H T (9561)

Admission Details for Patient: H B T (9561)

Gender: Female Age: 45
Marital Status: Single Religion: Church of England
Occupation: None
Address: Carnarvon, Carnarvonshire

Date of Admission: December 4, 1920
Date of Death: November 15, 1921
Cause of Death:

Disease: Melancholia
Supposed Cause: Family trouble/Bodily illness

Medical Certificate:
The patient walks about waving her arms and muttering incoherently. She states on being questioned that she wishes to go to Jesus. On two occasions she used the word 'poison' and stated she was going out. Miss A T, states that the patient was 'raving' all night. That she threatened to take poison and prevented the informant from leaving the bedroom to obtain help. She states that the patient repeatedly expressed her intention of going to Jesus and to her dead mother. Hugh Jones, Carnarvon, 4th Dec 1920.

Approximate duration of present attack: 4 days

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: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition: temperate and steady

Education:

Physical/Mental State at Examination: Moderate health and condition. Suffering from Anaemia. Albumenuria. Suggested cause for attack - loss of mother some years ago and bodily illness ('she has not been well for about 12 months'). Simple and childish in manner and conversation. Emotional at times. Says she has been depressed and wishes to die. Does not realise her position.

Current Diagnosis: Depressive episode (F32.3)

Case Notes

1920 Dec 8 (copy) - Alternately excited and depressed. States that she has been very miserable, depressed, and apprehensive and that at times she has thought of poisoning herself saying that she wished to be with Jesus. She talks about religious matters and says she wants to die. Since her admission she has had one or two attacks of noisy excitement. She is rather simple and childish in her conversation and in her ways.

15 - Emotional at times and constantly asking for Bibles.

23 - No change.

1921 Jan 4 - Not so emotional and taking more interest in her surroundings.

Feb 5 -No further change.

Mar 5 - Complains of various imaginary symptoms.

Apr 2 - Miserable and depressed.

Great motor restlessness. Apprehensive about her sister and her own future.

Visceral symptoms prominent.

7 - Worse if anything.

Strong suicidal tendencies.

Needs constant supervision.

21 - Has improved a little.

May 9 - Worse again.

July 1 - Has improved a little but restless at times.

Oct 3 - Depressed, miserable, will not speak.

Poor health.

Nov 4 (copy) - Suffering from Dementia.

Not able to converse much and what she states is very rambling and incoherent and at times she talks to herself. She is always standing in the same position and taking no interest whatever in her surroundings. She does not seem to understand any questions put to her.

At present in bed suffering from swollen feet and hands with cardiac debility.

Nov 15 - Died.

Medications/Treatments: