Admission Details for Patient: O J (9390)
Gender: Male Age: 52
Marital Status: Single Religion: Church of England
Occupation: Tailor
Address: Dolgelley, Merionethshire
Date of Admission: February 29, 1920
Date of Discharge: September 20, 1920
Discharge Category: Recovered
Disease: Mania
Supposed Cause: Previous insanity
Medical Certificate:
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.
Dr John Jones, LRCP etc, Dolgelley, 29th Feb 1920.
Approximate duration of present attack: 3 weeks
Number of Previous Attacks: 6
Number of Previous Admissions: 5
Number of Subsequent Admissions: 1
Total Number of Admissions: 7
Relatives affected:
Number of Previous Attacks: 6
Epileptic: No
Suicidal: Yes
Dangerous: Yes
Clean Habit:
Food Refusal:
Sleep Habit:
Destructive Habit:
Disposition:
Education:
Physical/Mental State at Examination: Fair health and condition. Very talkative and wished to let me know that he knew the Latin names of ferns and flowers.
Current Diagnosis: Bipolar disorder (F31.1)
Case Notes
1920 Mar 3 (copy) - Suffering from Ordinary Mania.
Exalted and talkative, is simple and childish in his ways and laughs with nearly every statement he makes and is unable at present to apply himself to anything.
He states that he struck his sister simply because she would not join him in some songs.
There is a considerable amount of loss of control.
7 - Much improvement in his mental condition. Behaves and conducts himself properly. Very friendly with all.
14 - Improving.
21 - Improving.
28 - Slightly better.
Apr 11 - More improvement.
18 - Better.
25 - Still improving.
May 2 - Has improved.
June 2 - isq.
July 1 - Still improving, almost ready for discharge.
Still a bit nervous.
Medications/Treatments:
Additional Notes
Previous admissions:
18th February 1901 (No. 5799) with a diagnosis of 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.
Discharged recovered 21st May 1901.
21st February 1903 (No. 6141) with a diagnosis of Acute Mania. The Medical Certificate reads:
(a) He seemed very excited and talked and sang incessantly and incoherently. His manner and conduct were most strange.
(b) His sister Mrs R W, 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.
He was discharged recovered on 20th June 1903.
23rd September 1905 (No. 6634) with Mania supposed to be caused by 'fall on head/intemperance'.
The Medical Certificate reads: His manner is most strange, he talks incessantly and most incoherently and in my opinion he is dangerous to himself and others.
His sister, E J, states that he refuses to take any food, gets up at all hours of the night and wanders about, she is afraid of him. Discharged recovered on 28th March 1906.
8th May 1909 (No. 7269), an episode (undiagnosed on admission) caused by alcohol and the illness of his sister.
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. J J (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.
He was discharged recovered on 23rd November 1909.
25th June 1914 (No. 8275).
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. M D, 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.
Discharged recovered on 22nd December 1914.
Readmission:
17th September 1924 (No. 10358).
The Medical Certificate reads:
He was very excited and talked incessantly and most incoherently.
I consider him dangerous to himself and to others.
Miss E J, his sister, states that he has been very strange for some time.
She is in bodily fear of him.
Discharged recovered, after a 3 month trial, on 24th July 1925.
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