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. 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. 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.

中文翻译：

---

与COVID-19相关的锁定：从忧郁症前期到卡塔尼亚症和抑郁症的触发因素，一名59岁男子的病例报告

泰伦巴赫（Tellenbach）描述的前忧郁症模型可能为理解锁定的心理影响提供了一个通用模型。在此案例报告中，我们将罕见的紧张状态描述为与COVID-19大流行（一种真正独特的全球局势）相关的心理影响。B是一名59岁的男性，患有失忆的精神病，其母亲患有严重的抑郁症。随着封锁的开始，他开始对家人的经济状况产生担忧。据他的妻子说，他看不到这种流行病无止境，根本没有未来。从此开始，他开始表现出严重而迅速的抑郁，并发展出与情绪完全一致的妄想。此外，他患有快感不足，冷漠，饥饿和失眠。最终变成了像阳离子的状态，渴望死亡。以默状态进入精神病房，经过15天的出院，诊断为“重度抑郁症，单发严重发作，无精神病行为”。他接受了舍曲林，奥氮平和劳拉西m的治疗。我们的目的是引起人们注意锁定对类似Tellenbach的人格结构的影响。识别这种类型的病前人格结构可以帮助临床医生了解和治疗因COVID-19大流行引起的严重抑郁症患者。我们的目的是引起人们注意锁定对类似Tellenbach的人格结构的影响。识别这种类型的病前人格结构可以帮助临床医生了解和治疗因COVID-19大流行引起的严重重度抑郁症患者的某些情况。我们的目的是引起人们注意锁定对类似Tellenbach的人格结构的影响。识别这种类型的病前人格结构可以帮助临床医生了解和治疗因COVID-19大流行引起的严重抑郁症患者。