Ann Hughes (4255)

Admission Details for Patient: Ann Hughes (4255)

Gender: Female Age: 44
Marital Status: Married Religion: Church of England
Occupation: None
Address: Llanrug (admitted from workhouse), Carnarvonshire

Date of Admission: December 18, 1890
Date of Discharge: February 25, 1891
Discharge Category: Recovered

Disease: Melancholia
Supposed Cause: Hered./Previous attack

Medical Certificate:
1. Talking incoherently and acting in a wild threatening manner. 2. The Master of the Workhouse, Mr. Jones, says that she tried to do herself a bodily injury. Mr Jones, the Relieving Officer, has heard her threatening to kill people. Wm. Jones Williams, Carnarvon. 16th December 1890.

Approximate duration of present attack: 1 week

Number of Previous Attacks: 3

Number of Previous Admissions: 1

Number of Subsequent Admissions: 1

Total Number of Admissions: 3

Relatives affected: Cousin

Number of Previous Attacks: 3

Epileptic: No

Suicidal: Yes

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Badly

Destructive Habit: Yes

Disposition: -

Education: -

Physical/Mental State at Examination: Health good. Patient was an inmate of this Asylum 20 years ago. Five years ago had an attack after confinement and was treated in the Workhouse. Present attack commenced 8 days ago and on Sunday last was admitted to the Workhouse. Her cousin (Mary Jones, no 2430) has been an inmate of this Asylum.

Current Diagnosis: Bipolar Disorder (F31.3)

Case Notes

1890 Dec 21 - Patient is a very stout woman, ruddy complexion and in good bodily health.

She is in a state of subacute melancholia and sings Methodist hymns in a lachrymose manner.

Wishful to return to her family as she fears something has happened to them.

Talks volubly in an incoherent rambling manner. Eats well but is restless at night.

1891 Jan 1 - The same. 15 - Quieter. Has been sewing a little.

Have sent her to Laundry.

Feb 3 - Has rapidly improved and is quite another woman in every way.

Rational and in good spirits.

24 - Will soon be returning home. Her mental condition does not seem however to be as firmly re-established as could be wished as she is somewhat inclined to become noisy and talkative but there are no delusions and it is to be hoped that she will not relapse.

Discharged Feb 25th 1891.

Medications/Treatments:

Additional Notes

Previous admission:

26th September 1870 (no. 1921) at the age of 23.

It was noted to be her second attack, the first had been at age 19. The cause of the attack was supposed to be "sudden death of father" and the Medical Certificate reads:

She is going to heaven by the next post to see her father (who has just died) and by the same post she is going to send her brother in law to hell in two sacks, also her general talk and appearance is that of a person of unsound mind.

Her sister Ellen Hughes who states that she and the rest of the family are in constant bodily fear of her for she declares that she will kill them.

Ann was discharged recovered on 14th April 1871.

(Within a week of Ann's first admission to the asylum her older cousin Mary Jones was admitted (2430) with mania. Mary's Medical Certificate reads: She is at times very violent kicking and throwing everything about her and afterwards she will sit down and sing and afterwards pray and her general appearance is very wild.

Williams Williams, Saron, Bethel, states that she entered the Methodist Chapel Saron yesterday (Sunday) and turned the whole congregation out of there twice the same day.

She is also very dangerous at her house to every person there.

She this morning threw a kettle of hot water at them etc.

Mary was discharged recovered on 16th March 1871 a few weeks before Ann Hughes)

Readmission:

9th January 1903 (no. 6122) with acute mania.

Medical Certificate reads: 1. Patient was very excitable and loquacious during my visit, using most filthy language in referring to sexual matters. She demonstrated how she would address a public meeting, the subject being sexual and used abominable language and became excited.

2. Mr. J. G. Jones, a neighbour, says she, the patient, is in a constant state of excitement, talking nonsense using bad language, sometimes swearing abominably, sometimes singing loudly. She is thus occupied during the night and day.

She goes from house to house distributing things belonging to her house and using filthy language.

She was again discharged recovered on 20th March 1903.