Speaker(s):

Bellman, Val, MD, PsyD

Presentation:

There is an increasing number of patients with no previous psychiatric history who develop COVID-19–associated psychosis with severe behavioral changes weeks to months after contracting the virus. We present a case of a 60-year-old previously healthy Caucasian male with no psychiatric history who presented to the ED with recent onset of severe psychosis three months after recovering from COVID-19 infection. The objective of the current report is to discuss the clinical presentation and provide an updated data review of the psychopharmacological management of psychosis in COVID-19 survivors with no previous psychiatric history, while identifying the etiopathogenic aspects and clinical correlations between COVID-19 and psychotic symptoms. We also discuss the role of ICU-related psychological trauma in the development of psychosis later in life.

Objectives:

  1. Understand more fully neuropsychiatric presentations, complications, long-term effects and mechanism of behavioral disturbances in the context of COVID-19
  2. Define Post-intensive care syndrome (PICS) and COVID-19 associated delirium
  3. Recognize COVID-induced and post-COVID 19 manic and psychotic syndromes
  4. Identify strategies for assessing and addressing patients’ emotional health and the supports they may need to manage affective and psychotic symptoms