First Person Account COVID 19 Delirium in a Doctor: When Death Stalks the Mind

Previous studies reported that 20–30% of COVID-19 patients will develop delirium during the hospitalization, achieving 70% in cases of severe illness. The risks factors and the consequences of delirium are well-documented in the literature; however, little is known about the personal experience of d...

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Main Authors: Antonio Arumi, Andrea Bulbena-Cabre, Antonio Bulbena
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-01-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.626648/full
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author Antonio Arumi
Andrea Bulbena-Cabre
Andrea Bulbena-Cabre
Antonio Bulbena
Antonio Bulbena
author_facet Antonio Arumi
Andrea Bulbena-Cabre
Andrea Bulbena-Cabre
Antonio Bulbena
Antonio Bulbena
author_sort Antonio Arumi
collection DOAJ
description Previous studies reported that 20–30% of COVID-19 patients will develop delirium during the hospitalization, achieving 70% in cases of severe illness. The risks factors and the consequences of delirium are well-documented in the literature; however, little is known about the personal experience of delirium. Delirium burden is common and tends to be distressing even after the delirium episode has resolved. Taking this in mind, the present work provides a first-person account of a doctor who acquired Covid-19 and developed bilateral pneumonia and had delirium and a complicate course of illness. During the course of his delirium, the patient recalled experiences of reality and unreality, complete disorientation, lack of control, strong emotions, and intense fear of dying which was significantly distressing. We anticipate that delirium burden will be common on these patients and family members and clinicians should be aware of this phenomenon in order to evaluate the neuropsychiatric consequences of this condition.
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spelling doaj.art-e654df0ed8ad4378b0b50c76c6330f942022-12-21T21:26:48ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-01-011210.3389/fpsyt.2021.626648626648First Person Account COVID 19 Delirium in a Doctor: When Death Stalks the MindAntonio Arumi0Andrea Bulbena-Cabre1Andrea Bulbena-Cabre2Antonio Bulbena3Antonio Bulbena4Instituto Trastornos Alimentacion, Salud Mental, Barcelona, SpainDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesMetropolitan Hospital NYC Health and Hospitals, New York, NY, United StatesDepartment of Psychiatry and Forensic Medicine, Universitat Autonoma Barcelona, Barcelona, SpainInstitute Neuropsychiatry and Addictions, Parc de Salut Mar, Barcelona, SpainPrevious studies reported that 20–30% of COVID-19 patients will develop delirium during the hospitalization, achieving 70% in cases of severe illness. The risks factors and the consequences of delirium are well-documented in the literature; however, little is known about the personal experience of delirium. Delirium burden is common and tends to be distressing even after the delirium episode has resolved. Taking this in mind, the present work provides a first-person account of a doctor who acquired Covid-19 and developed bilateral pneumonia and had delirium and a complicate course of illness. During the course of his delirium, the patient recalled experiences of reality and unreality, complete disorientation, lack of control, strong emotions, and intense fear of dying which was significantly distressing. We anticipate that delirium burden will be common on these patients and family members and clinicians should be aware of this phenomenon in order to evaluate the neuropsychiatric consequences of this condition.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.626648/fullCOVID 19deliriumfearconfusiondelirium experiencedelirium burden
spellingShingle Antonio Arumi
Andrea Bulbena-Cabre
Andrea Bulbena-Cabre
Antonio Bulbena
Antonio Bulbena
First Person Account COVID 19 Delirium in a Doctor: When Death Stalks the Mind
Frontiers in Psychiatry
COVID 19
delirium
fear
confusion
delirium experience
delirium burden
title First Person Account COVID 19 Delirium in a Doctor: When Death Stalks the Mind
title_full First Person Account COVID 19 Delirium in a Doctor: When Death Stalks the Mind
title_fullStr First Person Account COVID 19 Delirium in a Doctor: When Death Stalks the Mind
title_full_unstemmed First Person Account COVID 19 Delirium in a Doctor: When Death Stalks the Mind
title_short First Person Account COVID 19 Delirium in a Doctor: When Death Stalks the Mind
title_sort first person account covid 19 delirium in a doctor when death stalks the mind
topic COVID 19
delirium
fear
confusion
delirium experience
delirium burden
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.626648/full
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