Psychiatryteleconsultation/teleconsulting: Experience of general confinement in Tunisia

Introduction The outbreak of the Covid-19 epidemic in Tunisia has led a total confinement startingfrom March 23rd, 2020. Remote interventions of psychiatrists and psychologists have been set up to help tunisiancitizens. The requestsconcerned panic attacks, acute stress disorder, sleepdisorders and...

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Main Authors: R. Jomli, H. Jemli, U. Ouali, Y. Zgueb, F. Nacef
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821017454/type/journal_article
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author R. Jomli
H. Jemli
U. Ouali
Y. Zgueb
F. Nacef
author_facet R. Jomli
H. Jemli
U. Ouali
Y. Zgueb
F. Nacef
author_sort R. Jomli
collection DOAJ
description Introduction The outbreak of the Covid-19 epidemic in Tunisia has led a total confinement startingfrom March 23rd, 2020. Remote interventions of psychiatrists and psychologists have been set up to help tunisiancitizens. The requestsconcerned panic attacks, acute stress disorder, sleepdisorders and relapse of some patients followed for mooddisorders, obsessive compulsive disorder or anxietydisorders. Objectives We propose to present 3 types of interventions by apsychiatrist in response to the request of 3 Tunisiancitizensin this first experience. Methods We will summarize three interventions with the history of each patient and his or herrequest as well as the short term evolution of the presenteddisorder. Results As a first experience, weresponded to numerousrequestsfrom people of all ages and living all over Tunisia. The first intervention concerned a lady whowasvolontarilyvomiting in order to maintainhercurrentweight.Shewasafraid of having the covid infectionrelated to a sore throat. The second situation is a gentleman whodid not toleratehome confinement because for 20 yearshe has been going out for adailywalk at exactly 4 pm. The thirdrequest came from a father living in a rural area who chose to self isolate in his room and refused to go out and seehischildrendespitetheir pressing demand. We offered active listening, reassurance and behavioural psychotherapy techniques. Conclusions Duringthis first experience in Tunisia, wefoundthatcitizens haveadhered to new communication techniques. Anxiety, stress and relapse of priormedical conditions were the mostfrequent diagnoses. Several interventions have proven to be effective despite obstacles related to teleconsultation. Disclosure No significant relationships.
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spelling doaj.art-80c72e2e06a94bb98cda0f860268d72a2023-11-17T05:07:16ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S657S65710.1192/j.eurpsy.2021.1745Psychiatryteleconsultation/teleconsulting: Experience of general confinement in TunisiaR. Jomli0H. Jemli1U. Ouali2Y. Zgueb3F. Nacef4Faculty Of Medicine Of Tunis, university of tunis elmanar, tunis, Tunisia Avicenne, manouba psychiatry, manouba, TunisiaFaculty Of Medicine Of Tunis, university of tunis elmanar, tunis, Tunisia Avicenne, manouba psychiatry, manouba, TunisiaFaculty Of Medicine Of Tunis, university of tunis elmanar, tunis, Tunisia Avicenne, manouba psychiatry, manouba, TunisiaFaculty Of Medicine Of Tunis, university of tunis elmanar, tunis, Tunisia Avicenne, manouba psychiatry, manouba, TunisiaFaculty Of Medicine Of Tunis, university of tunis elmanar, tunis, Tunisia Avicenne, manouba psychiatry, manouba, Tunisia Introduction The outbreak of the Covid-19 epidemic in Tunisia has led a total confinement startingfrom March 23rd, 2020. Remote interventions of psychiatrists and psychologists have been set up to help tunisiancitizens. The requestsconcerned panic attacks, acute stress disorder, sleepdisorders and relapse of some patients followed for mooddisorders, obsessive compulsive disorder or anxietydisorders. Objectives We propose to present 3 types of interventions by apsychiatrist in response to the request of 3 Tunisiancitizensin this first experience. Methods We will summarize three interventions with the history of each patient and his or herrequest as well as the short term evolution of the presenteddisorder. Results As a first experience, weresponded to numerousrequestsfrom people of all ages and living all over Tunisia. The first intervention concerned a lady whowasvolontarilyvomiting in order to maintainhercurrentweight.Shewasafraid of having the covid infectionrelated to a sore throat. The second situation is a gentleman whodid not toleratehome confinement because for 20 yearshe has been going out for adailywalk at exactly 4 pm. The thirdrequest came from a father living in a rural area who chose to self isolate in his room and refused to go out and seehischildrendespitetheir pressing demand. We offered active listening, reassurance and behavioural psychotherapy techniques. Conclusions Duringthis first experience in Tunisia, wefoundthatcitizens haveadhered to new communication techniques. Anxiety, stress and relapse of priormedical conditions were the mostfrequent diagnoses. Several interventions have proven to be effective despite obstacles related to teleconsultation. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821017454/type/journal_articleTunisiaPsychiatryteleconsultationCOVID-19general confinement
spellingShingle R. Jomli
H. Jemli
U. Ouali
Y. Zgueb
F. Nacef
Psychiatryteleconsultation/teleconsulting: Experience of general confinement in Tunisia
European Psychiatry
Tunisia
Psychiatryteleconsultation
COVID-19
general confinement
title Psychiatryteleconsultation/teleconsulting: Experience of general confinement in Tunisia
title_full Psychiatryteleconsultation/teleconsulting: Experience of general confinement in Tunisia
title_fullStr Psychiatryteleconsultation/teleconsulting: Experience of general confinement in Tunisia
title_full_unstemmed Psychiatryteleconsultation/teleconsulting: Experience of general confinement in Tunisia
title_short Psychiatryteleconsultation/teleconsulting: Experience of general confinement in Tunisia
title_sort psychiatryteleconsultation teleconsulting experience of general confinement in tunisia
topic Tunisia
Psychiatryteleconsultation
COVID-19
general confinement
url https://www.cambridge.org/core/product/identifier/S0924933821017454/type/journal_article
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