Novel psychopathological picture during the COVID-19 pandemic based on a first episode of psychotic depression.
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Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu, Katedra Psychiatrii
Submission date: 2021-08-05
Final revision date: 2021-08-23
Acceptance date: 2021-08-31
Online publication date: 2022-10-31
Publication date: 2022-10-31
Corresponding author
Mateusz Łuc   

Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu, Katedra Psychiatrii
Psychiatr Pol 2022;56(5):945-955
The emerging SARS-CoV-2 pandemic is known to take a toll on both physical and mental health. We present a case of a patient with a first episode of severe depression with COVID-19-related psychotic features. A patient with no history of mental disorders was admitted to the Psychiatric Unit due to the symptoms of severe depressive episode with psychotic features. Progressive deterioration of his mental health, behavior and activity was observed in March of 2020. He was not infected nor exposed to infectious agents but presented delusions about being infected with SARS-CoV-2 and being a source of transmission to other people. He suffered from Hashimoto disease and recently diagnosed lymphoma which further diagnosis was postponed. He was administrated venlafaxine 150 mg and mirtazapine 45 mg with addition of olanzapine up to 20 mg and risperidone up to 6 mg per day. No side effects were reported. The patient reached a full recovery with the exception of slightly blunted ability to feel pleasure, minor problems with concentration and occasional pessimistic thoughts. Discussion: The social distancing recommendations put a psychological strain related to alienation and negative emotions which can favor development of depressive symptoms. Analysis of psychological mechanisms related to the pandemic and restrictions is significant for limiting negative influence of global crisis on individual mental well-being. Conclusions: In this case the impact of global anxiety and its integration into the developing psychopathological symptoms is especially significant. The circumstances surrounding an episode of affective disorder may shape its course and thought content.
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