L H (9503)

Admission Details for Patient: L H (9503)

Gender: Female Age: 47
Marital Status: Single Religion: Church of England
Occupation: Hospital nurse
Address: Colwyn Bay, Carnarvonshire

Date of Admission: September 6, 1920
Date of Discharge: December 31, 1920
Discharge Category: Recovered

Disease: Delusional insanity
Supposed Cause: Poor health and overwork

Medical Certificate:
She has been sleeping badly for some time, is under the impression that people about her are spies and also that people are following her about. On the 26th of August she was on her bike at Penmaenmawr and asked a gentleman she saw the way to the desert. The Lady she was staying with followed her in a taxi and overtook her between Llanfairfechan and Aber. Miss O says she has stayed with her since last November. For a month past she has noticed that Miss Howells had some delusions. That she had done some crime and had to go to the desert as a punishment. She thought people about her were spies and that others were after her. And that some voice told her to get dressed and wait for someone to come for her. Dr. Price Morris, Old Colwyn, 6th Sept 1920.

Approximate duration of present attack: 1 month

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Brother committed suicide

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit: Poor some time

Destructive Habit:

Disposition: Temperate and steady

Education:

Physical/Mental State at Examination: Good health and condition. She is rather depressed and became very agitated on admission but soon calmed down. She seems to have delusions of suspicion and does not quite realise her position.

Current Diagnosis: Acute transient psychosis (F23.9)

Case Notes

1920 Sept 9 (copy) - Suffering from Delusional Insanity. She states that she has suffered from insomnia and that at times she has felt that people were watching her and spying upon her.

She states that at times she feels she must get into the desert as a punishment.

She states she is subject to horrible nightmares.

Quiet and well conducted.

18 - She has been well conducted so far but is somewhat reticent and suspicious and generally tries to avoid meeting me in the ward or airing court. She says that she is now quite well and resents being detained here.

Oct 18 - She resents the necessary ward discipline and disputes the authority of the nurses.

She does not realise she is ill and is difficult to deal with.

Nov 15 - Her condition varies. At times she is quite rational and will converse freely, at other times she is reserved, suspicious and seems to resent being spoken to.

Otherwise well conducted and has given no trouble lately. Dec 31 - Discharged recovered.

Medications/Treatments: