Thomas Thomas (9394)

Admission Details for Patient: T T (9394)

Gender: Male Age: 53
Marital Status: Married Religion: Welseyan Methodist
Occupation: Sailor
Address: Holyhead, Anglesey

Date of Admission: March 9, 1920
Date of Discharge: August 24, 1920
Discharge Category: Recovered

Disease: Mania
Supposed Cause: (Worry about venereal disease)

Medical Certificate:
He is very talkative and excited. He is obsessed with the idea that he suffers from Venereal Disease which is eating away his testicles etc. He states he is very unhappy about it and is anxious to kill himself. C T, Holyhead, his wife, states that at times he refuses all food, threatens to kill himself by cutting artery of his leg. Talks continually of the disease he imagines he suffers from. Dr. John Lewis Owen, Holyhead. 9th March 1920.

Approximate duration of present attack: 3 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: Tthreatens to cut throat

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Fairly good health and condition but has a double inguinal hernia. Complains of pain in his testicles which are being eaten away inwardly. I find nothing wrong with them.

Current Diagnosis: Acute transient psychosis (F23.9)

Case Notes

1920 Mar 12 (copy) - Suffering from Mania. Conversation is rambling and disconnected.

He is deluded that his testicles are being eaten away by some disease.

He also has aural hallucinations and states that he is constantly hearing the noise of gongs. He does not realise his position.

Was very restless the first two nights but has been quieter since.

Mar 18 - Very deluded about his testicles and penis. Complained today that they were covered with a rash but there was no signs of anything abnormal.

28 - Still deluded about his penis and testes. Must have medicine for them.

Apr 6 - Still deluded.

13 -No change. May 2 - Has improved considerably and now realises that his illness was more or less a delusion.

July 21 - Discharged on trial.

Medications/Treatments:

Additional Notes

This patient's son, W T, was admitted in August 1828 (No. 11092).

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