E R (9455)

Admission Details for Patient: E R (9455)

Gender: Female Age: 25
Marital Status: Married Religion: Calvinist Methodist
Occupation: Housewife
Address: Cesarea, nr Carnarvon, Carnarvonshire

Date of Admission: June 7, 1920
Date of Discharge: December 28, 1920
Discharge Category: Recovered

Disease: Puerperal insanity
Supposed Cause: Puerperal/heredity

Medical Certificate:
Talks incoherently, untidy in bed and tearing the bedclothes. Rambles about the hills aimlessly in search of water and blames a Visitor for shortage of water. M J, Cesarea, says that she is queer in her habits, carries water from a distance and when she gets home throws it all away, this has been done several times, a dozen or more. Does not prepare food for her mother who is bedridden. She gives Treasury Notes to children on the road. Dr. Robert Owen, Penygroes, 6th Jan 1920.

Approximate duration of present attack: Since April 7th 1920

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Sister at present in a Lancashire asylum/Father drowned himself

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Fair health and condition. Suggested cause for attack - birth of a child 2 months ago. She is depressed and dull and takes little interest in things. Has a delusion about a supposed shortage of water at her home.

Current Diagnosis: Severe disorder associated with childbirth (F53.1)

Additional Diagnosis: 29

Case Notes

1920 June 10 (copy) - Suffering from Puerperal Insanity. Rather depressed and dull, does not take very much notice of her surroundings, answers questions slowly and with hesitation and is generally unresponsive. She states that when at home there was no water in the house and she had impulses which made her wander about in the hills looking for water but she admits that there was plenty in the village. Also complains of pains at the back of her head which make her feel dizzy at times.

17, 24 - No change.

July 1 - Dull and self absorbed. Still deluded.

Aug 5 - The same. Sept 19 - Has now improved. Depression less marked and she takes more interest in her own affairs and her surroundings.

Her delusions and subsequent impulses seem to have disappeared.

Oct 20 - Improvement continues.

Dec 28 - Finally discharged.

Medications/Treatments: