Sarah Price (6517)

Admission Details for Patient: Sarah Price (6517)

Gender: Female Age: 30
Marital Status: Married Religion: Methodist
Occupation: Housewife
Address: Carnarvon, Carnarvonshire

Date of Admission: February 23, 1905
Date of Discharge: November 20, 1906
Discharge Category: Relieved

Disease: Mania
Supposed Cause: Ill health

Medical Certificate:
Has delusions, believes her husband means to do away with her, that strange women frequent the house for immoral purposes. She states Dr. Parry follows her about to warn her. Threatens to end her life. Her husband states the above delusions have no foundation whatsoever in fact. Frequently has threatened to end her life. Dr. Thomas Roberts, Penymaes, Caernarfon.

Approximate duration of present attack: Nearly 3 years

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Epileptic: No

Suicidal: Threatened and attempted

Dangerous: No

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: -

Disposition: Respectable

Education: -

Physical/Mental State at Examination: Health moderate. Patient's husband states that his wife began to show mental change three years ago and has had frequent attacks with lucid intervals, but during the past three months she has become steadily worse and has now no lucid intervals. She has had frequent miscarriages which have weakened her very much.

Current Diagnosis: Schizophrenia (F20.2)

Case Notes

1905 Feb 26 - A somewhat fragile looking woman of a little under medium height. Fairly nourished and without obvious organic disease tho sallow and anaemic. Blue eyes, equal pupils, brown hair, incisors of upper jaw very prominent and protruding.

She tells me, her statements being very confused, that her husband brings bad woman to the house and spends the night with them locked up, that she is followed about by everyone to whom she owes money and that she hears a voice talking to her, she thinks her own, telling her to do things.

She is followed by Dr. Parry who she saw here last night and she also saw sleeping in her dormitory a Mr. Bird, an old gentleman. She is very quiet and sews diligently daily.

Mar 5 - Looks better.

A steady worker and gives no trouble. May 3 - No improvement. Imagines she is to be hung etc. Giving up working. Incurable.

Aug 8 - No improvement.

Nov 4 - Has recently been home on trial but was returned in three weeks owing to her becoming unmanageable and showing the same delusions.

1906 Feb 5 - Had fallen off in appearance. Has picked up and looks well again. Quiet and well behaved and anxious to get home again but no good purpose would be served by sending her. June 14 - Quiet and fairly intelligent but there is no reason to think that there is any real improvement. She has learnt to conceal her ideas concerning her husband etc. Anxious to get home again and she may soon be sent on trial. Sept 7 - Has been out on trial for the last three weeks. Discharged "Relieved" Nov 20, 1906.

Medications/Treatments: