Mary Williams (6568)

Admission Details for Patient: Mary Catherine Williams (6568)

Name Mismatch: 6568 , 2519, 6542, 9376

Gender: Female Age: 27
Marital Status: Married Religion: Independent
Occupation: Housewife
Address: Bl. Ffestiniog, Merioneth

Date of Admission: May 1, 1905
Date of Discharge: October 24, 1905
Discharge Category: Recovered

Disease: Melancholia
Supposed Cause: Confinement/religious excitement

Medical Certificate:
She labours under the delusions as to her condition (religious) - takes no interest in her children, and her mind is now a perfect blank. Richard Williams, her husband, states that she has on more than one occasion threatened to throw herself through the window. Dr. Griffith John Roberts, Gwynfa, Ffestiniog.

Approximate duration of present attack: 84 days

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 1

Total Number of Admissions: 2

Relatives affected: An uncle who committed suicide

Epileptic: No

Suicidal: Threatened and attempted

Dangerous: No

Clean Habit: Yes

Food Refusal: Yes

Sleep Habit: Bad

Destructive Habit: -

Disposition: Respectable

Education: -

Physical/Mental State at Examination: Health moderate. Chronic Dyspepsia.

Current Diagnosis: Bipolar affective disorder (F31.6)

Case Notes

1905 May 5 - A very diminutive woman of frail appearance. With the exception however of Chronic Dyspepsia with great loss of appetite there does not seem much wrong and the stomach mischief is probably consequent upon injudicious feeding and too much tea.

No very evident symptoms are present beyond mild depression.

She complains of forgetfulness and a timidity and fear of everybody, and that at times she has tremors or nervousness.

She is also very constipated.

Rational and intelligent in every way. Brown hair and large steel blue eyes with normal pupils.

14 - Brighter and making herself comfortable here. Gives no trouble in any way.

21 - Digestion improving. Sleepless at times. Bright and should be soon well enough to return home.

July 10 - Not so well. Depressed, lazy and wanting in energy. Very untruthful and a mischief maker.

Good health. Sept 7 - Somewhat better but very troublesome. Has attempted to escape more than once. A great liar.

Is also erotic and indecent in her behaviour.

This patient's husband is very pressing in his demands that he should have her and she will soon be sent away on trial. Oct 24 - Has been out over a month and a certificate has come to hand stating her to be quite recovered.

This is very doubtful.

Discharged Oct 24th 1905.


Additional Notes


20th August 1914 (No. 8309) admitted from Penrhyndeudraeth Workhouse with Mania thought to be caused by 'confinement and religious mania'.

She is recorded as a widow by now and the child, according to the notes, was illegitimate.

The Medical Certificate reads: Her general conduct.

She is depressed, crying, restless and agitated.

Has delusions that she is the greatest sinner alive.

Suicidal, impulsive, also homicidal tendencies towards her baby. Difficult to manage in the institute after childbirth.

Miss Jones, Matron, states she is restless, excitable, crying and praying alternatively.

Attempted to drown herself in the morning and has mentioned her intention to do away with the baby and herself.

The case notes for this admission show her condition characterised by periods of improvement, relapsing "at intervals of two or three months".

She was discharged recovered on 24th November 1917.

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