Admission Details for Patient: John Jones (4194)
Name Mismatch: 4194 , 2456, 2465, 2485, 6487
Gender: Male Age: 35
Marital Status: Married Religion: Wesleyan Methodist
Occupation: Labourer
Address: Penrhyndeudraeth, Merioneth
Date of Admission: June 5, 1890
Date of Discharge: February 18, 1902
Discharge Category: Relieved
Disease: Mania
Supposed Cause: Previous attacks
Medical Certificate:
1.Seven years ago I certified that he was a person of unsound mind, he was taken to the Denbigh Asylum and was detained there for three years. I find that he is now most incoherent in his speech and unruly and very excited in his manner, in fact indicating a person of unsound mind. 2. His father, Richard Jones, Butcher, Church St, Penrhyndeudraeth, informs me that he had to go to fetch him to South
Wales when he found him suffering from unsoundness of mind and brought him home and that he Jno.Jones has been detained in the Asylum on four different occasions. June 4th 1890. Robert Roberts of Portmadoc, Surgeon.
Approximate duration of present attack: Not known
Number of Previous Attacks: 4
Number of Previous Admissions: 4
Number of Subsequent Admissions: 0
Total Number of Admissions: 5
Relatives affected: Grandmother
Number of Previous Attacks: 4
Epileptic: No
Suicidal: Not known
Dangerous: Yes
Clean Habit: -
Food Refusal: -
Sleep Habit: -
Destructive Habit: -
Disposition: -
Education: Moderate, reads and writes
Physical/Mental State at Examination: Health good. This patient was discharged on the 22nd June 1886 and is said to have been working in South Wales up to about a fortnight ago when his father had to go over to S. Wales and bring him home. He has since been in the habit of wandering about the country without any definite purpose, preaching to people about the roads and streets, and making himself a general nuisance to the neighbourhood.
Current Diagnosis: Bipolar Affective Disorder, Hypomanic (F31.0)
Case Notes
1890 June 9 - The mental condition of this case is that of ordinary mania with excitement associated with a degree of imbecility and he appears to be much in the same state as when he was admitted in 1882.
Upon admission he was extremely noisy and loquacious, rambling from one subject to another and betraying much restlessness of general disposition and incapable of arresting his attention upon any subject. In other respects he is good natured and willing in conduct, greets his former acquaintances with effusive enquiries and expresses a great desire to stay here to assist with the harvesting etc.
His general health is robust and muscular.
June 21 - isq. Noisy and excited. Cutting all sorts of fantastic capers. Cannot apply himself to anything altho' says he is very anxious to do so.
July 7 - If anything worse. Has become more pugnacious and interfering with his fellow patients. There is a consid. amt. of Imbecility about him. Good health.
Aug 10, Sept 12 - isq. 1891 Jan 3 - Has improved to a certain extent during the last few months but is still silly and absurd in his remarks and also demeanour but is quieter and working steadily on the farm.
Apr 15 - Somewhat more rational in every respect but is quite unfit for discharge.
Sept - isq.
1892 Jan, May, Oct - isq. 1893 Apr, Nov - isq. 1894 Oct - A little brighter and does some Ward Work. No delusions are now apparent.
1895 Apr - Very variable. One time low other times excited. Aug - isq. 1896 Feb - Is now passing through a stage of excitement of a mild degree. Irrational in conduct and conversation. Rambling in his statements. A clean and well conducted patient working in the wards.
May, Sept, Dec - isq.
1897 July, Nov - isq. 1898 Feb, May, Nov - isq. 1899 Mar - Has been suffering a good deal from Atonic Dyspepsia and general want of tone.
Is picking up again.
June - Is now in fair health but not very strong. Has general tremors like those of old age due to nervous degeneration. Oct - isq.
1900 Jan, Apr, Aug, Dec - isq.
1901 Mar 30 - Is always complaining and spends half his time in bed suffering from some imaginary complaint. Low and depressed as a rule.
June - isq.
Dec - Has been transferred to Penrhyn Workhouse. Formally discharged 18th February 1902.
Medications/Treatments:
Additional Notes
Previous admissions:
John Jones’s first admission was on 8th October 1873 at the age of 20 (no. 2276). It was noted that he was 15 when he had his first attack for which he was treated at home. The Medical Certificate reads: He talks most incoherently and foolishly, asserting that he is a great king and a god and other nonsensical things.
I saw him about a month ago in the same state but he became apparently well in about a fortnight.
His father states that about five years ago he first noticed something wrong with him about every month gradually becoming worse.
He has further noticed particularly for the last few months that the attack commences just before the full moon and continues for about a fortnight, sometimes veryviolent and dangerous, breaking things in the house etc.
Readmitted on 27th May 1875 with Acute Mania (no. 2456).
Medical Certificate reads: He talks in the most irrational incoherent manner stating he can work at all trades and that he is a member of all professions.
Imitating preachers etc etc, showing full that the man is out of his mind.
By the Police Officer:
That yesterday he was very violent threatening to kill people and visiting several houses with that threat when with difficulty he, with assistance, took him into custody.
He was discharged recovered on 8th May 1876.
Another admission on 16th May 1878, again with Acute Mania (no. 2772).
The Medical Certificate reads: Talking most incoherently, jumping in the street in fact shewing every symptom of a person of unsound mind.
The Police Officer informed of his throwing stones at people breaking his watch and other similar symptoms of insanity.
Discharged recovered on 26th June 1879.
A fourth admission on 7th June 1882 (no. 3269). The Medical Certificate reads: 1. His appearance is wild and his conversation erratic. One day I saw him breaking up a path saying it was his duty to do so to prevent people falling, at the same time using most offensive language.
His inclination to wander at large and becoming very violent, dangerous to all about him and to himself, requiring
restraint, in fact his appearance and actions are indicative of a person of unsound mind.
2. As above. Throwing knives and forks through the window into the street and running after people. By his parents and others.
Diagnosed with Mania, he was discharged recovered on 22nd June 1886.
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