Robert Robert Evans (6509)

Admission Details for Patient: Robert Edward Evans (6509)

Gender: Male Age: 24
Marital Status: Single Religion: Calvinist Methodist
Occupation: Slate quarrier
Address: Penmachno, Carnarvonshire

Date of Admission: February 20, 1905
Date of Discharge: October 27, 1905
Discharge Category: Recovered

Disease: Acute Mania (Religious)
Supposed Cause: Religious Revival

Medical Certificate:
He talks incoherently, alternately swearing and praying and has become manical, requiring several persons to hold him. He has been under my observation for several weeks and believed that he had been expecially ordained by the spirit to preach and that he had seen several visions. Mrs. Eliz. Lewis, his aunt, states that he has become quite unmanageable, threatening to kill them all in the house unless they become converted. Robert Ellis Evans of Brynhyfryd Penmachno, with whom he stayed previous to removing to 4 Beniarth Terrace, says that at times he was very violent and that one night he escaped from the house though the bedroom window. Dr. William M. Williams, Penmachno.

Approximate duration of present attack: 35 days

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 1

Total Number of Admissions: 2

Relatives affected: Two cousins on his mother's side

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit:

Food Refusal: No

Sleep Habit: Poor

Destructive Habit: Yes

Disposition: Steady

Education: -

Physical/Mental State at Examination: Health moderate. There seems to be some hereditry trait on his mother's side. He has always been steady and cheeful but joined the Religious Revival very energetically and this has been the exciting cause. One cousin is an epileptic idiot. (Mother died of Phthisis)

Current Diagnosis: Acute transient psychosis (F23.9)

Case Notes

1905 Feb 27 - A young short seedy looking man with brownish hair and big ears. Pupils equal and mobile.

In poor bodily state, but no physical disease.

Mentally suffering from Acute Mania of a religious type. He is noisy, restless and at times rather violent and destructive. He refused food for 3 days and had to be fed with the tube.

Sleeps badly and is noisy at night. Mar 2 - Rather better - takes his food and is less noisy and restless. Apr 9 - Some slow improvement, general health not good.

May 28 - Is beginning to be more rational and his appearance is improving. Discharged recovered Oct 27th 1905.

Medications/Treatments: Fed with tube.

Additional Notes

Readmission:

23rd September 1931 (No. 11676) with Melancholia.

The Medical Certificate reads: (a) Refused to go to bed and to sit down, continued rubbing together of hands and clenching same between knees.

Refused to converse and would keep his eyes away continually when spoken to.

(b) Leaves his house and does not return and has to be searched for. He was away for 10 hours on Monday 20/09/1931 and a search party which was organised found him hiding in an old building of a disused quarry some four miles away.

By Mrs Kate Lewis, Penmachno.

He was discharged on 10th April 1934.