John Looms (6537)

Admission Details for Patient: John Looms (6537)

Gender: Male Age: 56
Marital Status: Married Religion: Wesleyan Methodist
Occupation: Railway labourer
Address: Llanfair PG, Anglesey

Date of Admission: March 15, 1905
Date of Discharge: February 20, 1906
Discharge Category: Relieved

Disease: Melancholia
Supposed Cause: Amputation of leg/previous attack

Medical Certificate:
Incoherent in speech, imagines he is persecuted and that his wife is unfaithful, no ground for such suspicions, attempted suicide and has been in Denbigh Asylum before. Sets fire to his clothes in the house, he is violent and dangerous to his wife and family, refuses food and prevents the family having food. Has threatened suicide. Dr. R. W. Williams, LLys Meirion, Menai Bridge.

Approximate duration of present attack: 84 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: Threatened and attempted

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: Steady habits

Education: -

Physical/Mental State at Examination: Health poor. Since his discharge in 1902 he has been leading a quiet life at home, until 3 months ago, when, without any exciting cause the same mental symptoms began to appear. They have been progressive and latterly he has become dangerous to himself and to his family.

Current Diagnosis: Delusional disorder (F22.0)

Case Notes

1905 Mar 22 - This man is in very much the same mental condition as when he was here before. He has lost weight since his discharge and some heart disease has appeared. He has a very loud metallic aortic bruit.

Mentally suffering from Melancholia, with great depression and delusions of suspicion, chiefly as to his wife's fidelity. He has had aural and visual hallucinations. Says he feels very weak and low and wishes to get better. Eats well and sleeps fairly well.

May 28 - Improving slowly both mentally and physically. Sept 21 - Slowly improving. Healthy.

1906 Feb 20 - Discharged (relieved) on trial.

Medications/Treatments:

Additional Notes

Previous admission:

5th March 1902 (No. 5963) with Melancholia.

The Medical Certificate reads:

I. He is suspicious about his wife, says that there is always somebody under the bed and in the house. He has a threatening appearance due probably to depression, at one time he tried to commit suicide by cutting his throat. II. His wife, Mrs Looms, of Penucheldre Terr, Llanfair PG, says that he is continually getting up and looking about under the chairs and bed for some man. She also states that he is constantly saying that he will fracture her skull. Discharged relieved on 19th June 1902.