R H (9422)

Admission Details for Patient: R O H (9422)

Gender: Male Age: 43
Marital Status: Married Religion: Independent
Occupation: Labourer
Address: Pentrevoelas, Carnarvonshire

Date of Admission: April 18, 1920
Date of Discharge: October 18, 1920
Discharge Category: Recovered

Disease: Sub acute mania
Supposed Cause: Events in a local chapel

Medical Certificate:
I was called to see R O H on the 15th inst and found him in an excitable state of mind, wild expression not natural to himself, his speech strange. Suddenly turned to his Bible and said: 'Wherever I go I shall take this with me'. There is no reason in most things he says. He is incoherent and dangerous to himself and he must be under control. D H, brother: His conversation to me turns to religious affairs too much. He is savage and wild picking up nails from the wall and puts them in his mouth and wants to swallow them. When in this state he wants his brother to go out of his sight. Mrs M H, wife: He wakes up suddenly and goes to pray in a wild manner. He says people must not say there is nothing in the revival and that himself and his wife are saved. He cries and behaves to his wife unnaturally (sic) and reads his Bible at every opportunity he gets. In the middle of the night he wakes up suddenly and prays in a wild manner and says he is as clean as the snow. Dr. Benjamin Isaac, Cerrigydruidion, 18th Apr. 1920.

Approximate duration of present attack: A few days

Number of Previous Attacks: 1

Number of Previous Admissions: 0

Number of Subsequent Admissions: 2

Total Number of Admissions: 3

Relatives affected: Father in Denbigh but cured perfectly

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit: Poor 14 days

Destructive Habit:

Disposition: Temperate

Education:

Physical/Mental State at Examination: Fair health and condition. Fifteen years ago patient had influenza and was low spirited then. Suggested cause for present attack 'certain events in a local chapel may have upset him'. On admission very noisy and talkative. He had a toothache and I extracted a tooth which relieved him of the pain. Very destructive.

Current Diagnosis: Bipolar disorder (F31.2)

Case Notes

1920 Apr 21 (copy) - Suffering from Sub Acute Mania.

Since admission he has been very restless and noisy, shouting and singing and talking about religious matters.

His conversation is very rambling and disconnected.

He does not realise where he is.

He has been very destructive and has destroyed a considerable amount of his clothing since admission.

25 - Still very noisy and restless. Destroying his garments and bedclothes.

Talks a great deal about religious matters.

May 2 -No change.

June 2 - Has improved considerably.

Not at all confused. Takes food willingly and interested in his surroundings.

July 1 - Very indifferent lately. At times he is very excited and noisy and at other times normal and rational.

Aug 19 - Discharged on trial.

Medications/Treatments:

Additional Notes

Readmissions:

4th July 1928 (No. 10849) with a diagnosis of Mania, cause unknown.

The Medical Certificate reads: He said that this morning God spoke to him and upon my asking him what He said, R O H replied 'I've got my Rules, there's No. 1. That is it No. 1'. He said that if I wished I could have his account books for they were all ready, whereas in fact he has no such books.

Upon his wife's entry into the room he held out his hand and shook hands with her in an unnatural and unwonted manner and kissed her on the cheek.

M H, his wife, living with him, states that at times R O H becomes very excited and at other times very depressed for no reason that she is able to discover.

Discharged 2nd February 1928.

29th April 1931 (No. 11594) with a diagnosis of Melancholia supposedly caused by a temporary paralysis of his left leg and partial paralysis of left arm.

The Medical Certificate reads:

Imagines people timing him going to work. Talks volubly about germs. Believes that house was cracked after a thunderstorm. That the water he uses to clean his teeth contaminates the drains and river.

His wife states that he is very restless and that he is unusually concerned after her. Facts communicated by others:

That he states he is being watched by strangers as he goes to work, and that they are timing him, whereas it is affirmed by his wife that this is not so.

That he believes the gable end of his house was damaged in a thunderstorm whereas it was not.

I have been informed by the Minister of his Chapel that in conversation with him R O H affirmed that the river was poisoned and that in consequence he spent hours scrubbing his artificial teeth. He says that daily he sees his brother carrying stones outside the house whereas his brother is in America.

Admitted initially as a temporary patient R O H was certified in Oct 1931 and the notes end there.

A date of discharge or death is not recorded.