Covid 19, lockdown and brief psychotic disorders
Introduction Acute and transient psychotic disorders are a rare condition entity as the sudden appearance of affective, confusional symptoms and paranoia triggered by some psychological trauma. The current pandemic caused by COVID-19 is an important psychological stressor that could favor the appe...
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Format: | Article |
Language: | English |
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Cambridge University Press
2021-04-01
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Series: | European Psychiatry |
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Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821014486/type/journal_article |
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author | J. Gonçalves Cerejeira I. Santos Carrasco C. Capella Meseguer E. Rodríguez Vázquez M. Óscar M. Queipo De Llano G. Guerra Valera A. Gonzaga Ramírez |
author_facet | J. Gonçalves Cerejeira I. Santos Carrasco C. Capella Meseguer E. Rodríguez Vázquez M. Óscar M. Queipo De Llano G. Guerra Valera A. Gonzaga Ramírez |
author_sort | J. Gonçalves Cerejeira |
collection | DOAJ |
description |
Introduction
Acute and transient psychotic disorders are a rare condition entity as the sudden appearance of affective, confusional symptoms and paranoia triggered by some psychological trauma. The current pandemic caused by COVID-19 is an important psychological stressor that could favor the appearance of acute psychotic disorders. Several studies have been recently published proposing that the multifactorial stress associated with lockdown could function as a catalyst for acute psychotic disorders.
Objectives
To present a case of a brief psychotic disorder during the national lockdown in Spain and to review the literature about the relationship between the current pandemic and psychosis.
Methods
We will present a case report and a literature review.
Results
We report a case of a 27-year-old woman, with no previous psychiatric history. Three weeks after the start of Spain lockdown sudden symptoms appeared with psychomotor restlessness, confused speech, emotional lability, thought blocking and persecutory and referential delusions. Physical exam, blood analysis and cerebral CT scan with no alterations. Treatment was performed with aripiprazole 10 mg and lorazepam 1 mg daily with clinical improvement in one weeks. She was diagnosed of Acute transient psychotic disorder.
Conclusions
Stressful life events that can trigger psychosis in vulnerable individuals and the current pandemic and lockdown context could favor the appearance of acute psychotic disorders. The case reported here is in line with other current studies that show a preliminary intuition of this trend.
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first_indexed | 2024-03-11T07:46:32Z |
format | Article |
id | doaj.art-9c50f171574c41f08d670b2bbb766427 |
institution | Directory Open Access Journal |
issn | 0924-9338 1778-3585 |
language | English |
last_indexed | 2024-03-11T07:46:32Z |
publishDate | 2021-04-01 |
publisher | Cambridge University Press |
record_format | Article |
series | European Psychiatry |
spelling | doaj.art-9c50f171574c41f08d670b2bbb7664272023-11-17T05:07:37ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S543S54310.1192/j.eurpsy.2021.1448Covid 19, lockdown and brief psychotic disordersJ. Gonçalves Cerejeira0I. Santos Carrasco1C. Capella Meseguer2E. Rodríguez Vázquez3M. Óscar4M. Queipo De Llano5G. Guerra Valera6A. Gonzaga Ramírez7Psiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, VALLADOLID, SpainPsichiatry, hospital clinico universitario de Valladolid, VALLADOLID, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, Spain Introduction Acute and transient psychotic disorders are a rare condition entity as the sudden appearance of affective, confusional symptoms and paranoia triggered by some psychological trauma. The current pandemic caused by COVID-19 is an important psychological stressor that could favor the appearance of acute psychotic disorders. Several studies have been recently published proposing that the multifactorial stress associated with lockdown could function as a catalyst for acute psychotic disorders. Objectives To present a case of a brief psychotic disorder during the national lockdown in Spain and to review the literature about the relationship between the current pandemic and psychosis. Methods We will present a case report and a literature review. Results We report a case of a 27-year-old woman, with no previous psychiatric history. Three weeks after the start of Spain lockdown sudden symptoms appeared with psychomotor restlessness, confused speech, emotional lability, thought blocking and persecutory and referential delusions. Physical exam, blood analysis and cerebral CT scan with no alterations. Treatment was performed with aripiprazole 10 mg and lorazepam 1 mg daily with clinical improvement in one weeks. She was diagnosed of Acute transient psychotic disorder. Conclusions Stressful life events that can trigger psychosis in vulnerable individuals and the current pandemic and lockdown context could favor the appearance of acute psychotic disorders. The case reported here is in line with other current studies that show a preliminary intuition of this trend. https://www.cambridge.org/core/product/identifier/S0924933821014486/type/journal_articlebrief psychotic disorderlockdown |
spellingShingle | J. Gonçalves Cerejeira I. Santos Carrasco C. Capella Meseguer E. Rodríguez Vázquez M. Óscar M. Queipo De Llano G. Guerra Valera A. Gonzaga Ramírez Covid 19, lockdown and brief psychotic disorders European Psychiatry brief psychotic disorder lockdown |
title | Covid 19, lockdown and brief psychotic disorders |
title_full | Covid 19, lockdown and brief psychotic disorders |
title_fullStr | Covid 19, lockdown and brief psychotic disorders |
title_full_unstemmed | Covid 19, lockdown and brief psychotic disorders |
title_short | Covid 19, lockdown and brief psychotic disorders |
title_sort | covid 19 lockdown and brief psychotic disorders |
topic | brief psychotic disorder lockdown |
url | https://www.cambridge.org/core/product/identifier/S0924933821014486/type/journal_article |
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