J G (9470)

Admission Details for Patient: J G (9470)

Gender: 0Female Age: 47
Marital Status: Single Religion: Calvinist Methodist
Occupation: Charwoman
Address: Morfa Nevin, Carnarvonshire

Date of Admission: July 2, 1920
Date of Discharge: February 28, 1921
Discharge Category: Recovered

Disease: Mania
Supposed Cause: Previous

Medical Certificate:
She worries that she is of German descent and that has preyed so much on her mind as to unhinge it. She looks upon the asylum as a hospital and is very anxious to return for a cure as she calls it. Mrs M J, Morfa Nevin, says: She is very wild and unmanageable at times and talks of destroying herself Dr. Richard Henry Griffith, Nevin, 1st July 1920.

Approximate duration of present attack: 1 week

Number of Previous Attacks: 1

Number of Previous Admissions: 1

Number of Subsequent Admissions: 2

Total Number of Admissions: 4

Relatives affected:

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Moderate health and condition. Noisy and talkative. Her conversation is rambling and she talks a lot of nonsense about her German descent and complains that people have been accusing her of being a German.

Current Diagnosis: Bipolar disorder (F31.1)

Case Notes

1920 July 6 (copy) - Suffering from Mania. Since admission she has been noisy and singing at night. Her conversation is very disconnected and rambling. She laughs at every question put to her.

In conversation she changes rapidly from one subject to another and is very restless.

She talks a great deal about people accusing her about being a German and suffers from insomnia.

14 - No change.

Obstinate with her food.

21 - Quieter and more control over herself. Still deluded.

28 - No further change mentally.

Aug 5 - Not so well physically. Mentally much quieter.

Sept 18 - She is now dull and self absorbed and takes little interest in her surroundings.

Oct 15 - Convalescent from an attack of colitis. Mental condition has also improved.

Nov 12 - Still improving.

Dec 29 - Discharged on 2 months trial.

Medications/Treatments:

Additional Notes

Previous admission:

15th August 1918 (No. 9091) with Melancholia, the cause thought to be 'climacteric'.

The Medical Certificate reads: (a) She is afraid of two persons at the office she works at for no reason at all. She is at times very wild and unmanageable.

(b) Elizabeth Catherine Buckley, of Heswall, sister, says that her sister has been called a German and that had prayed so much on her mind as to unhinge it, also that she has attempted to go out through the window. Discharged recovered on 1st February 1919.

Readmissions:

26th October 1923 (No. 10183 the a diagnosis of Recurrent melancholia, the cause this time thought to be 'stress and heredity'. The Medical Certificate reads: Talks incoherently, mostly about religious matters. She worries about her nationality being of German descent. She refuses nourishment.

Rev. G Parry Hughes, Morfa Nevin, states that she came to his house about 5 am in her night shirt saying she had already lit up the chapel for the meeting. He also says that she is quite unmanageable at times. )to 17/06/1924 (no. 10183) - recurrent melancholia - cause "stress and heredity".

Discharged recovered 17th June 1924 after 6 weeks trial.

15th March 1926 (No. 10621) J G was admitted from Pwllheli Workhouse and diagnosed with Melancholia. The Medical Certificate reads:

She is incoherent in speech.

Worries about her nationality.

Mistakes me for a Mr (blank) and that all her sins are due to her holding (blank) Hamilton on her knee.

Nurse E R Owen of Cartrefle, Pwllheli, states that she keeps all the inmates awake at night by shouting and singing hymns.

That she wants them all out of bed, but is not dangerous.

States that she has committed an unpardonable sin, and no forgiveness.

The patient died from Chronic Nephritis on 8th July 1927.

Dr E Shelton Jones, Pwllheli, 15th March 1926.