Post-COVID syndrome from the perspective of environmental psychiatry

126 outpatients were examined. In January-June 2023 – 29 people with post-Covid syndrome. In January-June 2022 – 47 people were anxious patients with signs of Covid phobia and 50 people with neuropsychiatric disorders who fell ill even before the COVID-19 pandemic. The study was conducted according to the methodology in environmental psychiatry using the author’s quantified map, including: socio-demographic, anamnestic sections, determination of the perception of socio-environmental factors, a clinical section with assessment of mental status according to ICD-10 and psychophysiological indicators – anxiety and vegetative support. What is common to all groups is that 2/3 of women have had a coronavirus infection, mostly in a mild form. As a result of the study, the predominantly psychogenic etiology of post-Covid syndrome was established, with leading anxiety spectrum disorders. Long-term exposure to anxiety causes organic transformation with an increase in cognitive dysfunction, cerebrasthenia and the formation of psychosomatic pathology. At the basis of cognitive dissonance, there is a tendency to reduce the perception of the danger of coronavirus infection, in the presence of signs of Covid phobia, which is the essence of the phenomenon. The phenomenon of decreased perception of the coronavirus infection factor affects the weakening of vaccine motivation. Taking into account clinical, personality-typological characteristics and peculiarities of perception of the environment provides grounds for targeted prevention, psychocorrection and rehabilitation.