Jane Roberts (4145)

Admission Details for Patient: Jane Roberts (4145)

Name Mismatch: 4145 , 2494

Gender: Female Age: 27
Marital Status: Married Religion: Wesleyan Methodist
Occupation: Housewife
Address: Bangor, Carnarvonshire

Date of Admission: January 18, 1890
Date of Discharge: April 19, 1890
Discharge Category: Recovered

Disease: Mania
Supposed Cause: Heredity/Confinement

Medical Certificate:
1. (i) Wandering about streets aimlessly. States she has been deceived. In her youth she was, she stated, "followed" by Sir Richard Bulkeley. Laughs on the slightest provocation. Ever since her marriage she has not had a moment's peace, being troubled by spirits, one in the form of a soldier there night and day, only visible at night - he appeared in various suits. II. Other facts indicating Insanity communicated to me by Elizabeth Williams: Lately delivered of a child - then talking about how people in the streets said she had not paid her rent, when no such thing was said. She has heard voices constantly talking to her, while she was in bed. January 18th 1890. Emyr Owen Price, MB and Mr .of Sry. Edin., Bangor.

Approximate duration of present attack: 1 month

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Aunt

Epileptic: No

Suicidal: Yes

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Badly

Destructive Habit: No

Disposition: -

Education: Good, reads and writes

Physical/Mental State at Examination: Health feeble. Patient is a blacksmith's wife. Married 3 and a half years. Confined of 1st child six weeks ago and a fortnight afterwards showed symptoms of Insanity. Her mother's sister is said to have suffered in a similar manner. She is suicidally disposed.

Current Diagnosis: Postpartum Disorder (F53.1)

Additional Diagnosis: 23.9

Case Notes

1890 Jan 21 - Patient is suffering from Mania. She is free from excitement but is very deluded and for the most part rambling and incoherent in her conversation.

Indeed it is difficult for this reason to exactly define her delusions. She states that she has been "followed" by several people and that a Dr came to her house after the confinement and had swords with him and knives with poison in them to kill her.

Has also heard voices at night and she imagines that her husband has been paid to marry her. She is very anaemic and is very probably phthisical.

Feb 1 - A very nice little woman.

Sewing daily. Put her on Arsenic and Iron.

Mentally the same.

15 - Doing well. Gaining strength and colour. Well conducted in every way and more rational.

Mar 10 - Has been laid up with a severe attack of Influenza followed by Otitis.

Is now convalescent but much pulled down. Apr 10 - Improving rapidly and is a very different person to what she was 3 months ago.

Rosy and fat.

Discharged April 19th

Medications/Treatments: Arsenic and Iron

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