H J (9509)

Admission Details for Patient: H J (9509)

Gender: Male Age: 57
Marital Status: Widowed Religion: Calvinist Methodist
Occupation: General labourer
Address: Valley Workhouse, Anglesey

Date of Admission: September 16, 1920
Date of Discharge: December 1, 1921
Discharge Category: Recovered

Disease: (Delusional insanity)
Supposed Cause: None stated

Medical Certificate:
Has delusions viz, that poison is put in his food daily. That people try to injure him. Dangerous to others viz, threatens to do injury to officials and inmates and has actually injured one inmate. Violent attack on Charge Nurse, knocking her down and injuring her face and back by striking, and says he wished he could have killed her. Richard Williams, Master, Cartref, Valley, viz; Threatens to injure people and has actually done so. Delusions that people are trying to poison him by putting it in his food. Tried to seriously injure the Charge Nurse by violent attack on her. Unmanageable and uncontrollable at times. D.r Owen John Parry Edwards, Bodedern, 15th Sept 1920.

Approximate duration of present attack: 1 year

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, sudden attacks

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Poor health and condition and suffers from Asthma. Full of delusions of persecution but very rational.

Current Diagnosis: Delusional disorder (F22)

Case Notes

1920 Sept 20 (copy) - Suffering from delusional insanity.

Has delusions of persecution and states that the officials at the Valley Workhouse have been plotting and conspiring against him.

He states that people were putting poison (in his food) because it made him tremble all over after each time he took it.

He also says that they were taunting him, that he would be the next to die. He gives quite a clear account of himself but he is full of grievances against the officials at the Valley Workhouse.

26 - He has improved mentally but still has delusions.

Clean and tidy, quite rational and takes an interest in his surroundings.

Oct 1 - Still improving mentally.

Nov 20 - Very well conducted and tractable. But mentally he still adheres to his poison beliefs and is also very preoccupied with the functioning of his viscera particularly his intestine. He has external haemorrhoids.

Dec 20 - Full of complaints.

Little really wrong with him physically but he makes a little go a long way.

1921 Jan 1 - Troubled a good deal by his asthma nowadays. Self willed and delusive.

Says I am trying to poison him with the last medicine (Mag. Sulph).

Apr 1 - Very wayward in his manner. Refuses to take any medicine for his asthma.

June 1 - Always ready with all kinds of grievances and complaints. Better mentally. 11 - Apart form his continuous trivial complaints, he is quite good mentally.

July 20 - Continually worrying for his discharge. Was brought before Med. Supt. last week for discharge but rejected.

Aug 3 - Now states that he would like to see the Supt. pending discharge as he was not properly understand. What he now wishes to point out is, that at the time he made the accusations against the people in the Poor Law Institution he was very weak and run down and was not responsible for his actions or says but that now he does not believe what he formerly said.

16 (copy) - Convalescing and about to be removed to Valley Union Workhouse on trial.

Oct 4 - Still awaiting removal to Valley Workhouse.

Discharged to Workhouse on one month's trial and on Nov 30th was taken off Books.

Medications/Treatments: Mag. Sulph.