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Schizophrenia is associated with risk factors for poor outcomes with SARS-CoV-2/coronavirus disease 2019 (COVID-19) infection, including diabetes, hypertension, and chronic obstructive pulmonary disease (COPD). A recent study found that schizophrenia was associated with an increased risk of severe COVID-19 infection. Whether health outcomes and care differ between patients with COVID-19 with (versus without) comorbid schizophrenia remains unclear. Fond and colleagues2 compared in-hospital mortality and intensive care unit (ICU) admissions between patients with schizophrenia and those without a diagnosis of severe mental illness in a French population-based cohort study.
People with severe mental illness (SMI) are a vulnerable population. In the context of COVID-19, there is reason to suspect they may be at increased risk of contracting SARS-CoV-2 and have worse outcomes following infection, however we found no existing data that quantified these risks. Public health measures associated with COVID-19, including quarantine of suspected cases and lockdowns may negatively affect the mental health status of people with SMI, through change of environment, disruption of services, increased stress and isolation. Existing research points to greater psychological distress during the pandemic for people with SMI, rather than demonstrating this distress is due to the pandemic. The authors concluded that this is the largest series of patients with schizophrenia and COVID-19 to date. They found evidence for the existence of disparities in health and health care between patients with versus without schizophrenia, including increased in-hospital mortality and decreased ICU admission. Study limitations include the absence of data on the time between onset of infection and hospitalization, psychotropic medication, and the use of anti-COVID-19 treatments. Nevertheless, findings suggest the importance of health care strategies before, during, and after hospitalization for reducing health disparities in this vulnerable population
Normally, younger patients with schizophrenia who smoke, are obese, and have COPD are at heightened risk for poor outcomes with COVID-19 infection and should be targeted for early intervention.
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The Covid-19 crisis is causing a “marked deterioration in people’s mental health” with those suffering from bipolar disorder being especially hard hit, according to new research the charity Bipolar.In the past, bipolar depression was lumped in with regular depression, but a growing body of research suggests that there are significant differences between the two, especially when it comes to recommended treatments. Most people with bipolar depression are not helped by antidepressants. In fact, there is a risk that antidepressants can make bipolar disorder worse—triggering mania or hypo-mania, causing rapid cycling between mood states, or interfering with other mood stabilizing drugs. Bipolar disorder can look very different in different people.
The symptoms vary widely in their pattern, severity, and frequency. Some people are more prone to either mania or depression, while others alternate equally between the two types of episodes. Some have frequent mood disruptions, while others experience only a few over a lifetime. The impact could be even more severe and long‐lasting in persons with BD. The present emergency is disrupting both public and private mental health services, and most patients cannot access outpatient care. Under threat are treatment continuity, alliance and adherence, and patient‐driven recovery progress—while the pandemic simultaneously escalates stress levels.
Alarming news reports about the economic and human costs add heightened stress at the same time as social distancing measures reduce opportunities for exercise, sunlight exposure, participation in meaningful activities and social engagement.
Job loss and financial uncertainty add more strain, potentially triggering anxiety as well as mood symptoms—again, in a population already vulnerable.The survey also revealed that 65 per cent of people living with bipolar reported experiencing depressive symptoms since the onset of the crisis, while the number of people saying that their mood was stable has more than halved, from 35 per cent to just 16 per cent. The number of people reporting being in a “balanced” mood range also fell, from 69 per cent to 42.
Serene Retreat is one of the leading Addiction and Mental Health Treatment provider based in Malaysia with its branches locally and abroad which is working for the betterment of the people and working on their treatment processes with all the SOPs in practice and continue to bring healthy positive changes in their lifestyles. For more information about our treatment programs you can reach us via Call/Whatsapp +60 14-687 2268 or visit our website www.sereneretreat.com.my.
Many people with an addiction have a co-existing mental health condition such as bipolar disorder. Once known as “manic depression,” bipolar disorder causes mood swings between intense emotional highs and lows. In a study of people with bipolar disorder, approximately 60 percent had some history of substance abuse.
Studies have revealed that the use of drugs or any other source of substance abuse complicates the issues of bipolar disorder. People with bipolar disorder experience radical shifts in mood. These “episodes” can last for days or weeks at a time. Episodes may happen as often as several times a week or as little as a few times a year. Bipolar disorder also causes major changes in energy and concentration.
Imbalanced chemicals in the brain and genetics can cause bipolar disorder. A traumatic environment is also a risk factor for bipolar disorder. This disorder can lead to financial and legal troubles, addiction, relationship issues and suicide. Many people with bipolar disorder are tempted to abuse drugs to relieve the troubles caused by their condition (Bipolar Disorder & Addiction, n.d.).
It’s common for people with bipolar disorder to self-medicate with drugs and alcohol. These substances seem to ease the symptoms of manic and depressive episodes at first, which partially explains why many people with bipolar disorder have an addiction.
Frequent drug use causes physical changes in the brain. The most obvious change is to the brain reward system, which makes using drugs feel pleasurable. However, changes in the brain reward system lead to compulsive, drug-seeking behavior. Drugs can rewire other parts of the brain that affect mood and behavior. Drug abuse and addiction can cause changes in the brain that lead to bipolar disorder. Even people who were mentally healthy before their addiction can develop bipolar disorder. Around 30 percent people suffering from bipolar disorder have substance-induced bipolar disorder.
Considering the facts that bipolar disorder can get aggravated by the substance abuse or drugs or any other sort of addiction and vice versa substance abuse can lead to such disorder it is significant to consult a a fully equipped and most efficient treatment facilities for helping them to recover from the treatment. Among such Addiction Rehabilitation centers one such is “Serene Retreat”. It is located in Kualalumpur Malaysia with its branches across Malaysia and satellite offices abroad.
For any inquiries regarding treatment or any advice related to addiction or mental health you can reach us via call/whatsapp +60146872268 or visit our website www.sereneretreat.com.my.