Sydney Williams (9364)

Admission Details for Patient: S W (9364)

Gender: Female Age: 46
Marital Status: Married Religion: Calvinist Methodist
Occupation: Housewife
Address: Aberdaron, Carnarvonshire

Date of Admission: January 16, 1920
Date of Death: October 9, 1925
Cause of Death:

Disease: Mania
Supposed Cause: Son killed in War

Medical Certificate:
Delusions about her lost son (killed in action), people chasing her and will not leave her alone, and that she is a conductor of a choir. Talks incoherently. O W (her husband), Aberdaron, farmer, says she blames her family for not acting fairly towards her. She has been roaming about and has visited his (sic) churchyard enquiring after her lost son and her father who is alive. Dr Richard Owen, Abersoch. 15th Jan 1920.

Approximate duration of present attack: 3 weeks

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

Dangerous: Threatening

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition: Temperate and steady

Education:

Physical/Mental State at Examination: Poor health and condition. Heart's action rapid and feeble and has old standing facial paralysis. First signs of attack changes in manner and speech. Her husband says she has had fits. Suggested cause of insanity - worry over son killed in action.

Current Diagnosis: Schizophrenia (F20.0)

Case Notes

1920 Jan 20 (copy) - Suffering from Mania.

Very restless and her conversation is very rambling and incoherent, passing very rapidly from one subject to another.

She has hallucinations of hearing and hears the voice of her dead son, also Jesus Christ, and voices from other quarters.

She complains that she has been followed about and watched by people for a long time.

Poor health and condition.

Feb 1 - Worse if anything and her general health has not improved.

15 - Restless, talkative, uses abusive language. Destructive and dirty.

Mar 14 to Sept 18 - No change.

Dec 17 (copy) - Suffering from Mania and has become demented.

She has sudden violent outbursts and attacks the staff. Exceedingly noisy at times.

Has a very weak cardiac action.

1921 Apr to Oct - No change.

Dec (copy) - Suffering from Chronic Mania and Dementia. She is exceedingly restless and agitated and she uses most frightful language.

Very destructive in her habits. Memory is quite defective.

1922 Apr - Bad as ever. 1923 Jan - The same. Often requires sedatives. 1924 July - No change.

1925 Jan - Constantly requires sedatives.

Oct 9 - Died rather suddenly this morning after having breakfast, becoming suddenly unconscious, dying 20 minutes later. PM - Mitral Stenosis and degeneration of cardiac muscle.

Medications/Treatments: Sedatives