Merged thread
Covid linked to risk of mental illness and brain disorder, study suggests | Coronavirus | The Guardian
I haven't seen the paper but immediately ask who diagnosed the mental health difficulties and whether any diagnoses were achieved by labelling presence of "functional" physical problems as evidence of depression. Then there is the issue of how many patients have been "tipped" into depression by covid, in circumstances which have caused depression in many who have probably not had covid.
Below may be disturbing:
"Dr Tim Nicholson, a psychiatrist and clinical lecturer at King’s College hospital who was not involved in the analysis, said the findings would help steer researchers in the direction of which neurological and psychiatric complications required further careful study.
“I think particularly this raises a few disorders up the list of interests, particularly dementia and psychosis … and pushes a few a bit further down the list of potential importance, including Guillain-Barré syndrome.”
He may be right on the basis of this research but what is the state of play with Benedict Michael et al's work?
How coronavirus can attack the brain | Daily Mail Online
Noted from Pulse Today
How should GPs manage post-Covid depression and Chronic Fatigue? - Pulse Today
"This information is sourced from Dr Tim Nicholson, Consultant Neuropsychiatrist
Q. Should GPs expect to see Post-Covid depression / Chronic Fatigue symptoms and are some treatments more likely to be beneficial than others?
A.
We are already starting to see such cases and we predict this will be a significant, and likely very significant, clinical problem in the coming months
We don t have any evidence to suggest different treatment from routine / non-Covid-19 cases of depression and Chronic Fatigue Syndrome (CFS) so we d recommend following NICE guidelines for CFS and depression
What will be critical with the CFS, or CFS-like, cases will be ensuring as always that the reality and severity of their symptoms are acknowledged and gradually paced rehabilitation is encouraged; psychosocial factors should not be assumed to be present but should be sensitively explored if thought relevant"
Wonder what that implies as to his knowledge of NICE guideline review, what "paced rehabilitation" means.
He is interested in FND, conversion etc. Whatever the virtues and vices of associated approaches , his advocacy of "acknowledge and pace" is worrying, not in that it will not work in post Covid, (we don't know yet) but in that he seems to have confidence in it on the basis of precedent among CFS patients. We all know the precedent is not good. If he can ignore that, what might he ignore in post covid? Fair question imo.
(Just to preempt, I think we can assume he is not here differentiating CFS from ME).
Hope his views are well scrutinised in the press and by peers. Advocacy of "acknowledge and paced rehab" cannot be made on the basis of CFS experience under past NICE guidelines and should not be made on the basis of a practitioner's own individual interests/school of thought.
Ultimately the proof the pudding of any therapy is the eating, of course, and rehab as an ingredient is recognised by such as Klimas and others. But I am rather suspicious of TN's mindset.
Covid linked to risk of mental illness and brain disorder, study suggests | Coronavirus | The Guardian
I haven't seen the paper but immediately ask who diagnosed the mental health difficulties and whether any diagnoses were achieved by labelling presence of "functional" physical problems as evidence of depression. Then there is the issue of how many patients have been "tipped" into depression by covid, in circumstances which have caused depression in many who have probably not had covid.
Below may be disturbing:
"Dr Tim Nicholson, a psychiatrist and clinical lecturer at King’s College hospital who was not involved in the analysis, said the findings would help steer researchers in the direction of which neurological and psychiatric complications required further careful study.
“I think particularly this raises a few disorders up the list of interests, particularly dementia and psychosis … and pushes a few a bit further down the list of potential importance, including Guillain-Barré syndrome.”
He may be right on the basis of this research but what is the state of play with Benedict Michael et al's work?
How coronavirus can attack the brain | Daily Mail Online
Noted from Pulse Today
How should GPs manage post-Covid depression and Chronic Fatigue? - Pulse Today
"This information is sourced from Dr Tim Nicholson, Consultant Neuropsychiatrist
Q. Should GPs expect to see Post-Covid depression / Chronic Fatigue symptoms and are some treatments more likely to be beneficial than others?
A.
We are already starting to see such cases and we predict this will be a significant, and likely very significant, clinical problem in the coming months
We don t have any evidence to suggest different treatment from routine / non-Covid-19 cases of depression and Chronic Fatigue Syndrome (CFS) so we d recommend following NICE guidelines for CFS and depression
What will be critical with the CFS, or CFS-like, cases will be ensuring as always that the reality and severity of their symptoms are acknowledged and gradually paced rehabilitation is encouraged; psychosocial factors should not be assumed to be present but should be sensitively explored if thought relevant"
Wonder what that implies as to his knowledge of NICE guideline review, what "paced rehabilitation" means.
He is interested in FND, conversion etc. Whatever the virtues and vices of associated approaches , his advocacy of "acknowledge and pace" is worrying, not in that it will not work in post Covid, (we don't know yet) but in that he seems to have confidence in it on the basis of precedent among CFS patients. We all know the precedent is not good. If he can ignore that, what might he ignore in post covid? Fair question imo.
(Just to preempt, I think we can assume he is not here differentiating CFS from ME).
Hope his views are well scrutinised in the press and by peers. Advocacy of "acknowledge and paced rehab" cannot be made on the basis of CFS experience under past NICE guidelines and should not be made on the basis of a practitioner's own individual interests/school of thought.
Ultimately the proof the pudding of any therapy is the eating, of course, and rehab as an ingredient is recognised by such as Klimas and others. But I am rather suspicious of TN's mindset.
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