COVID-19 related lockdown: a trigger from the pre-melancholic phase to catatonia and depression, a case report of a 59 year-old man

Background The pre-melancholic model described by Tellenbach may provide a common model for understanding the psychological implications of the lockdown. In this case report, we describe a rare catatonic status as a psychological implication linked to the COVID-19 pandemic, a really unique global situation. Case presentation B is a 59 year-old man with mute psychiatric anamnesis whose mother suffered from a major depressive disorder. As the lockdown began, he started to develop concerns about his family’s economic condition. According to his wife, he could see no end to the epidemic and no future at all. Moving from this, he started to show a severe and rapidly progressive depression and to develop mood congruent delusions. In addition, he had increasing anhedonia, apathy, starvation and insomnia. This turned in the end into a catatonic-like state, along with a deep desire to die. Admitted to the psychiatry ward in a state of mutism, he was discharged after 15 days with a diagnosis of “Major depressive disorder, single severe episode with no psychotic behavior”. He was treated with Sertraline, Olanzapine and Lorazepam. Conclusions Our aim is to draw attention to the effect of the lockdown upon a Tellenbach-like personality structure. Identifying this type of pre-morbid personality structure could help clinicians understand and treat some cases of patients with severe major depressive disorders elicited by the COVID-19 pandemic.

IMPLIKASI PSIKOLOGI PERKEMBANGAN TERHADAP PENDIDIKAN ANAK USIA DINI

The aim of the developmental psychological implication of early childhood education is to be able to provide educational stimuli that are appropriate to the stage of development of preschool children. Early chilhood education is one from of education which focuses on laying the foundation towards growth and physical development, intelligence, socio-emotional, language and communication in accordance whith the uniqueness and developmental stages that are passed by early childhood. The psychological implications of development for early childhood education are as follows: (1) against curriculum development; (2) learning system; and (3) assessment system. The method used in this paper is descriptive qualitative research methods of library research. It is expected that developmental psychologi can becomes a process of education in early childhood education in early childhood education and then develop well.