Sharing a typical post-Covid depression case, Dr Karia said, “I am treating a 42-year-old doctor who recovered from Covid. He seems to have lost confidence in returning to work. He doesn’t know if he can treat people now. He is suffering from anxiety.”

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Change in brain structure

Dr Kersi Chavda, PD Hinduja Hospital said depression and anxiety have been common amid the pandemic. “The Covid-19 virus itself is known to change the brain structure. But normally, there would be a susceptibility or genetic tendency in a person that will increase the chances of getting it. We are seeing a huge number of people, who were earlier well maintained, landing up with more symptoms. Or those who were managing to control their anxiety or depression now seeking medical help for the first time,” said Dr Chavda.

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Agreeing with Dr Chavda, Dr Avinash Desousa, president of Bombay Psychiatry Society said the second wave being more lethal has caused more mental illnesses as compared to the first one. “The fear factor has been higher. We are seeing cases of grief-related depression as many were not able to say goodbye or cremate their loved ones,” he said.

Dr Desousa also said that post-recovery, if a Covid-19 patient finds himself low, feeling sad, has attention and focus issues, has crying spells, then he must get evaluated psychologically. “We generally put such patients on month-long anti-depressants and they are doing good. One should not overlook these symptoms,” he said.

Psychiatrists have urged to include these symptoms in Covid-19 management. “It is advised to have either a counsellor or a psychiatrist on board while treating a Covid-19 patient,” said Dr Desousa.

Far-reaching effects

Psychiatrists also feel that every state must have a mental health intervention module. “Surveys and studies across the world reveal increased emotional disturbances and mental disorders. The mental health tsunami will lead to disturbed family relationships, a rise in mental illnesses, economic distress, loss of man-days at work, violence, and suicide,” said Dr Harish Shetty.

Dr Shetty, who has also written to the state Covid task force to have a mental health task force, said, “The impact phase of this disaster has been more than 15 months. The mental health consequences will be 100 times more than any other disasters. Just like the sero-survey, we also need to have a mental health survey at the earliest.” He added that poor awareness, lack of facilities, and stigma have been the most important obstacles in tackling mental health consequences following a disaster.

5 vulnerable groups

Vulnerable groups needing immediate mental health help according to Dr Harish Shetty:
>> Families who have lost their near and dear ones
>> Covid survivors and their kin
>> Healthcare workers and those involved in emergency services
>> Those who have lost jobs, incurred financial losses, etc
>> Those with pre-existing mental or physical illnesses