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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Main Authors: J. Gonçalves Cerejeira, I. Santos Carrasco, C. Capella Meseguer, E. Rodríguez Vázquez, M. Óscar, M. Queipo De Llano, G. Guerra Valera, A. Gonzaga Ramírez
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
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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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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