Chancellor George Osborne's psychiatrist brother begged his vulnerable patient mistress not to report him just days after she tried to take her own life after he ended the relationship - telling her it would "destroy" his family in public, a disciplinary panel has heard.

Dr Adam Osborne, who is five years younger than his Chancellor brother and was married at the time of the "inappropriate" emotional and sexual relationship, embarked on the two year-affair with his patient, who he had been treating for depression, anxiety and chronic fatigue.

But after he ended the relationship in February last year, he began making threats towards the woman if she did not retract the complaint she had made to the General Medical Council (GMC).

Dr Osborne was not present at the Medical Practitioners Tribunal Service (MPTS) hearing sitting in Manchester where the tribunal was told that he had "blamed" his patient and saw himself as the "victim".

The tribunal is to make a decision on the allegation that the doctor's fitness to practise is impaired by reason of misconduct.

The tribunal was told that the woman, who was referred to as Patient A during the hearing, also had problems with substance abuse and self-harm.

She had been under Dr Osborne's care at a private practice in central London between February 2011 and late 2014 and had been in a relationship with Dr Osborne for two years.

On February 6 2015, Dr Osborne ended the relationship.

Emails between the former lovers were read to the tribunal.

In one, Dr Osborne said: "We don't seem to be able to live with one another and it's destroying both of us and destroying any relationship that we once had."

Patient A was to respond saying that she was "confused", adding "it seems to me like you are breaking it off".

She added: "Just please tell me the truth the way it is. I'm very much balancing on the edge and it's so easy for me to tip over just now."

Dr Osborne, who admits that he knew, or ought reasonably to have known, that the woman was a vulnerable patient because of her history of mental ill-health, replied: "Yes I need to break from this relationship".

Two days later, Patient A, who is no longer living in the UK, was admitted to hospital after taking an overdose - hours after disclosing the relationship to treating psychiatrist Dr Neil Boast, who had been Dr Osborne's supervisor for a period.

Representative for the GMC, Bernadette Baxter said: "Dr Osborne wanted to end the relationship with Patient A, the significance of this date is it was two days before she made a very serious attempt on her own life by taking alcohol and prescription drugs.

"On February 8, literally hours before she took the overdose, Patient A sent an email to Dr Boast. She also reveals to him in this email her affair with Dr Osborne. She sets out the time frame: 'I started seeing Dr Osborne maybe four years ago, after two years we started an affair.'"

Ms Baxter said the woman had been a "high risk" patient and the two triggers for the overdose has been the "stress" of the relationship and an ongoing custody dispute with her partner over the custody of their two children.

The tribunal was told that there had also been contact between Patient A and Dr Osborne's wife.

But Ms Baxter told the tribunal: "You have confirmation of that in the emails there, I don't see any need to deal with the details of this."

Following complaints made to the GMC by Dr Boast and also by Patient A, Dr Osborne sent a "number of inappropriate emails" to Patient A between February 14 2015 and February 24 2015, requesting that she withdraw the complaint.

One email from Dr Osborne read: "Please don't do this to me it will destroy me and my family in public."

He admitted making threats towards a "fragile" Patient A and the consequences for her family if she did not withdraw her complaint, as well as admitting to his accusation that she had seduced him.

Ms Baxter added: "Patient A said on a number of occasions she wanted him to stop contacting her."

She added that the emails "became more imploring" and that he was "highly manipulative" in preying on the woman's vulnerabilities.

"He sees himself very much as a victim. Then there are emails where the mood very much changed and spills into the territory where he makes threats towards Patient A, consequences to her family and in fact, the patient seduced him."

She added: "It's clear he sees himself as a victim, he is blaming the patient and that is a very unpleasant email."