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“When the virus decompensated the neurosis.” About a case

Published online by Cambridge University Press:  01 September 2022

M. Valverde Barea*
Affiliation:
Universitary Hospital of Jaén, Psychiatric, Jaén, Spain
A. España Osuna
Affiliation:
Universitary Hospital of Jaén, Psychiatric, Jaen, Spain
P. Vargas Melero
Affiliation:
Universitary Hospital of Jaén, Psychiatric, Jaén, Spain
M. Solis
Affiliation:
Universitary Hospital of Jaén, Psychiatric, Jaén, Spain
*
*Corresponding author.

Abstract

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Introduction

The COVID-19 pandemic and social and mobility restriction measures have had a negative impact on the mental health of the population.

Objectives

The objective is to demonstrate the impact of the pandemic on mental disorders.

Methods

64-year-old man who is taken to the emergency room after a suicide attempt, by hanging with a belt out of concern and measuring the contagion of the COVID-19 virus in the context of long-standing delirious ideas of contamination and hypochondriacal neurosis. Adaptive disorder in relation to previous divorce. Psychopathologically, the patient is anxious and restless, conscious, inattentive and poorly oriented in space and time. Accelerated language with monothematic discourse about the possibility of contagion that has caused isolation behavior to the point of shredding organic waste and throwing it down the toilet so as not to have to go out to throw it out for fear of contagion. Faced with a neighbor’s wake-up call due to a blocked pipe, he suffers a crisis of guilt and anxiety and attempts to commit suicide. COVID-19 PCR=negative. Beck’s Depression Inventory 24=moderate depression. IPDE accentuated obsessive and avoidant personality traits.

Results

Diagnosis: Moderate depressive episode with psychotic symptoms. Hypochondriacal disorder. Ananchastic personality disorder. Treatment: Paliperidone 3mg/24h. Sertraline 100mg/24h

Conclusions

In obsessive personalities and hypochondriacal neuroses, the COVID-19 pandemic has posed an increased risk of decompensation for affective disorders and even suicide attempts. Isolation, lack of treatment and prior monitoring, as well as the difficulty of identifying vital stressors, must be taken into account if an early intervention is to be carried out.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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