a major component in her lifelong symptoms of varying levels of anxiety. It is typical for symptoms of agoraphobia to diminish and increase at times throughout a person's life. Miss B has generally underperformed in terms of her education and employment abilities. I discussed with her the possibility of her returning to full-time education and I think it would be reasonable for her to consider training again in the future. It is difficult to be certain as to the cause of her performing less well than she might have done in this area, and also in terms of her personal relationships. The causation of these factors are complex and interrelated. In my opinion there is a moderate relationship between her abuse in childhood and under her subsequent adult difficulties."
He goes on to suggest that it would be reasonable for Miss B to be offered a course of skilled cognitive behaviour therapy. He gives a quotation of the likely cost of such treatment being in the region of £1,500 and suggests that that would help her greatly.
"She would be helped by a brief intervention to help her control of excessive use of alcohol. This would involve education, identification of triggers for excessive consumption and alternative methods of dealing with stress."
Again he suggests that the likely cost of that treatment would be £500.
"The claimant had been a smoker before she was injured. In her injured state she began to smoke excessively, and to waste some of the cigarettes that she was contemplating smoking. The judge awarded a sum for cigarettes wasted in the past, but not for the cost in any increased number of cigarettes…"
That decision was discussed in paragraphs 73 and 74. At paragraph 74 Waller LJ said:
"There is something deeply unattractive about the notion that a claimant should recover damages to cover her increase in cigarette consumption either for the past and a fortiori for the future."
The important section is as follows:
"Only if the medical evidence were to convince the court that the accident had caused such injury to the brain that the victim had no real choice but to increase her consumption of cigarettes, could the extra consumption be a head of damage."
I adopt that approach and I am satisfied in this case that the medical evidence does indeed persuade me that the cause of the excessive alcohol consumption is (at least in part) the abuse which she suffered at the hands of her father.