The importance of psychiatry in the care and research of Post-COVID 2026 Walter et al

Andy

Senior Member (Voting rights)

Summary​

Post-infectious syndromes such as post-COVID have come into focus as a result of the COVID-19 pandemic. In addition to headaches and limb pain, palpitations, skin changes and shortness of breath, the wide spectrum of complaints also includes neuropsychiatric symptoms such as fatigue, memory and concentration disorders, as well as anxiety and affective symptoms. The etiology and pathophysiology of symptoms are still largely unknown. The experience of a difficult to treat and potentially chronic disease places a considerable burden on those affected, especially for people with pre-existing mental health conditions. It is essential to make a careful delimitation to other mental illnesses. In order to adequately support those affected in coping with the consequences of post-COVID, psychiatric expertise is absolutely necessary. This article shows how psychiatry can contribute to the diagnosis and treatment of post-COVID and how it contributes to a better understanding of the clinical picture. Treatment approaches and research opportunities are discussed. Specialist and social demands for a holistic approach that requires an interdisciplinary approach and includes both clinical and scientific expertise and the perspective of those affected are explained.

Open access (in German)
 
So weak that by comparison water is extra spicy.
Similar to medications, there are currently no approved psychotherapeutic approaches for post-COVID. A randomized trial suggests that cognitive behavioral therapy may have a beneficial effect on post-COVID fatigue, but most studies are uncontrolled [ 22 ]. In the absence of effective causal treatment strategies, coping with the illness and, in the case of post-COVID fatigue, learning pacing techniques are therefore important therapeutic goals.
I don't know what they refer to by such "psychotherapeutic approaches" being 'approved'. There is no such approval process. Doing a bunch of small, biased pilot trials, summing up a few of them in 'systematic' reviews, then asserting it's good enough for a guideline is not an approval process. There is no authority that 'approves' anything here, not for alternative medicine.

It's also telling that they speak of "a" randomized trial that 'suggests' something about CBT. There have been far more than one, but they keep pretending that it has both never-been-tried while also benefiting from extensive experience with it.

Psychiatry has completely dominated this issue, and has not contributed a single useful thing. Nothing has stopped them from contributing anything, they just haven't. The idea that they have a place just because they could have is ridiculous.
Therefore, the pandemic-related simultaneous occurrence of large numbers of post-COVID cases also presents an opportunity to investigate the pathomechanisms of the early phase of post-infectious syndromes.
It did represent an opportunity. 6 years ago. We tried, but no one was listening because they were listening to you all along. So it passed, mainly thanks to your decades of miserable failure.
The symptom of post-COVID-19 (PEM) is of particular importance, as it is a unique characteristic of ME/CFS and distinguishes the disease from symptomatically overlapping syndromes.
The "symptom" of PEM? The thing that has been controversially dismissed to even exist for decades? By you? Do go on about how you have a lot to contribute here, when you have opposed everything that could have made any progress. :rolleyes:
The demand for measures to combat the stigmatization of post-COVID individuals is therefore a crucial issue that touches upon not only the medical but also the societal dimension of the COVID-19 pandemic
The entire 'stigmatization' is the false assertion of this being psychological or biopsychosocial. YOU are the whole controversy.
Reducing stigma surrounding mental illness and preventing the stigmatizing, hasty, incorrect, or one-sided categorization of symptoms as mental disorders are not contradictory.
Good grief they never learn anything. Like a dog eating its own vomit in an infinite loop.
Psychiatry and psychotherapy, as key players, can thus contribute important experience and resources to multidisciplinary collaboration on post-infectious conditions, both within and beyond the context of post-COVID, and actively participate in their development.
You will never contribute anything. Never. Go away. You are ruin.
 
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