Dr Rehman said that on April 29, three days before the show was filmed, Mr Dymond kicked the door of his surgery and was “very aggressive”, demanding that he write a letter to ITV saying he was not depressed because he was back together with Ms Callaghan.
“He came to see me, he banged the door with his foot, he was very aggressive.” Dr Rehman said. “He was insisting that he should get a letter. I explained to him that he was depressed.
“He said he was not depressed and denied it. He said he did not want to take the tablets and wanted to go on a TV show.
“I respect the patient’s opinion but I have the [medical] history and I told him he was depressed. I didn’t follow his instructions and wrote that he was feeling better and had not taken the medication.”
GP gave in to demands to write a note
The letter, which was read to the inquest, said: “I write to confirm that Mr Dymond is registered with this practice.
“Mr Dymond has a history of low mood and depression but his mood has improved since he got back together with his partner.
“I saw him for review at the surgery today and his mood has improved and he is not taking any anti-depressants at this time. I hope you will find this information helpful.”
Dr Rehman said he knew Mr Dymond wanted to go on a TV show but did not ask for further details.
Asked if it was not “pertinent” to mention a history of suicidal thoughts in his letter, Dr Rehman said: “I could have mentioned that but the mental health team did not say that he was suicidal.”
Mr Dymond had been assessed as “low risk” at the time, the inquest heard.
Previously, he had been diagnosed with a depressive disorder in 1995 and he had taken overdoses on four occasions – in January 1995, twice in December 2002, and in April 2005.
He had also attempted to cut his wrists in December 2002, and he was sectioned on September 22 2005 after a mental health assessment found he was at “risk of suicide”.
There was a “potentially lethal” amount of morphine in his system when he died, and he was suffering from left ventricular hypertrophy, a heart condition.
Patient had prescription for morphine
On Wednesday, it was revealed Mr Dymond had been given 60 morphine tablets, for which he had a prescription, the day before his death “without speaking to anyone” at Dr Rehman’s GP surgery.
The Jeremy Kyle episode he filmed a week earlier, on May 2, has never been aired. On May 13, four days after Mr Dymond’s death at his £100-a-week rented room, ITV abruptly pulled the show off air.
Mr Dymond’s final message to Ms Callaghan, on May 6, said the programme was “responsible for what happens now”, and added: “I hope this makes good ratings for them.”
The inquest continues.