Abstract

The COVID-19 pandemic has put an unusual strain on medical staff across the globe. Psychiatric disorders and their effect on patients’ behavior turn the management of coronavirus disease into an even more of a challenging task. In this paper we present a case report of a COVID-19-positive patient suffering from organic mental disorders and alcohol dependence syndrome, thus shedding some light on a perspective of mental health professionals working in a psychiatric hospital setting, transformed into an infectious diseases unit designated solely to cover treatment of SARS-COV-2 infected patients with mental disorders, on problems and issues arising during provision of immediate healthcare in psychiatry departments in today’s pandemic-stricken world. We believe that our experience from such an endeavor could prove invaluable for other mental health specialists and therefore sharing it seems especially timely and valid.

Highlights

  • The COVID-19 pandemic has put an unusual strain on medical staff across the globe

  • Psychiatry, COVID-19, SARS-CoV-2, mental health, organization. This most recent pandemic has put an unusual strain on healthcare professionals around the globe, making them face difficulties unheard of in their careers

  • Physicians need to carefully re-evaluate pharmacological treatment in order to avoid possible harmful drug interactions when novel therapies aimed at coronavirus are administered [1]

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Summary

Introduction

The COVID-19 pandemic has put an unusual strain on medical staff across the globe. Psychiatric disorders and their effect on patients’ behavior turn the management of coronavirus disease into an even more of a challenging task. Prior to his admittance into this hospital, from March 02 2020, the patient was hospitalized in the psychiatric ward of the Regional Hospital in Kołobrzeg, where he had been escorted by the police. During hospitalization in Kołobrzeg, his behavior was described as agitated, restless, vulgar, verbose, sexually inappropriate, including incoherent delusions and sleep disturbances. Preliminary treatment consisted of valproate 1000mg/d, levomepromazine 250mg/d and citalopram 20mg/d and resulted in partial improvement, mostly in reduction of agitation and aggressive behavior.

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