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Recognising the mental health impact of long COVID
What is long COVID?
Let’s start off with the definition of long COVID. Long COVID is the name given to the condition of people who suffer adverse effects from a COVID-19 infection long after the virus has left their system. Even people who had little to no symptoms of XOVID-19 while infected can develop issues with long COVID.
Symptoms of long COVID vary greatly person to person, but some common ones include:
- Chronic fatigue
- Shortness of breath
- Difficulty focusing or remembering (commonly referred to as ‘brain fog’)
- Changes in taste or loss of appetite
- Difficulty swallowing or changes to voice
In addition to physical symptoms, Long COVID can lead to various mental health challenges, such as:
- Depression
- Anxiety
- Post-traumatic stress disorder (PTSD)
- Mood disorders
How long COVID can affect people’s quality of life
Dealing with the symptoms of long COVID can be very challenging for patients – they often have to adjust to a completely different routine and way of life to cope.
Patients with long COVID may feel isolated from their community because of their condition, unable to enjoy the hobbies and exercise they used to. They may also be dealing with feelings of trauma from their experience of COVID-19 infection, or feeling unheard or unacknowledged by their medical team. All of these challenges can often result in a person feeling depressed or anxious about their condition.
Evidence on Mental Health and Long COVID
A 2023 study of a community of long-COVID sufferers in the U.S saw the condition be associated with an increase in a number of mental health issues for patients. These included:
- 13% rise in depression
- 28% increase in anxiety
- 10% increase in suicidal ideation
- 20% increase in PTSD
Apart from the environmental reasons listed above, there may be a physiological reason for the increase in mental health issues associated with long COVID. There is some evidence that the body’s inflammatory response to infection may contribute to mental health symptoms. Researchers are also exploring whether the virus may affect the gut microbiome, which in turn could affect the mental health of people with long COVID.
Managing the mental health effects of long COVID
As with any mental health problem, your first port of call should be to contact your GP to discuss the options for management and treatment. Discuss with them how long COVID has affected your lifestyle and mental wellbeing, and if you need more support.
At home, it’s important to keep a balanced routine to manage your long COVID symptoms and look after your mental health. Your routine should always include:
- Adequate sleep
- Balanced nutrition
- Plenty of water
- Physical activity (adjusted to your symptoms)Self-care, including time for hobbies, meditation, personal care, and social connections