P A (9488)

Admission Details for Patient: P A (9488)

Gender: Male Age: 30
Marital Status: Single Religion: Church of England
Occupation: Market gardener (former soldier)
Address: Rhos on Sea, Carnarvonshire

Date of Admission: August 9, 1920
Date of Discharge: May 6, 1921
Discharge Category: Recovered

Disease: (No diagnosis entered)
Supposed Cause: (None stated)

Medical Certificate:
No case notes for this admission. Medical Certificate for an earlier admission in June 1919 reads: This patient has been at Cheadle Asylum in 1914 for some months. He has been getting worse for 5 or 6 weeks, very restless, laughs a lot and is very sleepless, and sometimes inclined to be violent. He thinks he is Lord Kitchener. Mrs A M, Rhos on Sea, says he has been with her 18 months. She has noticed him getting worse for about 6 weeks. Very restless, talkative, irritable and inclined to be violent sometimes. For nights now he has not been to bed and utterly sleepless. He does not take his food well and constantly taking all kind of things and putting them in his pockets etc. Price Morris, Old Colwyn, 3rd June 1919.

Approximate duration of present attack: Not stated

Number of Previous Attacks: 2

Number of Previous Admissions: 1

Number of Subsequent Admissions: 3

Total Number of Admissions: 5

Relatives affected: (maternal aunt)

Number of Previous Attacks: 2

Epileptic:

Suicidal:

Dangerous:

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: The patient had served with the Army as a gunner with the Royal Garrison Artillery. However, the Army were unwilling to pay for his keep at the Asylum in 1919. A letter from the Ministry of Pensions reads: "With reference to Form I received in respect of the above named man, you are informed that his present mental disability is considered by the Medical Branch of the Ministry to have no connection with his Military Service, and as the man was an inmate of an Asylum before enlistment, it is regretted that Authority cannot be given for Arundale's transfer to the Service Class".

Current Diagnosis: Bipolar disorder (F31)

Case Notes

No case notes.

Medications/Treatments:

Additional Notes

Previous admission:

3rd June (No. 9245).

He was discharged on 16th November 1922 after a 6-week trial.

20th October 1926 (No. 10738) with Mania. By this time he had married. The Medical Certificate reads : He talks nonsense and uses obscene language, he is incoherent.

Mrs M A (wife), Colwyn Bay, says he shouts and rambles at night.

Mr J A (brother), Fishmonger, Rhos, says he uses obscene language in public and says he is the cleverest man in the world.

Discharged recovered on 7th February 1928.

Admitted from Rainhill Asylum on 2nd July 1935, this time with Dementia (from the case notes) and discharged recovered on 30th December 1935.

Chargeable to the County of Liverpool.

The Medical Certificate reads:

He is confused and has no idea of time or place.

Thinks I am the Prince of Wales and says he came to Manchester to see me. He talks about having been in the trenches in Malta during the war. Noisy and violent, also incontinent of urine.