E W (9495)

Admission Details for Patient: E W (9495)

Gender: Female Age: 40
Marital Status: Married Religion: Church of England
Occupation: Wife of P W
Address: Bangor, Carnarvonshire

Date of Admission: August 25, 1920
Date of Death: October 14, 1922
Cause of Death:

Disease: (Melancholia)
Supposed Cause: (? Head injury)

Medical Certificate:
Complains of being persecuted by her neighbours, they are continually talking about her and saying the most dreadful things. Says the Police are watching her, also says that her son has been wounded in the neck. All imagination. P W, her husband, says she is continually shouting and quarrelling with some imaginary persons, some school teachers are also annoying her and charging with all kinds of unmentionable things. Restless and sleepless at night.

Approximate duration of present attack: 10 years

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, threatens

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition: Temperate and steady

Education:

Physical/Mental State at Examination: Good health and condition. Duration of attack - "about 10 years getting worse gradually". Suggested cause ?head injury. Depressed and miserable and states that her neighbours have been saying things about her which have caused her a lot of trouble.

Current Diagnosis: Delusional disorder (F22)

Case Notes

1920 Aug 30 (copy) - Suffering from Melancholia.

She has marked delusions of persecution and states she has been very worried and miserable owing to her neighbours saying terrible things about her. She states that she could hear their voices through the walls of her house.

She also states that terrible things are said about her in the paper called "John Bull".

She is depressed and apprehensive.

Sept 19 - Her mental condition has improved. The delusions are less marked and she states that she no longer hears voices.

Now taking a more cheerful view of things.

Oct 18 - No further change.

Nov 16 - Has improved a little.

1921 Jan 10 - Still depressed and deluded.

Apr to July - The same.

July 25 (copy) - Still full of delusions of persecution and states that she receives letters persecuting her. She also hears voices.

She states that married men come into this Institution and interfere with the Nurses. Also states that she with her own eyes has seen her boy aged 14 killed by others.

Statements still very rambling and confused.

Able to make herself useful at times. Oct 5 - Unchanged.

1922 Jan - She does not improve.

Delusions and aural hallucinations.

May - Has lost weight and developed a cough.

July - Poor health and sleeps in the huts.

Aug 25 (copy) - Suffering from Dementia.

Delusions of persecution. At times talks to herself in a rambling manner. Suffering from Tubercular disease of the lung but has recently improved somewhat in bodily health and put on weight. Oct 1 - Again in poor health and is suffering from abdominal tuberculosis.

Not likely to live long. Mentally no change.

14 - Died.

Medications/Treatments: