Well this is interesting nytimes.com/2020/12/28/hea…
...honestly I would discount any patients super sick in the hospital reports as “new onset psychosis” it’s probably delirium. But the outpatient cases sound like delusional disorders. Unlike schizophrenia which tends to hit late teens, 20s for men and 20s-30s for women...
...or there’s a second peak for women at menopause, delusional disorder tends to strike middle age people. Not surprised there could be an infectious (inflammatory) precipitant.
The downside is delusional disorder tends to be treatment resistant (I’ve had luck sometimes with big guns...clozapine, olanzapine, or an LTI antipsychotic)
Just as an example of an organic, inflammatory related delusional disorder that began late 30s, this was a case I worked on nejm.org/doi/10.1056/NE…
I know of another middle age case where someone became floridly (and permanently, without meds) delusional with interferon treatment.
These presentations are extremely rare and it’s expected you will see jumps in cases reported with a massive new pandemic that has neurological sequelae.
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