Admission Details for Patient: Owen Jones (6634)
Name Mismatch: 6634 , 6531, 9390
Gender: Male Age: 36
Marital Status: Single Religion: Church of England
Occupation: Tailor
Address: Dolgelley, Merioneth
Date of Admission: September 23, 1905
Date of Discharge: March 28, 1906
Discharge Category: Recovered
Disease: Mania
Supposed Cause: Fall on head/intemperance/Previous attacks
Medical Certificate:
His manner is most strange, he talks incessantly and most incoherently and in my opinion he is dangerous to himself and others.
His sister, Ellen Jones, states that he refuses to take any food, gets up at all hours of the night and wanders about, she is afraid of him.
Dr. John Jones, LRCP, Wenallt, Dolgelley.
Approximate duration of present attack: 7 days
Number of Previous Attacks: 3
Number of Previous Admissions: 2
Number of Subsequent Admissions: 4
Total Number of Admissions: 7
Relatives affected:
Number of Previous Attacks: 3
Epileptic: No
Suicidal: No
Dangerous: No
Clean Habit: -
Food Refusal: -
Sleep Habit: -
Destructive Habit: -
Disposition: Intemperate
Education: -
Physical/Mental State at Examination: Health moderate. Since his last discharge he has remained well mentally until 2 weeks ago when the symptoms reappeared. He has again been drinking heavily for some time and neglecting his general health. With his previous attacks there is no doubt that intemperance has brought it on again.
Current Diagnosis: Bipolar affective disorder (F31.1)
Case Notes
1905 Sept 30 - Very much the same as when admitted 4 yrs ago. Poor bodily condition. Very restless, very silly, laughing at everything and talking a lot of rambling nonsense. Sleeps badly and is altogether in low bodily health.
Nov 4 - Beginning to improve mentally and also in bodily health. 1906 Jan 16 - Sleeps better and not so restless.
Discharged March 28 1906.
Medications/Treatments:
Additional Notes
Previous admissions:
18th February 1901 (No. 5799) with Mania.
The Medical Certificate reads: I (a) He talked incessantly and most incoherently and seemed very excited and commenced to dance before me. II (b) His sister Ellen Jones states that she is absolutely frightened of him, that he has thrown several things at her and that he roves about the house all night. Sergeant R. Owen states that he has stood on the line before the train which had to be stopped; he also has assaulted him. Dated 16 February 1901.
Discharged recovered on 21st May 1901.
21st February 1903 (No. 6141) with Acute Mania.
The Medical Certificate reads: I (a) He seemed very excited and talked and sang incessantly and incoherently. His manner and conduct were most strange.
(b) His sister Mrs. Ralph Wright, Park Row, Dolgelley, states that he has assaulted her, her husband, and baby and has threatened to kill them.
Supt. Thomas Jones, Dolgelley states that he had to take him in charge as he was attempting and threatening to injure his sister and her husband.
Discharged recovered on 20th June 1903.
Readmissions:
8th May 1909 (No. 7269) with a diagnosis of Subacute Mania thought to be brought about by 'alcohol and his sister's illness'. He was thought to be suicidal when admitted and put on a 'Card'.
The Medical Certificate reads: I.
He seemed very excited and talked almost incoherently and in my opinion he is dangerous to himself as well as to others. II. Jno. Jones (father), Lion St., Dolgelly, states that he has on several occasions tried to assault him, he wanders about all night, he considers him dangerous to himself as well as others.
Discharged recovered on 23rd November 1909.
No diagnosis was given on admission 25th June 1914 (No. 8275) but again the patient was considered to be a suicide risk. The Medical Certificate reads:
He is excited and talks most incoherently, he suffers from delusions stating that people are going to do him some harm.
In my opinion he is dangerous to himself and to others. Mrs Mary Davies, housekeeper, states that he has been very strange for some time and has threatened to injure certain people. Wanders. He is dangerous to himself and to others.
He was discharged recovered on 22nd December 1914.
On 29th February 1920 (No. 9390) Owen Jones's Mania was put down to his previous insanity.
The Medical Certificate reads:
He was very excited, singing and shouting at the top of his voice, he talked most incoherently.
In my opinion he is dangerous to himself and to others. Miss Ellen Jones, Lion St., Dolgelley, his sister, states he has attempted to assault her and she considers him dangerous.
Discharged recovered on 20th September 1920.
17th September 1924 (No. 10358) again with Mania and again suicidal.
The Medical Certificate reads:
He was very excited and talked incessantly and most incoherently.
I consider him dangerous to himself and to others.
Miss Ellen Jones, his sister, states that he has been very strange for some time.
She is in bodily fear of him.
He was discharged recovered on 24th July 1925 after a three month trial and there were no further admissions.
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