Health concerns, changes in lifestyle, job losses, economic hardships, and the death of family members during the Covid-19 pandemic have led to depressive disorders. Here, a 39-year-old man referred to a psychiatric clinic with the complication of depressed mood, which was exacerbated by stress, anxiety, restlessness, and insomnia. In addition, he was referred to a cardiologist and dermatologist because of uncontrolled tachycardia and urticaria. After detailed examination, the final diagnosis was COVID-19, along with anxiety disorder and dermatological diseases.
Since the Coronavirus disease (COVID-19) can cause stress and psychological problems, it can disrupt the patient's healing process if ignored. On the other hand, there seems to be a strong association between psychiatric illnesses with COVID-19 and urticaria that can be investigated.
Certain types of behavior in people with a history of mental disorders and psychosis can engender harm. These behaviors can include rectal and vaginal use of foreign bodies by the patient.
A 54-year-old married man from a low socio-economic level finished school just with grade 2 and suffering from mental retardation disorder, inserted a foreign body into the rectum and, after a week, and due to problems such as bleeding and lack of defecation, referred to the hospital and underwent an operation. During the psychiatric consultation, the patient showed to be ashamed of his unusual act.
The cause of such behavior could not exactly be identified. Risperidone and Citalopram were prescribed for the patient, and behavior therapy and sex therapy were advised to prevent recurrence.
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