Ann Roberts (6515)

Admission Details for Patient: Ann Roberts (6515)

Gender: Female Age: 54
Marital Status: Married Religion: Calvinist Methodist
Occupation: None
Address: Penrhyndeudraeth, Merioneth

Date of Admission: February 22, 1905
Date of Death: October 24, 1928
Cause of Death:

Disease: Melancholia
Supposed Cause: Previous attack

Medical Certificate:
Hallucinations that she continually hears her mother's voice, that she has been saved from hell, that she has committed great sins and that she is condemned to eternal punishment. Dr. Hugh Hughes, Penrhyndeudraeth.

Approximate duration of present attack: 35 days

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: No

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health good. Patient, who married since she left here ten years ago, has had several slight relapses but none equal to the present which commenced some five weeks ago. She had been bad before attending revival meetings which seems to have accelerated the evil.

Current Diagnosis: Bipolar affective disorder (F31.5)

Case Notes

1904 Feb 25 - Patient is suffering from Melancholia and is very depressed and unable to apply herself to anything. She believes she has done sins for which she can never obtain forgiveness and her mother has appeared to her and told her that her daughter is lost. She eats and sleeps fairly well and is quiet and orderly.

Mar 5 - No change.

May 3 - Some improvement and is not so depressed as she was. Doing some knitting daily.

Will in time make a good recovery. Aug 8 - isq.

Very excited and troublesome. Tears her hair and clothes and requires strict watching.

Nov 4 - Quiet and less troublesome but full of melancholic delusions.

Idle and listless. 1906 Feb 5 - No further change.

June 14 - Not quite so depressed and working a little with her needle. Unfit to leave.

Sept 7 - Very depressed and unsettled. Does little work.

1907 Feb 1 - No improvement. Periods of comparative convalescence, alternating with those of depression sometimes very acute. Useful when well.

June 1 - Variable.

1907 Nov to 1912 March - No change.

1913 June - Quiet and well behaved. Helps in the Workroom. Clean and in good health.

Sept - Quiet and gives no trouble.

Dec - Quiet and indifferent.

(Notes continue in Loose Leaf).

Described as dull and indifferent in May 1914 by the following October she was often noisy and violent at times.

A diagnosis of Dementia was given in January 1917 - "She is very impulsive and at times noisy, shouting in answer to imaginary voices.

Her general conversation is rather simple and childish and she is not to be trusted".

In Jan 1922 she was described as having Senile Insanity, her memory very defective. Outbreaks of maniacal excitement and hallucinations. Jan 1927 - Senile Dementia.

Self absorbed and indifferent.

She is fond of hoarding all kinds of rubbish and is impulsive at times.

She had a stroke on Oct 20 1928 and died four days later.

Medications/Treatments:

Additional Notes

Previous admission:

Admitted as Ann Griffith of Llanfrothen on 17th December 1892 (No. 4563) suffering from Acute Mania.

The Medical Certificate reads: I. Face flushed. Eyes sparkling. She is very restless and sleepless, very excitable, tears her clothes and bedding to pieces and inflicts bodily injury upon herself and others. Suffers from delusions.

II. Griffith Griffith, her husband, Hengaeau, says that she is very restless, has to use force to keep her from injuring herself. When opposed she gets very excitable.

She was discharged recovered on 21st December 1893.