C R (9416)

Admission Details for Patient: C R (9416)

Gender: Female Age: 58
Marital Status: Married Religion: Roman Catholic
Occupation: Housewife
Address: Llandudno, Carnarvonshire

Date of Admission: April 11, 1920
Date of Discharge: December 10, 1920
Discharge Category: Recovered

Disease: Delusional insanity
Supposed Cause: Worry/climacteric

Medical Certificate:
Her general appearance and manner. She told me that she was not clear as to her surroundings and that the back of the house was the front and that she was worried about having more children and that her food was poisoned. Her daughter, C M R, of the same address, informed me that her mother had absolutely refused to take any food or anything except water for the last 48 hours and that she has not slept except with drugs recently. Dr. R. W. Richards, 11th April 1920.

Approximate duration of present attack: 18 days

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 1

Total Number of Admissions: 2

Relatives affected:

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit: Poor 3 weeks

Destructive Habit:

Disposition: Steady

Education:

Physical/Mental State at Examination: Fair health and condition. Suggested cause for attack - her only son killed in the War. Menopause. She is confused and incoherent and cannot give a clear account of herself. She has delusions of suspicion and says that people have been trying to poison her.

Current Diagnosis: Depressive episode (F32.3)

Case Notes

1920 Apr 14 (copy) - Suffering from Delusional Insanity.

On admission she was very confused. Her memory is defective and she states that she has had ideas that people were placing poison in her food.

21 - Has improved a little, more cheerful and less confused.

28 - Still deluded.

May 5 - No change.

14 - Has had an attack of mental excitement, restless and noisy and impulsive.

July 1 - Now much quieter and better behaved. Taking her food better and not so deluded.

For the last month she has been suffering from a severe whitlow of the right little finger.

Aug 1 - Much improved mentally. Sept 18 - Discharged on trial.

Medications/Treatments:

Additional Notes

Readmission:

13th February 1923 (No. 10040) with recurrent melancholia, the cause 'climacteric'.

The Medical Certificate reads: She tells me that she has no will power and cannot concentrate. She says she cannot sleep because there are noises and hammering going on.

Seems very highly strung and nervous.

T R, coachbuilder, husband, tells me that she has been 5 and a half months in Denbigh Asylum.

She eats practically no food and sleeps very badly.

She stands in a corner of the room for hours on end. She pulls pictures down and turns them face to wall.

She leaves him without meals.

He says he never saw anything suicidal or homicidal about her. She just strolls about or stands and does nothing.

Discharged recovered on 4th July 1924 after a month's trial.