Ellen Evans (6630)

Admission Details for Patient: Ellen Evans (6630)

Gender: Female Age: 24
Marital Status: Single Religion: Church of England
Occupation: None
Address: Dinas Mawddwy, Merioneth

Date of Admission: September 16, 1905
Date of Discharge: August 21, 1906
Discharge Category: Recovered

Disease: Mania
Supposed Cause: Heredity

Medical Certificate:
Mental confusion and irritability. Mrs. Jane Evans, states that she is very irritable, refuses to get out of bed and (take) food, suffers from temper, throws things at people and threatens to throw herself out of window. Dr. D. J. Morris, Dinas Mawddwy.

Approximate duration of present attack: 21 days

Number of Previous Attacks: 1

Number of Previous Admissions: 1

Number of Subsequent Admissions: 3

Total Number of Admissions: 5

Relatives affected:

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: In poor health

Education: -

Physical/Mental State at Examination: Health good. The above was an inmate here about 4 years ago. She has done fairly well for the past 12 months but has intermittently suffered from attacks of excitement and melancholy. Has latterly shown a disposition to be violent to the children of her sister and her general disposition appears to have gradually become passionate, not able to apply herself to any regular occupation at home.

Current Diagnosis: Schizophrenia (F20.3)

Case Notes

1905 Sept 20 - This patient's mental state is very like what it was when she was brought here in 1901.

She is sullen, stupid and taciturn, unable to give an intelligent account of herself and wanting in energy and application.

She does not seem to have any delusions. She is in good health and is well behaved. Oct 1 - Has started sewing. Nov 3 - Much brighter, sews steadily and gives no trouble.

Dec 23 - At times dull and stupid and gives up work but without delusions and is always well behaved.

1906 Feb 1 - She has become quite stout. May 25 - Has got quite well and has gone home on trial for two months. Discharged August 21st 1906.

Medications/Treatments:

Additional Notes

Previous admission:

8th July 1901 (No. 5871) with Subacute Mania. The Medical Certificate reads: Is very restless refuses food will not answer rationally - is at times very excited and requires to be put under control, suffers greatly from headaches.

Jane Evans, Brynsalem, her mother:

She gets very excited, will not remain in bed and wants to throw herself out of the window, takes a great hatred to her personal friends.

Discharged recovered on 29th October 1901.

Readmissions:

30th March 1911 (No. 7628) with Mania.

The Medical Certificate reads:

I.

Great irritability of temper, suffering from delusions, refuses food, sleeplessness etc.

Morbid perversion of natural feelings, hatred of the children and an idea that her food was poisoned etc.

II. She is excited and irritable in temper, threatens to kill those about her, tears off her clothes and refuses nourishment, these facts were communicated to me by her mother.

Discharged recovered on 26th July 1912.

7th April 1915 (No. 8436) with Mania, diagnosed with Chronic Mania after 1919.

The Medical Certificate reads: She seemed very excited and talked most incoherently. She was suffering from delusions stating that there were people about the house. I consider her dangerous to others.

John Evans, brother, states that she has been very strange for some time. He cannot manage her.

She tears up her clothes and he is afraid of her.

Discharged recovered on 9th June 1922 after a six week trial.

There was a further admission in 1934 but no case notes and no record of outcome.