E T (9432)

Admission Details for Patient: E M T (9432)

Gender: Female Age: 46
Marital Status: Widowed Religion: Congregationalist
Occupation: None
Address: Carnarvon, Carnarvonshire

Date of Admission: May 5, 1920
Date of Discharge: January 18, 1921
Discharge Category: Recovered

Disease: Melancholia
Supposed Cause: Death of husband/bodily illness

Medical Certificate:
She is excited and moody at intervals and insists on going away to Birmingham. She refuses to eat and has not had any food the last 24 hours. She had to be forcibly brought into the house and detained there. Her father, B G E, informs me that she says that in obedience to a divine command she has to return to Birmingham where Providence has provided her with an ample fortune. On three occasions during the last week she has left his house in the early hours of the morning, starting for Birmingham and on one of these occasions she was only detained by force from going out in her night dress. Dr. Robert Parry, Carnarvon, 5th May 1920.

Approximate duration of present attack: 1 week

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: Temperate and steady

Education:

Physical/Mental State at Examination: Poor health and condition. Patient is suffering from Phthisis Pulm. Suggested cause for present attack family trouble, death of husband, menopause, tuberculosis. First indications religious excitement. She is depressed and miserable but is able to give a rational account of herself. States that she is worrying over her children and that she hears their voices calling her.

Current Diagnosis: Depressive episode (F32.3)

Case Notes

1920 May 8 (copy) - Suffering from Melancholia. Depressed and apprehensive and feels that her life has been a failure and that she is no good to anyone. She states that she distinctly hears the voices of her children in Birmingham calling and speaking to her.

In poor health and condition and has been suffering from tubercular disease of the lung for some length of time previous to admission.

15 - Improved mentally. Still hears the voices of her children.

22 - Now restless, indifferent and rather unresponsive.

29 - At present in a dazed condition, takes no notice of anyone, and can barely understand questions that are put to her.

June 5 - Depressed and unresponsive.

July 1 - No change.

Aug 15 - Much improved mentally.

Sept 19 - Continues to improve. A physical examination of her chest was made this morning. 1921 Jan 18 - Discharged recovered.

Medications/Treatments:

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