Joseph Rhodes (704)

Admission Details for Patient: Joseph Rhodes (704)

Gender: Male Age: 62
Marital Status: Married Religion: Wesleyan Methodist
Occupation: Wesleyan Minister
Address: Colwyn Bay, Carnarvonshire

Date of Admission: September 20, 1905
Date of Discharge: February 14, 1906
Discharge Category: Relieved

Disease: Mania
Supposed Cause: Previous attacks/insomnia

Medical Certificate:
Singing and talking incoherently, writing a letter on a newspaper. Removed articles from a Pedlar's basket and refused either to replace them or pay for them. Preaching in the open air and entering a phrenologist's room and pulling down the pictures. Dr. Harold Nuttall, Bryn Graig, Colwyn Bay.

Approximate duration of present attack: 21

Number of Previous Attacks: 2

Number of Previous Admissions: 1

Number of Subsequent Admissions: 0

Total Number of Admissions: 2

Relatives affected:

Number of Previous Attacks: 2

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Poor

Destructive Habit: -

Disposition: Steady

Education: Good can read and write

Physical/Mental State at Examination: Health moderate. Has been very well since his discharge from this Asylum until a few weeks ago when he began to again have insomnia followed by the onset of mania. There is no history of any exciting cause.

Current Diagnosis: Bipolar affective disorder (F31.1)

Case Notes

1905 Sept 27 - In exactly the same condition as when admitted previously. General condition rather low.

Very indignant at being detained here but this indignation is very transitory.

Very restless, talkative and inclined to be violent and destructive. Difficult to manage. Writes a heap of nonsense every day. Sleeps badly. Nov 3 - Very much the same in every way. Gives a lot of trouble. Dec 18 - Much worse since his wife has been allowed to get him out daily.

1906 Jan 16 - Still very restless and troublesome. Wants all for himself. Cannot rest still for a moment. Smokes far too much. Expects too much. Discharged Feb 14th 1906.

Medications/Treatments:

Additional Notes

Previous admission:

3rd October 1902 (no. 6079) with mania.

And earlier a patient at Stone Asylum.

He was violent and destructive whilst in hospital, fighting with other patients.

He was discharged relieved on 21st April 1903.

Rev. Rhodes, whose insanity began shortly after his return from West Africa, visited the asylum in 1904 to give an illustrated talk about his experiences as a missionary.

Rev. Rhodes' daughter (FL) was admitted to the asylum in 1931 as a certified patient.

She had been deserted by her husband 15 years earlier and was living in poverty, these circumstances being given as the prinicple cause of her insanity.

However, her father's history was also noted in the case book and heredity offered as an underlying cause.

FL's diagnosis was dementia and she spent 10 years in the asylum, becoming increasingly uncommunicative and feeble, until she died from pneumonia in 1941.