John Flowers (2509)

Admission Details for Patient: John Flowers (2509)

Gender: Male Age: 36
Marital Status: Married Religion: Church of England
Occupation: Baker
Address: Bangor, Carnarvonshire

Date of Admission: November 13, 1875
Date of Discharge: July 20, 1876
Discharge Category: Relieved

Disease: Acute mania
Supposed Cause: Not known

Medical Certificate:
Delusions. People shooting at him, he must die soon, all his affairs wrong, he must work incessantly. Wife states that he has threatened her with the knife and for the last 3 weeks has been unmanageable and not been at rest. These symptoms have been increasing for the last 8 months. H. R. Greig Hughes

Approximate duration of present attack: 20 months

Number of Previous Attacks: 999

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Number of Previous Attacks: 999

Epileptic:

Suicidal:

Dangerous:

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Fair health. Right inguinal hernia. Is much depressed, remains seated in the dayroom all day and will not take his food well.

Current Diagnosis: Severe Depressive Episode (F32.2)

Case Notes

1875 Dec 14 - He appears somewhat better bodily but still remains very low spirited. He scarcely ever leaves his seat but keeps in the dayroom.

Dec 20 - Gaining strength slowly. Is still depressed but much less so.

He takes his food fairly and goes out on grounds. 1876 Jan 1 - Improving but very slowly. Jan 13 - Is much improved in every respect becoming daily more cheerful.

Is now set to work in the store room. Gaining strength and instead of taking only half of his special diet of milk and beef tea he now has the ordinary diet and eats it all.

Jan 18 - Still improving. Feb 12 - Continues to improve in a very satisfactory manner, works at his trade of baker and he is much more cheerful. Eats and sleeps well but still has an unhealthy pasty complexion though he says his health is quite good.

March 1 - Appears cheerful and contented, writes intelligent and hopeful letters home to his wife. Health improving.

March 14 - His recovery was presumed to have been progressing very satisfactorily and it was thought that he would have been discharged next Friday but today he is very stupid and sulky and for the first time grumbling. Still eats and drinks well. March 28 - Has somewhat recovered again but is still depressed and vacant.

Apr 5 - Is again much more cheerful and has gone back to his work.

May 10 - Is again depressed, he is rather silly in his conversation, making extravagant complaints of the hardness of his work. July 20 - Having continued fairly well for some time he was this day discharged relieved.

Medications/Treatments: