A seventy-one old male patient with no previous Hx of mental disorders including alcohol use and with no family Hx of mental disorders was admitted to psychiatric ward due to acute aggression, agitation, excessive irritability and lack olf sleep. He suferred from myasthenia gravis for years and was treated chronically with ambenonium 20 mg daily. Because of comorbidity of uveitis with macular edema he received treatment with prednisolone 70mg daily. Because of acute psychotic symptoms the treatment with olanzapine up to 20mg/d was introduced without effect. The treatment was switched to haloperidol 10mg/d with gradual improvement of patient's behaviour. He was discharged from the hospital with indication to continue psychiatric, ohpthalomogic, and neurological outpatient care.

Purpose: COVID-19 is an infectious disease caused by the newly discovered coronavirus SARS-CoV-2. The research conducted to date has focused mainly on the somatic complications of the disease, while only a few studies look at the potential direct mental health effects of the virus and its neurotropic potential. Views: The COVID-19 pandemic is also a psychologically significant stressor, affecting not only every aspect of an individual's life, but also economic and social sectors around the world. The deterioration of mental health can be caused not only by the fear of illness, death, or job loss, and uncertainty about the future, but also social isolation resulting from the loss of structured educational activities, professional activities and sanitary regime. We are slowly beginning to see the progressing effect of the current pandemicnot only the increasing symptoms of panic, anxiety and depression, but also somatization disorders, disadaptive syndromes, chronic fatigue syndrome, psychoactive substance abuse, and possibly also fixed post-pandemic personality disorders. Nosophobia, when it comes to the pandemic, takes the form of "coronaphobia". Conclusions: The protracted duration of the pandemic poses a threat to mental health. It causes a growing failure of psychological mechanisms for coping with the current situation. The study attempts to identify especially mentally vulnerable social groups, including the impact on health protection professionals from the perspective of a physician specializing in psychiatry. Disturbing social phenomena, highlighted by the pandemic, were identified, and practical aspects of the pandemic discussed -the new tasks that psychiatrists and psychologists face.