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COVID-19-associated brief psychotic disorder
Colin M Smith1,2, Jonathan R Komisar3,2, Ahmad Mourad2
1Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA colin.smith@duke.edu.
A previously healthy woman developed new-onset psychosis following symptomatic COVID-19. Her symptoms improved as her COVID-19 resolved, indicating a potential link between the virus and psychosis.
Area of Science:
- Neuroscience
- Infectious Diseases
- Psychiatry
Background:
- COVID-19 is a global pandemic with diverse clinical manifestations.
- Neuropsychiatric symptoms have been reported in some COVID-19 patients.
- The potential for severe mental illness in individuals without prior psychiatric history is an emerging concern.
Observation:
- A 36-year-old woman with no prior mental health history presented with new-onset psychosis.
- The psychosis emerged concurrently with symptomatic COVID-19 infection.
- Psychotic symptoms showed improvement with standard psychiatric medications and resolution of the viral illness.
Findings:
- This case represents the first documented instance of COVID-19-associated psychosis in an individual with no personal or family history of severe mood or psychotic disorders.
- The temporal association suggests a potential causal link between COVID-19 infection and the development of psychosis.
- The patient's recovery correlated with the clearance of COVID-19 symptoms.
Implications:
- Clinicians should maintain a high index of suspicion for neuropsychiatric complications in patients with COVID-19, even in the absence of pre-existing mental health conditions.
- Vigilant monitoring for psychosis and other neurological or psychiatric symptoms is crucial in individuals diagnosed with COVID-19.
- Further research is warranted to elucidate the mechanisms underlying COVID-19-associated psychosis and to develop targeted treatment strategies.
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