Mary Mary Williams (9376)

Admission Details for Patient: M A W (9376)

Gender: Female Age: 49
Marital Status: Married Religion: Church of England
Occupation: Housework
Address: Holyhead, Anglesey

Date of Admission: February 9, 1920
Date of Discharge: October 27, 1920
Discharge Category: Recovered

Disease: Melancholia
Supposed Cause: (None stated)

Medical Certificate:
She is obsessed with the idea of something eating her and causing her pain continuously. She also feels that she has done a great wrong or broken her word which make her call out and shout in great trouble. H W, her husband, states she does not look after the house or her personal cleanliness etc. Refuses her food at times, she is in great trouble with the pains, often shouting and gets up at night and out of the house undressed. Threatens to drown herself.

Approximate duration of present attack: 8 months

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: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Poor health and condition. Cardiac action rapid and feeble. She is very agitated and in great mental distress, moaning and sobbing, and saying that she is in great pain and that she will never be better.

Current Diagnosis: Depressive episode (F32.3)

Case Notes

1920 Feb 12 (copy) - Suffering from Melancholia. Depressed and apprehensive.

She has a delusion that she is being punished for some sin and is about to be eaten up.

She also has other delusions about her bodily health and states that she is unable to pass water which is not true. She is inclined to be restless and noisy at night.

19 - Very miserable and restless, continually groaning and complaining of various visceral pains.

26 - Quieter but still miserable.

Mar 8 - Depressed, restless, deluded.

Apr 8 - The same mentally.

May 13 to July 1 - No change.

Sept 18 - Depressed, miserable, constantly moaning.

Oct 6 - Suffering from Colitis.

13 - Haemorrhage has ceased but patient is very collapsed.

20 - Bowels still very loose, patient in feeble condition.

26 - Died.

Medications/Treatments: