Mary Roberts (4211)

Date of Admission: July 26, 1890
Date of Discharge: February 24, 1891
Discharge Category: Recovered

Disease: Mania (subacute)
Supposed Cause: Heredity/Previous attack

Medical Certificate:
She makes use of most filthy and obscene language, refuses to swallow her food after taking it into her mouth, throws about and breaks everything she can lay her hand on. Her mother told me that she has several times run into the river close by the house and that she is very much afraid of some accident happening to her. Samuel Griffiths, High St. , Portmadoc.

Approximate duration of present attack: 10 days

Number of Previous Attacks: 1

Number of Previous Admissions: 0

Number of Subsequent Admissions: 1

Total Number of Admissions: 2

Relatives affected: Maternal Aunt and Uncle

Number of Previous Attacks: 1

Epileptic: No

Suicidal: Yes

Dangerous: No

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: No

Disposition: -

Education: -

Physical/Mental State at Examination: Patient had an attack five years ago lasting about 7 months. Since then remained pretty well until 10 days ago. No symptoms of Special interest.

Current Diagnosis: Bipolar Affective Disorder (F31.6)

Medications/Treatments:

Additional Notes

Readmission:

22nd June 1896 diagnosed with Mania (no. 5126).

Medical Certificate reads: Great moroseness, with occasional erratic movements, complete silence when conversation attempted although when last seen (19th inst.) she did converse a little, a vacant verging on a wild look in the eyes with a pensive face.

Her mother Ann Roberts, states that she tears and burns her clothes, occasional attacks of violence on both father and mother, sleeplessness and wandering about at nights, sitting moodily in a room for hours without saying a word or answering a question.

Discharged ‘relieved’ on 12th March 1912.