Margaret Williams (6543)

Admission Details for Patient: Margaret Williams (6543)

Gender: Female Age: 44
Marital Status: Married Religion: Church of England
Occupation: Housewife
Address: Bangor, Carnarvon

Date of Admission: March 21, 1905
Date of Death: December 28, 1948
Cause of Death:

Disease: Mania
Supposed Cause: (None stated)

Medical Certificate:
She is suffering from delusions, fancies that her husband has tried to poison her, aversion to cleanliness, keeps herself and the house filthy, she is unable to hold any rational conversation, passing rapidly from one thing to another. Jane Roberts, Shop Keeper, LLanllechid, informs me that she is very filthy in her habits, never goes out of doors and that very often she is in a state of almost nudity. W. J. Williams, husband, informs me that she scarcely washes herself and never cleans the house, neither does she go to bed at night but sits in front of the fire, violent and excited using very obscene language towards him. Dr. W. S. Pritchard, 6 Ogwen Terrace, Bethesda.

Approximate duration of present attack: Over 3 years

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Father has been 3 times an inmate here

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit: -

Food Refusal: No

Sleep Habit: Fair

Destructive Habit: -

Disposition: Respectable

Education: -

Physical/Mental State at Examination: Health good. Began to show symptoms 4 - 5 years ago and obviously became worse. She has a great aversion to her hisband and their home has been a most comfortless one. Her father and cousin have been inmates here.

Current Diagnosis: Delusional disorder (F22.0)

Case Notes

1905 Mar 24 - A stoutly built woman of average height apparently in good health. Brown hair and eyes. Her conversation is rambling and at times very mixed and obscene. She is unable to give a clear account of her former life but is evidently not upon good terms with her husband whom she accuses of poisoning her.

She is quiet and well conducted and gives no trouble in any way.

Apr 1 -

Has a painful oedema of front of shins attended by some redness and slight discharge for which she is kept in bed.

A very nice and easily managed patient.

17 - Feet somewhat less painful, gets up daily.

Clearer in mind. Very useful with her needle and gives no trouble. Aug 9 - Has improved very much since last entry and is a very well conducted and easily managed patient willing to be useful. Very hostile to her husband.

Nov 6 - Would be sent away but it is useless thinking of sending her to her husband. 1906 Feb 7 - Not so well the last few weeks and has lost flesh.

Is peevish and complaining of one thing and another without apparent cause. Lies in bed and has given up doing anything.

June 14 - Has been very well for some time and if she had a husband who cared for her might well be tried but her home circumstances are such as make the experiment a doubtful one.

Sept 1 - Remains well and would do very well anywhere.

Healthy and useful.

1907, 1908 - No change.

1909 Jan - Full of complaints and imaginary grievances. Bad tempered and quarrelsome. Deluded.

June - Seems to be slowly becoming worse tho to the casual observer there does not seem to be much amiss.

Dec - Idle and always complaining of something or someone.

1910 June - Deluded, thinks she is spoken about and that the nurses "spite" her - an inveterate grumbler.

1911 June - Slowly becoming worse.

Rambling and foolish.

1912 June - Dull and stupid, hoards all kinds of rubbish.

Sept - Dull and demented. Dec - Indifferent. Dull. Rambling and confused.

(Notes continued in the Loose Leaf Case Book).

Medications/Treatments:

Additional Notes

No notes after 1912.

Death Cert.(with Reception Order) - died 28th Dec 1948.