Maggie Williams (6579)

Admission Details for Patient: Maggie Williams (6579)

Gender: Female Age: 29
Marital Status: Single Religion: Calvinist Methodist
Occupation: Domestic servant
Address: Portmadoc, Carnarvonshire

Date of Admission: May 30, 1905
Date of Discharge: September 17, 1907
Discharge Category: Recovered

Disease: Melancholia
Supposed Cause: Love affair

Medical Certificate:
Lying in bed and covered by clothes, very reticent to speak, in a most despondent morose state, expressing herself as unable to rouse herself from her depressing thoughts and quite indifferent of the future. By her mother Mrs. Catherine Williams, that her sleep is very disturbed, awaking suddenly and shouting over the dreams that are full of a most delusive and defiant characteristic, her intention of doing away with herself, either by drowning or being run over by a train. Dr. W. Jones Morris, Isycoed, Portmadoc.

Approximate duration of present attack: 112 days

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: No (but see Notes)

Dangerous: No

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: -

Disposition: Well conducted

Education: -

Physical/Mental State at Examination: Health good. Patient has been servant in a farm. Left there four months ago and returned to her house - has become slowly worse and latterly suicidal. She has tried to drink paraffin and it is said would take any chance given her of injuring herself.

Current Diagnosis: Depressive episode (F32.2)

Case Notes

1905 June 4 - Of average height, build and nutrition. Dark hair, light brown eyes, equal pupils. Sallow complexion. Suffering from Melancholia and tells me she wishes she were dead as she is of no use and will never get well again. She is well aware that she is not as she used to be and that her head is full of queer fancies but no delusions can be elicited.

She cries and is unable to apply herself to anything, otherwise she is coherent and intelligent enough.

12 - No improvement but no trouble. July 1 - Lazy and wanting in energy. Lies about all day tho quite able to do something. Same delusions. Eats and sleeps well.

Notes Sept 7 and Nov 1 - No change. 1906 Feb 7 - A little brighter and looks quite cheerful. Works a little at times.

June 14 - The same.

Sept 7 - Somewhat brighter and more sociable. Takes greater interest in things, writes home etc and does some work.

The prognosis is more favourable. 1907 Feb 11 - Have removed an ingrowing and suppurating toenail under Cocaine which has been troubling her for some time.

June 3 - During the past few months she has improved very much and will shortly be given a trial.

She however does not seem to care very much about going and is quite happy here. Healthy.

Sept 17 - Has been out on trial for 2 months and a satisfactory certificate has come to hand. So she is Discharged Sept 17th 1907.

Medications/Treatments: Removal of ingroing toenail under cocaine