M G (9456)

Admission Details for Patient: M G (9456)

Gender: Female Age: 50
Marital Status: Married Religion: Independent
Occupation: Housewife
Address: Carmel, nr Carnarvon, Carnarvonshire

Date of Admission: June 7, 1920
Date of Discharge: July 6, 1922
Discharge Category: Recovered

Disease: Melancholia
Supposed Cause: None stated

Medical Certificate:
Patient is constantly talking incoherently and has fixed delusions. She imagines that all her children have been crushed under the train. She spends millions of pounds every day. She also states that every person that comes in contact with her is morally contaminated. Patient at times very violent. Has attempted to throw herself out of the window. She repeats that she has attempted to poison her husband and children. The informant is her husband W J G, Contractor. Dr George Edward Williams, Rhostryfan, 6th June 1920.

Approximate duration of present attack: 3 months

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: Yes, violent occasionally

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Moderate health and condition. Very restless and apprehensive. Has delusions concerning her children and her husband, that they are all condemned through her.

Current Diagnosis: Delusional disorder (F22)

Case Notes

1920 June 10 (copy) - Very agitated and apprehensive of the future. Has delusions that the nurses intend to poison her, that she has been brought here in order to be burnt and that her husband and other people who come into contact with her are condemned.

She is restless at times and difficult to control.

17 - She has been very troublesome and noisy and is now in a side room in 2, 3. 25 - Rather quieter and controls herself better.

July 5 - Very noisy at times.

Still agitated and full of delusions. Takes food well.

20 - A special physical examination of the patient's body was made to determine the truth of certain allegations made by the husband against members of the staff.

A small bruise was found on the lower part of left thigh, another on lower part of back, some faint marks on both arms and a small one on left side of chest above the heart.

Aug 5 - Still very noisy and troublesome at times and often in a side room.

Also destructive.

Sept 18 - Quieter but deluded as ever and easily upset. Oct 18 - At present well conducted, but full of delusions.

1921 Jan 2 - Well conducted and present and able to employ herself at times but still has marked delusions about her children and her self.

Apr 2 -No change.

May 8 (copy) - Suffering from Mental Depression. Very apprehensive.

Believes that her husband and family have all been burnt to death through her agency.

Some slight improvement since my last report and at times she is less depressed.

July to October - No further change.

1922 Jan 5 - Still has the same delusions about her family but she is not so restless or depressed and is able to employ herself.

Apr 2 - Still deluded as ever but improved in other respects.

1922 May 11 (copy) - Suffering from Melancholia with fixed delusions.

25 - Discharged on trial to the care of her husband who signed the usual undertaking.

Medications/Treatments: