Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Redefining the role of psychiatrists in the time of COVID-19

Chinenye Onyemaechi, MD
Conditions
April 3, 2020
Share
Tweet
Share

The unparalleled and pervasive nature of the evolving COVID-19 pandemic has touched all of us in some way. There is limited, albeit growing, research on the mental health effects of disasters.  A recent review article pointed out the potentially negative consequences of prolonged quarantine, while other research from Wuhan, China, highlighted the impact of COVID-19, particularly amongst healthcare personnel. Psychiatrists and mental health professionals will play a critical role in the aftermath of the pandemic, but this requires a shift in perception of who a psychiatrist is and what they have to offer:

1. We are physicians first. Psychiatrists are medical doctors that following medical school, complete four years of psychiatric residency. While we evaluate, diagnose, and treat mental disorders, we also have a background in general medicine that extends beyond a prescription pad. Psychiatrists continue to use their medical skills and knowledge, more broadly in the where medicine and mental health intersect: emergency psychiatry, consultation-liaison psychiatry, addiction psychiatry, and geriatric psychiatry. We can be called to the front-lines to be in service, if needed, while also offering psychiatric consultation to other physicians and medical professionals, emergency personnel, families, government entities, the legal system, and the media. 

2. We understand human behavior. We have witnessed people stock up and ration toilet paper and celebrate spring break on crowded beaches. While it is difficult to see these images, as a psychiatrist, I can understand this behavior because it stems from common beliefs and feelings about COVID-19 based on misinformation and lack of clear and consistent guidance. Denial and irrational beliefs or actions are a byproduct of this. Yet, in making sense of such behavior, psychiatrists can both educate and promote interventions that foster behavioral change. 

 3. We can distinguish between normal and unhealthy responses to pandemic-related distress. As I write this, “coronavirus anxiety” is a trending search term on Google. Physically, anxiety at its worst – a panic attack — can feel like an asthma attack:  hard to catch your breath, chest pain, fear of dying. This can be confused for the common symptoms of respiratory distress in COVID-19, adding more distress and confusion, which could be relieved by knowledge of what anxiety normally looks and feels like. This again underlines the role of psychiatrists as educators on mental health conditions.  Psychiatrists also are experts in the diagnosis and treatment of post-traumatic stress disorder (PTSD) and depression, the two most commonly diagnosed mental disorders following a disaster, and can provide knowledge about the signs and symptoms of each and suggests points of intervention.

4. We have a unique skill set. Psychiatrists are trained to recognize and intervene on mental illness, but we also seek to both identify and bolster the strengths in character and resilience in those we treat. This is fostered by our background in various modalities of psychotherapy (such as supportive, cognitive behavioral therapy, and interpersonal therapy). The good news is most people who are faced with traumatic situations or disasters fully recover psychologically, and psychiatrists can serve as a reminder that we all have the inner reserve to eventually get back to who we were before COVID-19. 

Chinenye Onyemaechi is a psychiatrist.

Image credit: Shutterstock.com

Prev

The heart of America’s health care system is failing

April 3, 2020 Kevin 0
…
Next

Don't praise physicians, protect them

April 3, 2020 Kevin 3
…

Tagged as: COVID, Infectious Disease, Psychiatry

Post navigation

< Previous Post
The heart of America’s health care system is failing
Next Post >
Don't praise physicians, protect them

ADVERTISEMENT

Related Posts

  • Tragic optimism in the time of COVID-19

    Alexa Mason
  • Finding happiness in the time of COVID

    Anonymous
  • COVID-19, medical education, and the role of medical students around the world

    Clarissa C. Ren, Sara K. Hurley, Matthew A. Crane, Ayumi S. Tomishige, and Masato Fumoto
  • How to get patients vaccinated against COVID-19 [PODCAST]

    The Podcast by KevinMD
  • COVID-19 divides and conquers

    Michele Luckenbaugh
  • State sanctioned executions in the age of COVID-19

    Kasey Johnson, DO

More in Conditions

  • Why medicine must stop worshipping burnout and start valuing humanity

    Sarah White, APRN
  • Why perinatal mental health is the top cause of maternal death in the U.S.

    Sheila Noon
  • A world without vaccines: What history teaches us about public health

    Drew Remignanti, MD, MPH
  • Unraveling the mystery behind one of the most dangerous pregnancy complications: preeclampsia

    Thomas McElrath, MD, PhD and Kara Rood, MD
  • How community paramedicine impacts Indigenous elders

    Noah Weinberg
  • Pain is more than physical: the story your body is trying to tell

    Katie Hatt, DO
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...