Richard Thomas (4233)

Admission Details for Patient: Richard Thomas (4233)

Gender: Male Age: 23
Marital Status: Single Religion: Independent
Occupation: Butcher
Address: Bethesda (Llandegai), Carnarvonshire

Date of Admission: October 7, 1890
Date of Discharge: March 26, 1891
Discharge Category: Recovered

Disease: Mania
Supposed Cause: Previous

Medical Certificate:
1. A wild appearance and very irritable when spoken to about people he accuses of having abused him. Talking foolishly about killing pigs and stating that he had seen a pig's head alive 5 days after been severed from the body. Complaining of heat in the head and that by administering oils to it he is better. 2. Facts communicated by Owen T. Jones, Waterloo, Bethesda and Mrs. Jones, Waterloo; Morris Hughes, Coed y Park and Robert Williams, Coed y Park: He has been in an Asylum before, threatening his grandmother, went on the railway engine at Bethesda Station and climbing on the covering of the engine, constantly bathing his head with cold water and wetting his hat, climbing trees, walking through the streets with his legs exposed. October 6th 1890. Hugh Hughes and Jenkin Lloyd, Bethesda.

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:

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: No

Disposition: -

Education: Good

Physical/Mental State at Examination: Health good. This lad was discharged from this Asylum in August 88 after a stay of 4 months. Since then has worked steadily with his brother in Ruthin. Two months ago became strange - assaulted his brother - and left for Wrexham and enlisted. Was discharged as Insane after a few days and since then has been rambling about the country. A week ago turned up at his mother's house in Bethesda in a very forlorn state. Has since been very violent and threatened to murder his grandmother - as he says she has lived long enough.

Current Diagnosis: Acute Transient Psychosis (F23.9)

Case Notes

1890 Oct 9 - Patient is very similar in his general appearance to what he was when last admitted. Strong and healthy. His mental aberration is however more marked and decided. His account of his life during the past 2 months being given for the most part in an incoherent, unintelligible manner. He displays a very hostile feeling towards his brother who he states gave him Oxalic Acid to poison him so that he could obtain his money and that he thought of murdering his grandmother "for the old devil looks at me through her spectacles which flash fire and makes me feel I don't know what" and that "she had lived long enough".

21 - iExcited and quarrelsome and demanding his release. Restless by night.

Nov 15 - Is now much quieter and have sent him out to work on farm. No trace of the delusions present upon admission.

Dec 21 - Doing well. Rational in every way and working steadily.

1891 March 10 - Has shown nothing amiss since last entry and may be now considered as safely fit for discharge. Excellent health.

Medications/Treatments:

Additional Notes

Previous admission:

27th April 1888 (no. 3952) with mania and imbecility. Medical Certificate reads: 1. Vacant expression. States that he sees spectres, which nobody except himself can see.

He described one he had lately seen to be like an animal with a head resembling that of a Deer, and that the rest of his body was nearly all legs, thicker than his arm.

He makes long rambling statements in an excited manner about imaginary grievances and laughs idiotically at times whilst making them. 2.

His grandmother, Catherine Thomas, states that he has been sleepless at nights, and that he runs about the country, and walks through Rivers, rather than go over the ordinary bridges, and then remains in a wet state indefinitely.

He threatens violence, she says, to people without any cause or provocation at all, whereas previously he used to be such a kind, good-natured person.

April 26th 1888. Edward James Lloyd, MD, Univ. Aberdeen, Bangor.

Discharged recovered on 22nd August 1888.

A Richard Thomas of Llandegai died at Bangor Workhouse on 25th March 1906.