R P (9513)

Admission Details for Patient: R W P (9513)

Gender: Male Age: 30
Marital Status: Married Religion: Calvinist Methodist
Occupation: Sailor
Address: Holyhead, Anglesey

Date of Admission: September 19, 1920
Date of Discharge: October 25, 1921
Discharge Category: Recovered

Disease: Manic-depressive (II8c)
Supposed Cause: None stated

Medical Certificate:
He is wild and restless and talks incoherently about his God and his work of diving. He thinks he is the King. R P, his father, states that he is violent, threatens at times to strike his wife, does not sleep refuses food and talks nonsense about God and that he is the King etc. Dr. John Lewis Owen, Holyhead, 19th Sept 1920.

Approximate duration of present attack: Few weeks

Number of Previous Attacks: 1

Number of Previous Admissions: 1

Number of Subsequent Admissions: 3

Total Number of Admissions: 5

Relatives affected:

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: Yes, threatens

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Good health and condition. A strong looking young sailor boy who is very dazed and stupid. No control over himself.

Current Diagnosis: Schizophrenia (F20.0)

Case Notes

1920 Sept 22 (copy) - Suffering from Simple Mania.

On admission there was considerable loss of control and he was very confused and had no idea where he was.

He states now that he was taken ill at home and that he had quarrels with his wife and that he resented his parents interfering.

He denies that he in any way threatened his wife or child.

He is today much more clear mentally than upon admission.

Oct 1 - Has improved greatly.

Now takes his food well. Talks quite rationally.

Further Report: Oct 20 1920 (copy) - He has since admission had a sudden attack of sub acute mania.

He has become most excited and is violent and destructive.

His conversation is rambling, noisy and his language indecent.

Nov 15 - Has had another attack of sub acute mania and has been in a padded room. On my jotting down a note about him today he said "there it is - secret service" thinking there is a conspiracy against him. Still violent. Did his best to swallow his false teeth yesterday - put on the Card.

Dec 4 - Quiet and well behaved again for the last fortnight, cheerful and civil.

9 - Has been violent yesterday and today again.

Padded Room. Deprived of false teeth.

14 - He has just got over his attack today. The intervals between his attacks are getting shorter.

1921 Jan 1 - Remains moderately quiet and well behaved for the time being. Apr 1 - After a long period of rational behaviour has relapsed and has been secluded for a few days.

Apr 27 - Gradually becoming more rational.

July 1 - Suffers from occasional outbreaks of mania.

1921 Aug 19 (copy) - Suffering from Mania.

He is now convalescing from an acute attack and is able to control himself and is fairly well conducted.

Conversation for the most part is rational.

Sept 10 - For close on three months he has remained free from attacks and during this time has been quite rational in speech and action.

20 - Discharged on trial.

Oct 25 - Taken off books.

Medications/Treatments: Padded Room, Seclusion, Deprived of false teeth (after an attempt to swallow them)

Additional Notes

Previous admission:

First admitted to Denbigh on 26th April 1913 (No. 8011) after spending several weeks in Prestwich Asylum, near Bury.

The Medical Certificate reads:

I.

He is violent and incoherent in his statements.

States he has been a great sinner and is afraid he will never be saved. Also says that he can see his past life like a panorama before his eyes and will never be forgiven his past sins etc.

II. E J W, Boston Street, Holyhead, a neighbour, states he is violent.

Pritchard states he is Christ and has saved the world. Discharged recovered on 21st January 1914.

Readmissions:

10th July 1923 (No. 10119) with Mania, the cause given as 'previous'.

The Medical Certificate reads: Talks nonsense and incoherently. Cannot wash himself properly, dabs his face then the mirror and soap dish, lathers his chest instead of his face for shaving. He is suspicious of his wife, bangs doors after her, blows a whistle for no purpose. He is restless, walks from one room to another, locks the doors for no reason. Loss of memory, does not know day of the week.

E M P, wife, states that he is violent, destructive and talks absolute rot. He is suspicious, listens outside doors, cannot sit at meals, restless and gets bad tempered if spoken to.

Discharged recovered on 27th December 1923 after a month's trial.

26th February 1925 (No. 10431) with a diagnosis of Mania.

Reference is made on the Reception Order to his 'manic depressive cycles'.

The Medical Certificate reads:

Mild appearance. Thinks he is on board ship and walks as if he were.

Childish actions. Incoherent speech. Great restlessness.

Twice detained in Denbigh Asylum.

He returned home about 15 months ago.

Had 2 slight relapses since. Very restless and has tendency to be destructive.

Sleeplessness.

Talking and muttering constantly.

He carries a gun. Wife and relations are afraid of him.

Discharged on 4th June 1933 after a two month trial.

Readmitted 4th Oct 1935 (No. 12516, C949) and discharged on 30th Sept 1941 after a two month trial. No further details.

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