{"id":895,"date":"2025-04-29T17:44:12","date_gmt":"2025-04-29T08:44:12","guid":{"rendered":"https:\/\/wako-psy-clinic.com\/kimoto\/?p=895"},"modified":"2025-04-29T17:44:12","modified_gmt":"2025-04-29T08:44:12","slug":"%e3%82%b3%e3%83%ad%e3%83%8a%e5%be%8c%e9%81%ba%e7%97%87%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6%e3%80%81%e7%b2%be%e7%a5%9e%e7%97%87%e7%8a%b6%e3%81%af%e3%81%a9%e3%81%ae%e3%82%88%e3%81%86%e3%81%aa%e3%82%82","status":"publish","type":"post","link":"https:\/\/wako-psy-clinic.com\/kimoto\/blog\/895.html","title":{"rendered":"\u30b3\u30ed\u30ca\u5f8c\u907a\u75c7\u306b\u3064\u3044\u3066\u3001\u7cbe\u795e\u75c7\u72b6\u306f\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308b\u304b\uff1f\u6cbb\u7642\u6cd5\u306f\uff1f\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac"},"content":{"rendered":"\n
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\u30b3\u30ed\u30ca\u5f8c\u907a\u75c7\uff08Long COVID\uff0f\u30dd\u30b9\u30c8\u30fb\u30a2\u30ad\u30e5\u30fc\u30c8COVID\u75c7\u5019\u7fa4\uff09\u3067\u306f\u3001\u8eab\u4f53\u75c7\u72b6\u3060\u3051\u3067\u306a\u304f\u7cbe\u795e\u75c7\u72b6\u3082\u975e\u5e38\u306b\u591a\u304f\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001\u305d\u306e\u5f71\u97ff\u3067\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3059\u308b\u30b1\u30fc\u30b9\u3082\u3042\u308a\u307e\u3059\u3002

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\u2463 \u7761\u7720\u969c\u5bb3
\u5bdd\u3064\u304d\u304c\u60aa\u3044\u3001\u4e2d\u9014\u899a\u9192\u3001\u65e9\u671d\u899a\u9192

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\u904e\u7720\uff08\u9006\u306b\u7720\u6c17\u304c\u53d6\u308c\u306a\u3044\uff09

\u2464 PTSD\uff08\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3\uff09\u69d8\u75c7\u72b6
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\u25a0 \u6cbb\u7642\u6cd5\u30fb\u5bfe\u5fdc\u7b56
1. \u7cbe\u795e\u7642\u6cd5\u30fb\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0
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3. TMS\u6cbb\u7642\uff08\u7d4c\u982d\u84cb\u78c1\u6c17\u523a\u6fc0\u7642\u6cd5\uff09
\u96e3\u6cbb\u6027\u3046\u3064\u3084\u30d6\u30ec\u30a4\u30f3\u30d5\u30a9\u30b0\u306e\u6539\u5584\u306b\u6709\u52b9\u3002

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4. \u30a8\u30af\u30bd\u30bd\u30fc\u30e0\u70b9\u6ef4\uff08M2P\u30a8\u30af\u30bd\u30bd\u30fc\u30e0\u306a\u3069\uff09
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\u25a0 \u307e\u3068\u3081
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\u3054\u8208\u5473\u306e\u3042\u308b\u65b9\u306f\u30af\u30ea\u30cb\u30c3\u30af\u307e\u3067\u304a\u554f\u5408\u305b\u304f\u3060\u3055\u3044\u3002




Today, I will explain:
Mental symptoms associated with Long COVID and their treatment.

Even now, we continue to see patients who visit our clinic suspecting they are experiencing long-term effects after COVID-19 infection.

Long COVID (Post-Acute COVID Syndrome) is not limited to physical symptoms; it often includes a wide range of mental health issues that can severely impact a patient's quality of life (QOL).

Here\u2019s a detailed overview:

Common Mental Symptoms Seen in Long COVID
\u2460 Depressive Symptoms
Persistent low mood, loss of energy

Loss of interest or pleasure

Feelings of guilt, anxiety, hopelessness

Sleep disturbances, changes in appetite

\u2461 Anxiety Disorders
Excessive worry, feelings of fear

Panic attacks

Chest tightness, shortness of breath (similar to hyperventilation)

Physical symptoms from autonomic dysfunction

\u2462 Brain Fog
Difficulty concentrating and maintaining attention

Memory decline

Slowed thinking, impaired decision-making

Difficulty finding words during conversation, reduced work\/study efficiency

\u2463 Sleep Disorders
Difficulty falling asleep, frequent awakenings, early morning awakening

Feeling unrefreshed even after sleep

Excessive sleepiness (hypersomnia)

\u2464 PTSD-like Symptoms
Flashbacks, anxiety attacks, avoidance behaviors triggered by memories of severe COVID experiences, hospitalization, or respiratory distress

Why Do These Mental Symptoms Occur? (Mechanisms)
Direct Effects on the Nervous System:

The COVID-19 virus may directly infect the brain or cause neuroinflammation, affecting cognition and emotional regulation.

Chronic Inflammation and Cytokine Effects:

Persistent low-grade inflammation post-infection can contribute to depression, anxiety, and chronic fatigue.

Autonomic Nervous System Dysfunction:

Imbalance between sympathetic and parasympathetic activity leads to symptoms like palpitations, sweating, breathlessness.

Psychosocial Stress:

Isolation, anxiety about work or health, and prolonged social restrictions can also worsen mental health.

Treatment Strategies
1. Psychotherapy \/ Counseling
Cognitive Behavioral Therapy (CBT)

Supportive counseling focused on managing depression, anxiety, and brain fog

2. Pharmacotherapy (Depending on Symptoms)
For depression: SSRIs or SNRIs (e.g., duloxetine, escitalopram)

For anxiety: Anti-anxiety medications, or traditional herbal medicines (e.g., Kamishoyosan, Hangekobokuto)

For sleep disorders: Sleep aids or melatonin receptor agonists (e.g., ramelteon)

For brain fog: Cognitive enhancers like methylphenidate (off-label use)

3. TMS Therapy (Transcranial Magnetic Stimulation)
Effective for treatment-resistant depression and cognitive symptoms (brain fog)

Stimulates the prefrontal cortex to improve mood, motivation, and concentration

Especially suitable for those preferring non-pharmacological options

4. Exosome IV Therapy (e.g., M2P Exosomes)
A regenerative approach aimed at reducing neuroinflammation and promoting neural repair

Reported improvements in chronic fatigue and cognitive symptoms among Long COVID patients

Summary
\u2705 Mental symptoms in Long COVID may include depression, anxiety, brain fog, and sleep disturbances.
\u2705 These symptoms arise from a combination of viral effects, neuroinflammation, autonomic dysregulation, and psychosocial stress.
\u2705 Treatment combining psychotherapy, medication, TMS therapy, and regenerative medicine (exosomes) can be highly effective.

At our clinic, we are also recruiting participants for monitor programs involving TMS and exosome therapies.
If you are interested, please feel free to contact us.
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