Margaret Lewis (6612)

Admission Details for Patient: Margaret Lewis (6612)

Gender: Female Age: 48
Marital Status: Single Religion: Baptist
Occupation: Cut needleworker
Address: Holyhead, Anglesey

Date of Admission: July 26, 1905
Date of Discharge: April 24, 1906
Discharge Category: Recovered

Disease: Melancholia
Supposed Cause: Climacteric/religious Excitement

Medical Certificate:
Is incoherent in her speech, is emotional and believes that her soul is lost and cannot repent her sins. Charlotte Lewis, her sister, states that she is depressed and always talks about her religious troubles, she has threatened to commit suicide. Dr. J. Lewis Owens, 55 Market Street, Holyhead.

Approximate duration of present attack: 168 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: Possibly

Dangerous: No

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Fair

Destructive Habit: -

Disposition: Respectable and industrious

Education: -

Physical/Mental State at Examination: Health good. Patient together with her sister - both very respectable people - earn a livlihood by cut needlework. Some 6 months ago patient without any apparent cause became depressed and has steadily become worse and recently it is feared she might injure herself.

Current Diagnosis: Acute transient psychosis (F23.3)

Case Notes

1905 Aug 1 - A nice and superior looking person of average height and build. Fairly nourished and healthy. Fresh complexion, grey irides, grey hair.

She suffers from depression associated with feelings of self condemnation and distrust.

She feels she has not lived an honest life that God is vexed with her etc. She is perfectly calm and coherent but often cries and breaks down when spoken to. Eats and sleeps fairly well and is an active needlewoman.

8 - Decidedly brighter and less miserable, very active with her needle.

Eats and sleeps better.

Oct 1 - Keeps bright and is busily employed all day with her needle. She is at times desponding, thinks she is a sinner because she doubts God's existence and is full of ideas of self condemnation and doubting. Eats and sleeps well. Dec 3 - Decidedly better and is not troubled to the same extent by the doubts etc above mentioned. She is very anxious to return home and will very shortly leave on trial.

Discharged Apr 24th 1906.


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