A D (9573)

Admission Details for Patient: A D (9573)

Gender: Female Age: 46
Marital Status: Married Religion: Church of England
Occupation: Wife of railway labourer
Address: Pentir, Carnarvonshire

Date of Admission: December 31, 1920
Date of Discharge: June 28, 1922
Discharge Category: Recovered

Disease: Mania
Supposed Cause: Heredity/previous

Medical Certificate:
Extremely excited, rambling and incoherent in her statements. Says she has contracted a most loathsome disease from her husband and accuses him of most fearful immorality, which is not true. R D, husband, states that she is noisy, excitable, rambles away from home, neglects her children and household duties. Accuses him of the most immoral habits which he denies. Dr. Corbet William Owen, Bangor, 31st Dec 1920.

Approximate duration of present attack: 5 weeks

Number of Previous Attacks: 1

Number of Previous Admissions: 1

Number of Subsequent Admissions: 0

Total Number of Admissions: 2

Relatives affected: Katie Lee, sister, a patient 10 yrs ago, uncle and aunt committed suicide

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition: temperate and steady

Education:

Physical/Mental State at Examination: Fair health and condition. Noisy, talkative and rambling, does not know at present where she is and can give no coherent account of herself.

Current Diagnosis: Unspecified psychosis (F29)

Case Notes

1921 Jan 5 (copy) - Suffering from Mania. Excited and talkative. Her conversation is rambling and there is considerable mental confusion.

She bursts out laughing without any apparent cause and is very restless.

She says that her husband has been with other women and has given her a bad disorder which is not true.

12 - Mentally she has improved. She is more rational and can control herself better.

19 - Continues to improve.

26 - Her mind is clearing up but she is still easily confused and rather childish in manner.

Feb 28 - Continues to improve slowly.

Apr 2 - Improving slowly and able to employ herself in the work room.

July 1 - Has continued to improve.

Aug 1 - Improvement maintained.

Oct 3 - Her condition has varied from time to time. At present she is improving again

Dec 1 (copy) - Suffering from Mania.

At times some loss of control and restlessness.

Improving slowly.

1922 Jan 9 (copy - Extra Report) - Still improving in her mental condition. States that little things upset her and that she becomes nervous and excited if others talk to her or if she talks too much herself.

Apr 8 - Discharged on trial.

Medications/Treatments:

Additional Notes

Previous admission:

8th November 1904 (No. 6442) with Mania, when the supposed cause is 'ill treatment by husband'.

The Medical Certificate reads:

I. She said that she went out between one and three am the other day in the dark down to Taicoed to see J J because she had been saying bad things about me and because there were men on the roof. She could not remember what she did any part of yesterday.

She believes people, robbers watch her day and night.

II.

J L of Penrhosgarnedd, (Pentir), father of the above A D states that A D accuses her neighbours wholesale with saying that she is a bad woman.

No foundation in fact.

She gets up in the night saying these women are watching her.

She got up one night and came to my bedroom saying that she saw visions, one other night she got me up to tell me, it's all right the Brewer has whistled for the detectives and they are gone after the men who were following me in the wood.

Discharged recovered on 20th May 1905.