Dr Castle has over 25 years of experience preparing Medico-Legal and expert psychiatric reports.
His work includes complex assessments involving risk, substance misuse, personality disorders and
antisocial behaviour. During these years, he has completed thorough, evidence-based reports
covering psychiatric sequelae of head and spinal injury following road traffic accidents, and
psychiatric disorders such as schizophrenia and delusional disorder.

For the past four years, he has produced an average of 60+ reports per year, with a cumulative total
of over 1,000 cases covering both psychiatric and neuropsychiatric aspects of clinical negligence and
personal injury claims. His caseload is split 70/30 between clinical negligence and personal injury
matters, in which he regularly provides expert opinion on breach of duty, condition and prognosis,
and causation.

He has extensive experience in the criminal justice system, having prepared numerous reports
addressing psychiatric defences, fitness to plead, and Mental Health Act considerations. His forensic
reports often involve detailed risk assessments and evaluations of the impact of illicit drug use,
alcohol misuse, and personality difficulties.

Dr Castle remains actively employed within the NHS, where he runs a regional Neuropsychiatry
Clinic and serves as Liaison Psychiatrist to the Pain Service. Specific NHS details can be provided
upon request.

Dr Castle has extensive experience in cases associated with:

Personal Injury and Clinical Negligence related to:

• Conversion/somatoform disorders
• Psychiatric sequelae of head injury
• Psychiatric sequelae of spinal injury
• Complicated addiction
• Psychiatric disorders, in the context of chronic pain
• Diagnosis and treatment of primary pain disorders
• Peri-natal psychiatry
• Drug and alcohol misuse disorders
• Road traffic accidents
• Workplace accidents
• Multi-track cases
• Impact of trauma on functioning, relationships, and employment
• General adult, old age, and liaison psychiatry
• Misdiagnosis of Alzheimer’s
• Standards of psychiatric care
• Error in diagnosis or treatment and consequences of delayed/incorrect treatment
• Psychiatric impact on parenting
• The capacity of a parent to understand what might be damaging to their children, and their capacity to respond to treatment
• Psychiatric injury as a result of traumatic delivery and infant loss
• Shock and vivid nightmares
• Immigration/Asylum Cases:
  • Victims of torture and abuse
  • Trafficked victims: Sexual abuse
  • Mental capacity
  • Risk assessment
• Psychotic disorders:
  • Schizophrenia
  • Delusional disorder
  • Schizoaffective disorder
• Major affective disorders:
  • Adjustment
  • Personality disorder (including bipolar affective disorder)
  • Dementia
  • Depression and MDD
• Employment law cases:
  • Bullying
  • Work-related stress
  • Fitness to work/return to work
  • Employment tribunals/disability
  • Sexual harassment
  • Discrimination Act 1995/Equality Act 2010
  • Neurological and neurodevelopment disorders:
  • Functional Neurological Disorder (FND)
  • ADHD
  • Asperger’s Syndrome (ASD)
  • Autism
• Anxiety disorders:
  • Generalized Anxiety Disorder (GAD)
  • Social Anxiety Disorder
  • Separation Anxiety Disorder
  • Panic disorder
  • Phobias (e.g., health-related phobias, agoraphobia)
  • Obsessive-compulsive disorder (OCD)
  • Post-traumatic stress disorder (PTSD)
  • Fear-avoidance behaviours impacting daily functioning

Dr Castle’s appointment availability is approximately 4-6 weeks and report turnaround time is 4-6 weeks.