Agreed to halt a recent outbreak of fighting in a decades long conflict over the disputed region of nagornokarabakh russia brokered the cease fire after hundreds of people were killed in 2 weeks of clashes. Authorities in germany have introduced new restrictions to curb local rises in coronavirus cases bars and restaurants in the capital berlin had to close at 11 pm though there is some doubt about whether the new restrictions will be enough to stop the spike. This is to give you news from berlin follow us on twitter and instagram at news or visit our website dot com. The all the all. Hello and welcome to good shape since the outbreak of the Novel Coronavirus late 2001000 everything has changed we have to wear a mask we have to keep our social distance and some of us even have to work from home the pendennis has made people grow a propensity of getting infected and people feel isolated because of social distancing and doctors are seeing an increase in stress levels especially in patients with family members who are infected today shows about the physical long term effects of corona and what the virus does to our psyche and im going to need a doctor under the best us hes a psychiatrist and hes the head of the department of psychiatry psychosomatic and psychotherapy to clinics in berlin and they hes confronted with the effects of the coronavirus. Meeting of thanks for having me today as a psychiatrist what kind of problems do you see during the quran up and down here people present for small anxiety symptoms small depressive symptoms sleep disturbance and some people they tend to use small subset so slight a kind of this all. Illegal drugs but what we also see is that people who already suffer from severe mental disorders like severe depression of psychosis that they present to hospitals with small severe episodes and do you think that all those episodes are very severe and that that the corona pandemic. Has a severe impact of the psyche of patients at all i think corona has an impact on mentor have hauled off all of us and been peeper of will. Then. Be with us and you think that the number of cases would rise in the future i think i would expect in the future that the cases would rise and. Corona has brought about a lot of insecurity and uncertainty some people are constantly checking whether the tastebuds us 2 working and whether they got a sore throat of us are experiencing a loss of control because theyre not allowed to lead the life they used to and i see a lot of patients with migraines a heart palpitations and these are just some of the problems which are on the rise right now. What does the coronavirus do to us to our relationships with Family Friends and strangers how does it affect our confidence in ourselves and in the world. A team of psychologists at Marburg University in germany has been gathering the publics answers to those questions in an online survey. The surveys findings offer a broad picture of the myriad effects that the coronavirus pandemic has had on our Mental Health monitors shrink is an educational psychologist. So what do people need to feel good in theory the feeling of being in control of their lives being independent and belonging to a social group. That when it comes to these 3 basic needs we found that our sense of autonomy has suffered our need to be in charge of our own lives has been very badly impaired we know from investigating these 3 needs that the situation can also lead to psychological problems they can even manifest themselves as psychological disorders like depression anxiety and the like. And yet people experience the restrictions in very different ways just how different personality types get through the crisis is the focus of equipment as work one finding is that introverted and withdrawn people are suffering due to the current coronavirus restrictions those restrictions can magnify a person sense of isolation but theres a more surprising result in millers work. People who are most sociable extroverted and more optimistic tend to go through life positively theyre experiencing a noticeable increase in bad moods suffering very much from the situation. We think its caused by the restrictive measures which obviously lead to fewer social contacts. So the crisis even weighs down on those who otherwise go through life in a sociable and positive manner one serious problem in the pandemic is the sudden uncertainty when people can stick to things they plant anxiety disorder specialist christiane upon a 5 day looks at how we try to reduce or control through behaviors like panic buying hoarding excessive hygiene and pathological obsessions with the symptoms of the illness this is. Relatively important to keep an eye on the question as to what degree weve observed that if parents raise their children to be obsessive about even relatively harmless physical symptoms like a runny nose or minor heart palpitations. Those children have a higher risk of developing Anxiety Disorders and they could be uncertainty is also promoting a relapse into old gender role behaviors women are once again managing the household and family while the men are focusing more on earning a living. And what are the effects of the economic shift to home office. Organizational psychologist 10 include wants to know how working from home affects our social identity our perception of ourselves as a group members. That includes professional contacts. Working from home over the long term could lead to peoples sense of belonging being weakened the end result could be alienation. The so forth life of sustained the things that used to be a given for a teen their identity are suddenly no longer there it could be things as mundane as gathering around the coffee machine. And if a company cant keep social identities alive in the way theyve always existed they can have a negative effect on the health of its employees effect of what about to them until the top. Those who have lost their jobs as a result of the crisis are in a much worse position they experience less access to social activities shelter and healthy food all of which can contribute to psychological disorders and the effect it