CASE REPORT: PANIC ATTACK ON A PATIENT WHOSE FAMILY COVID-19 CONFIRMED
Raden Dewi Rahmi Kusumawardhani Kusumo,dr., SpKJ, Irwanto Ichlas, dr., SpKJ(K)

Department of Psychiatry, Faculty of Medicine
Universitas Jenderal Achmad Yani, Cimahi, Indonesia

Abstract

Background:
The Covid-19 case was first discovered around December 2019 and became a pandemic. Since the start of the COVID-19 pandemic, the psychological and emotional impact is also evident. New rules of health protocols, activity restrictions, health crisis, economic crisis, educational crisis, and the many information about this new virus caused public concern.
Case:
Mr. AA, 37 years old, married, have two children, entrepreneur, live in Jakarta. In mid-November 2020, his wife, two children, and babysitter were Covid-19 confirmed. He was the only person in the house with a negative PCR swab. Since then, he moved to an apartment in Jakarta. He often feels restless, worried, insomnia and overthinking. About two time in the first week, he had panic attack. He feels worried about his health condition, afraid that something bad might happen. He went to a psychiatrist in Jakarta and explained that he had a panic attack. He decided to move to his parent house in Bandung while the family was in self-quarantine. He continued his treatment in Bandung.
Previously in 2010 he has experienced a similar thing when there was a problem with his business, he went to a psychiatrist but after feeling comfortable he stopped his treatment.
Discussion:
In a panic attack, the intense spike in fear or discomfort reaches a peak within a few minutes. This can happen in either a calm or anxious state. Treatment aims to reduce the intensity and frequency of attacks in order to improve the quality of life. Can be done either by psychotherapy or pharmacotherapy or both of it.

Keywords: panic attack, pandemic, Covid-19

Topic: Clinical Practice in Pandemic Era