Admission Details for Patient: Elizabeth Jones (2484)
Gender: Female Age: 65
Marital Status: Widowed Religion: Wesleyan Methodist
Occupation: Widow of a mariner
Address: Barmouth, Merioneth
Date of Admission: August 18, 1875
Date of Discharge: March 23, 1876
Discharge Category: Relieved
Disease: Melancholia (mania crossed out)
Supposed Cause: Sickness and religious excitement
Medical Certificate:
She tore her chemise and when asked why she did it, she said something compelled her to do it. She talks always upon the same subject, mainly that she will be sent to the Asylum. Mrs Roberts her attendant says that she has attempted on several occasions to commit suicide and that she handles the children about roughly. Hughes James Lloyd, Barmouth.
Approximate duration of present attack: 2 months
Number of Previous Attacks: 1
Number of Previous Admissions: 1
Number of Subsequent Admissions: 0
Total Number of Admissions: 2
Relatives affected: One nephew suffered from fits
Number of Previous Attacks: 1
Epileptic: No
Suicidal: Yes threatened to drown herself
Dangerous: No
Clean Habit: No
Food Refusal: No
Sleep Habit: Bad
Destructive Habit: Yes, tearing own clothes
Disposition: Honest, sober and industrious
Education: Fair
Physical/Mental State at Examination: Feeble condition. No arcus. Well marked aortic bruit, pulse accelerated, impulse strong. Respiration somewhat loud. Oedema of both legs with chronic odaematous ulcers. Quiet and rational on admission but appeared to be under the impression that she had been brought here to consult the doctor and to procure advice. She admits to have suffered from attacks of great excitement several times during which she is very violent and uses very bad language. She appears to be an exceptionally intelligent old woman and thinks that the present attack has been brought on by hard study. She says that she is too fond of reading books on religious principles.
Current Diagnosis: Severe Depressive Episode (F32,2)
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