E J (9446)

Admission Details for Patient: E J (9446)

Gender: Female Age: 39
Marital Status: Married Religion: Church of England
Occupation: Housewife
Address: Llangoed, Anglesey

Date of Admission: May 30, 1920
Date of Discharge: June 23, 1926
Discharge Category: Relieved

Disease: Melanchollia
Supposed Cause: Influenza/family trouble

Medical Certificate:
She is incoherent in conversation. She has repeatedly said she owes me money which is not true. Says her husband is friendly with other women and has an illegitimate child which is not true. By J J, husband: Says she threatened suicide, she molests a gentleman in the village and wants him to marry her. She says she has Phthisis which is not true. She has prepared the house for disinfection and is expecting the Sanitary Inspector to disinfect the house which is not necessary. Dr. Edwin Roberts Thomas, Beaumaris, 30th May 1920.

Approximate duration of present attack: 8 weeks

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Mother and sister both eccentric

Epileptic: No

Suicidal: Yes

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition: Temperate and steady

Education:

Physical/Mental State at Examination: Fair health and condition. Suggested cause for attack influenza and husband joining the Army. On admission dull and depressed. Slow in replying to questions. Seems to have delusions regarding her husband and her own health.

Current Diagnosis: Delusional disorder (F22)

Case Notes

1920 June 2 (copy) - Suffering from Melancholia.

Depressed and miserable and says that at times she wishes she was dead. Reluctant to give much information about herself and is very slow in replying to questions put to her. She also states that her husband has been unfaithful to her and has an illegitimate child. This, I am informed, is not true.

10 -isq.

17 - Rather more cheerful but still deluded.

25 - isq.

July 27 - has improved a little but still has the same delusions. Sept 18 - quiet and well conducted but still depressed and self absorbed at times and has not lost her delusions.

Nov 9 - Diarrhoea.

1921 Jan 2 - Condition varies.

At times fairly cheerful but at other times gets very depressed, keeps to herself and takes little notice of her surroundings. Still deluded. Apr 5 - She has now developed a delusions about a former M.O. whom she accuses of having buried her child alive. She also states that she heard the child crying for her. Apt to lose her self control at times when questioned about it.

May 2 (copy) - Suffering from Melancholia with Delusions.

She is depressed and at times emotional.

Troubled by aural hallucinations especially at night.

July 1, Oct 3 - isq.

1922 Jan - Same delusions and also aural hallucinations. Still depressed and emotional but can make herself useful.

Apr 2 - Emotional condition has improved a little. Delusions still present.

May 2 (copy) - Suffering from Delusional Insanity. During an interview she becomes very excited and states that she frequently has headaches.

She has rather exalted ideas and believes that she is more or less an official here.

Oct 5 - Mental condition does not improve. Fits of depression from time to time. Same delusions.

1923 Jan to 1924 Apr - No further change.

May 1 (copy) - Suffering from Delusional Insanity and at present depressed and apprehensive.

Noisy at night at times.

(Notes from September 1924 indicate no further change until the patient was discharged to the care of her husband on 23 June 1926).

Medications/Treatments: