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CASE REPORT
Year : 2021  |  Volume : 5  |  Issue : 4  |  Page : 157-160

A case report: Steroid-induced mania in the context of COVID-19: The compounding impact of treatment on mental health


1 Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, West Virginia, USA
2 Department of Radiation Oncology, West Virginia University School of Medicine, Morgantown, West Virginia, USA

Correspondence Address:
Dr. Wanhong Zheng
Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, West Virginia
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/hm.hm_17_21

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The coronavirus disease 19 (COVID-19) pandemic has negatively affected people's day-to-day lives, especially those with mental illness. We present a case of a manic episode with psychotic features induced by dexamethasone administered as part of COVID-19 treatment. The patient had underlying depression, anxiety, and posttraumatic stress disorder, but was stable before contracting COVID-19. The implications of quarantine and social stress on mood stability are also discussed. We call for better patient education on the risks of steroid-induced mania and psychosis as well as increased attention to mental illness screening and treatment during this unprecedented pandemic time.


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