Elizabeth Rowlands (6499)

Admission Details for Patient: Elizabeth Rowlands (6499)

Gender: Female Age: 52
Marital Status: Married Religion: Congregationalist
Occupation: Housewife
Address: Carnarvon, Carnarvonshire

Date of Admission: February 6, 1905
Date of Discharge: November 20, 1906
Discharge Category: Relieved

Disease: Melancholia
Supposed Cause: (None stated)

Medical Certificate:
She informed me that she sees the Saviour quite frequently and that he has told her that he will not pardon her sins. She says the rest of the family are saved but that she is lost. Mary Ann Craddock a sister to the lunatic, states that she is constantly worrying about her spiritual welfare, saying there is no pardon for her sins, and that the Redeemer will not save her. She refuses to take her meals and will not go to bed.

Approximate duration of present attack: 112 days

Number of Previous Attacks: 1

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Fair

Destructive Habit: -

Disposition: A respectable and well conducted woman

Education:

Physical/Mental State at Examination: Health good. Had upon admission a fracture of the 10th rib on the left side and also a large bruise on left shoulder.

Current Diagnosis: Depressive episode (F33.3)

Case Notes

1904 Feb 7 - A short stoutly built woman, brown hair, grey irides, and a pleasant expression.

She had upon admission a fracture of the 10th rib on left side in midaxilla.

Very depressed and also confused in mind, her statements and replies to questions being rambling and frequently absurd and unintelligible. She tells me she has seen God who told her she would not be saved for she had broken her bond. This had some reference to her husband, nothing criminal, but she seems to have gone to stay with her friends for a short time and now thinks she did wrong to leave him.

She fears we will take her away to some criminal place.

She is very restless and uneasy and tries to get out of the upper storey windows as she says the Lord tells her the ground will rise up to her and she will not be hurt. She did not sleep last night.

Feb 10 - Very restless. Cannot be kept in bed. Has to be pushed with her food.

Feb 23 - Brighter and not so troublesome. Helps in the Ward and takes food well. Mar 12 - Very troublesome for some time.

Refuses food saying God tells her not to eat etc.

May 3 - Refused food so persistently that she had to be tube fed from middle of March to middle of April.

Her refusal was owing to her being told by Jesus Christ that she was not to take any.

She does so now at times and has also taken to stripping herself and is not very cleanly.

Anything the voices tell her she does.

Has lost much flesh.

Aug 8 - Takes her food much better but is very deluded and thinks God tells her to do this and that. Is wet.

Useless.

Nov 4 - Better. Has become quite cheerful and sociable. Clean and works hard all day.

1906 Feb 4 - Much the same ideas present but the do not dominate her behaviour so much as they did. Still, she is at times excitable and queer and looking as if she were going to give trouble. Fat and well.

June 14 - Has been very well since last entry but is odd in her ways.

Sept 4 - Left on trial a week ago to her husband's care. Discharged 'Relieved' Nov 20th 1906.

Medications/Treatments: Fed by tube.