Admission Details for Patient: William Owen (6477)
Name Mismatch: 6477 , 695, 2411, 2507, 6481, 6526
Gender: Male Age: 35
Marital Status: Married Religion: Calvinist Methodist
Address: Llanfrothen, Merioneth
Date of Admission: January 2, 1905
Date of Discharge: June 18, 1906
Discharge Category: Recovered
Disease: Acute Mania
Supposed Cause: Religious excitement and previous attack
He was restless, agitated, shouting with his hands up that the spirit is pressing him to do certain actions and that he would kill everybody that would threaten him (homicidal). His eyes glistening, kicks in the air and passes into delusional excitement, has hallucinations of sight and hearing which he attributes to the spirit.
Mr. Richard Griffiths, neighbour, says that he is very unmanageable and becomes violent requiring 2 or 3 people to keep him down when threatened, that he sees certain visions and hears voices talking to him. Is continually on the watch to go away, threatens to kill those who watch him and tells them that all will be over soon and is very sleepless.
Dr. John R. Jones, Penrhyndeudraeth.
Approximate duration of present attack: 5
Number of Previous Attacks: 1
Number of Previous Admissions: 0
Number of Subsequent Admissions: 3
Total Number of Admissions: 4
Number of Previous Attacks: 1
Clean Habit: -
Food Refusal: -
Sleep Habit: -
Destructive Habit: Yes
Disposition: Steady and industrious
Physical/Mental State at Examination: Health good. This man became suddenly excited after attending religious revival meetings a few days ago. He had a short attack of melancholia when 19 years of age and was treated at home . The brother says that there is no family history of insanity, but the mother died from paralysis. He has always been a very steady man.
Current Diagnosis: Bipolar affective disorder (F31.2)
1905 Jan 8 - Good condition, slightly below average height, pink and white complexion, brown irides pupils equal and mobile. Organs healthy. Mentally suffering from Acute Mania with frequent references to religion. Noisy, violent and destructive and his conversation most incoherent. Takes his food and sleeps a little on alternate nights.
12 - Better the last two days, now dressed and in No. 3 Ward and promises to keep well behaved. 20 - Much better. 29 - Has had a relapse and become very excited and noisy again. Mar 10 - Still subject to relapses and is likely to become a chronic case.
May 29 - isq. Sept 21 - Has improved very much and makes himself useful. 1906 Jan 14 - Has had a relapse and is noisy and useless.
Mar 8 - Better again and at work. Discharged on Trial April 1906.
23rd January 1912 (No. 7787) with recurrent mania, the cause once again 'religious excitement'.
The Medical Certificate reads:
I. His change of manner and conduct. He has lost all interest in his surroundings. He is restless, sleepless, talkative and has suicidal tendencies. II.
Ellen Owen, wife, states that he talks with unseen beings, at other times he is in telephonic communication with them, he clenches his throat, draws his finger across and stabs his throat with same. He is restless, shouts and groans, and is quite uncontrollable, stares at her and has threatened her.
He was discharged recovered on 31st July 1913.
08/08/1921 to 01/12/1921 when discharged recovered after a month's trial.
Adm no 9711.
Sub acute mania.
Med Cert reads: His appearance is flushed.
He rambles in his talk and speaks like a minister and his subject is varied.
He says there is a hole in my tooth which runs up to my ear.
He becomes very excited at times.
He could be heard talking from outside the house.
His conversation is not directed to any particular person.
He will become violent at any time.
Mrs Ellen Owen, his wife, states that his talk is very disconnected and irrational.
Only with difficulty can he be kept in bed and becomes very violent at times.
He has had two previous attacks for which he was removed to an Asylum.
As his condition progressed he became more violent.
Dr J L Rowlands, Llanelhaiarn pro Dr J R Jones, Penrhyndeudraeth, 7th Aug 1921.
25/10/1932 (no. 11908, C375) and detained until his death on 22/11/1932.
No further details.