Neuropsychiatric complications of Covid-19, 2020, Butler et al

[Dx Revision Watch]

Split from
Possibility of ME or PVFS after COVID-19, Long Covid
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https://www.bmj.com/content/371/bmj.m3871

Editorials
Neuropsychiatric complications of covid-19

BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m3871 (Published 13 October 2020)

1. Matthew Butler, NIHR academic clinical fellow neuropsychiatry1,
2. Thomas A Pollak, NIHR clinical lecturer in neuropsychiatry1,
3. Alasdair G Rooney, clinical lecturer in neuropsychiatry2,
4. Benedict D Michael, senior clinician scientist fellow in neurology3,
5. Timothy R Nicholson, clinical senior lecturer in neuropsychiatry1

Author affiliation

From acute delirium to long term fatigue, covid-19 has serious neuropsychiatric effects

 

[rvallee]

https://www.bmj.com/content/371/bmj.m3871

Editorials
Neuropsychiatric complications of covid-19

BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m3871 (Published 13 October 2020)

1. Matthew Butler, NIHR academic clinical fellow neuropsychiatry1,
2. Thomas A Pollak, NIHR clinical lecturer in neuropsychiatry1,
3. Alasdair G Rooney, clinical lecturer in neuropsychiatry2,
4. Benedict D Michael, senior clinician scientist fellow in neurology3,
5. Timothy R Nicholson, clinical senior lecturer in neuropsychiatry1

Author affiliation

From acute delirium to long term fatigue, covid-19 has serious neuropsychiatric effects

This could be an incredible turning point for psychiatry if they do this right, but that will require keeping their colleagues with very weird ideas out of the picture, basically requires using Wessely and other psychosomatic fanatics as the exact blueprint for what not to do and build on the exact opposite of that. Does psychiatry have the mental flexibility and self-efficacy to do this? Or will it display pervasive refusal and continue with their obsession compulsion to focus exclusively on trivial non-issues instead? Big moment ahead.

I will give credit to that:

To date, most research on long covid has been led by patients, and it suggests this is a common and disabling disorder

Psychiatry has serious issues with relying on patients as reliable sources of information, it kind of goes with the territory and in some cases wholly justified in a way that is unique to the specialty. This is basically what has lead to being completely caught by surprise by something that was predicted by their own patients. Which is about as embarrassing as psychiatric patients doing a better job than the psychiatrists themselves at telling real patients from actors testing the assessment, which is an actual thing. So it would be nice if this provided a model for a future that is more competent and capable of learning from experience.