could no longer count on society understanding their plight the mob or team hopes theyre focused therapies will give patients the tools they need to deal with the cataclysmic changes happening in their lives. Given the advice how we can keep mentally stable in such difficult times. Yeah 1st of all i think its important that we acknowledge that these are difficult times for us and that we tend to its a kind of normal reaction for everybody to be even more nervous more irritated if a little bit more sleep if you could induce you so thats important just acknowledge that and the other strategy which could be paper is to. To reduce the times when you with with the call covert pandemic. Because since 3 tend to be irritated somehow when we do you have very long with the issues that go on and it endemic then it makes it even more nervous what should we do if we feel live only because of the social distancing measures. I think its important to recognize that theres too many options how we can stay in contact with others like on the on sky and on the all the decision media which is around and also to plan more social context for example if we. If you know have a day where we have to be in a home office or something that makes sense that its important for us to organize that kind of social context maybe even especially for you if you live alone and to. All denies in advance that you make a phone call in the afternoon or that when you see someone on skype or see someone you know in a cafe its focus on the opposite situation when the big family sits in a small apartment and its also crowded and you dont have any space for yourself so how can you do when youre thats helpful to stick to certain routine so even if children are not going to school or Something Like that then to start the day kind of together so even to get up to have breakfast together those kind of things so its all to do to have a daily routine even if theres no external stimulus for that and also to plan on things which everyone can do on on his or her own since thats what we are used to to have times during their we do something on institutes to stick to that. Lets broaden our view a bit right now we focused just on germany and europe but whats a situation world wide from a psychiatric and a few i mean its very preliminary data we have for now but it looks like that the actual symptoms in in the german population from small studies its this stage it looks a bit like people in germany tend to have less symptoms then people in the us saw in china and its interesting to speculate how that could happen and maybe it has to do with the strategy the politics came up with that they tend to focus on the individual and thats stated their decision how they deal with the rules and that they may know strict laws which kind of. Makes everybody doing the same because we know when theres stress around it its it is helpful. For coping with stress. If its their own decision. When young people get infected with the growth of virus the disease does not seem to progress so badly whereas the virus hits patients with preconditions or other people part in any case a coronavirus is not to be underestimated it cannot only lead to severe respiratory problems it can also damage the kidneys and the brain among convalescent persons. Holding them high and so i came down with covert 19 today she still suffering the consequences to her health. I got really sick 3 months after catching the coronavirus my hair started falling out really badly i was like a Christmas Tree losing its needles i grabbed my hair and it came out in bushels there were areas where i was totally bowled its not as bad as it was then but it still falls out and the hair that does grow back is there now wiring and a different color. In march she was rushed to the hospital to bring she made a video journal of her on this for the magazine can turn. On not being able to breathe has an effect on your mind my condition was miserable i couldnt inhale my whole body rebelled my pulse skyrocketed i wanted to breathe i inhaled and tried to get tat but i couldnt breathe and i knew i was coming. Even after leaving the hospital her breathing problems continued after very light physical exertion she needed to take breaks and catch her breath. Another dramatic consequence that carly appliance or notice much later was that she had difficulty speaking. She found it hard to turn her thoughts into words. That i imagined the sentence in my head but a completely different one came out of my nouns got mixed up for a whole. I replaced every now in my head with the word random. The Central Nervous system seems to be more effective than medical experts 1st realized patients who have recovered from cope with 1000 have reported exhaustion dizzy spells and problems formulating words. Researchers are now trying to determine what the long term effects of the infection are they already have a good idea to do it because it is a among the most common symptoms are various disorders in 92 percent of the cases they usually disappear within 4 to 5 weeks but we dont know about the remaining 10 percent will the disorders become permanent we know that some patients suffer from strokes even patients who are younger and have no history of blood vessel risk factors. Dementia could be another neurological long term effect christiane coming c. O. Still has problems remembering the possible effect of the virus he doesnt belong to a High Risk Group and yet the fireman was put in an artificial coma for 17 days 3 months later his perception is still strongly affected. Benefited if i have to deal with a lot of things all at once getting those tossed on the still very difficult for me i have to admit. Neurologist peter bell it says that a 3rd of all cope with 1000 patients admitted to the intensive care unit have diffuse brain damage that wont improve in the short term. This is typically manifested by the fact that patients have memory problems as well as difficulties paying attention and concentrating they could also start getting confused they show signs of perceiving things wrong or they have a loser nations so its often accompanied by