New onset psychosis after a covid vaccine??

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8349391/

Interesting article.  Especially in light of the mental health crisis we are having in this country.  There has been a lot of discussion about neurological effects of the covid vaccine.  But one of the topics not discussed as much is the neuroPSYCHIATRIC consequences of the covid vaccine.  I have professionally seen cases of increased depression and severe anxiety after a covid vaccination, where patients who were previously stable have a new onset exacerbation of mental health issues post vaccine.  Then there is another population of people who have previously had NO psychiatric health issues that are suddenly developing problems post vaccine.

This paper discusses one such case. A 31-year-old, single Hispanic male without past medical or psychiatric history, was brought to the emergency room by police because of erratic and bizarre behavior. He was found to be anxious, guarded, superficial and grandiose. He reported becoming ‘clairvoyant’, being able to talk with dead people, hearing ‘people drumming outside his house’ and the constant voice of a co-worker whom he believed to be a paramour- it was later confirmed that there was no romantic relationship. All these symptoms began one month ago, after receiving the first dose of an mRNA-based COVID-19 vaccine, and markedly worsened three weeks later after receiving the second dose. Previously, he was asymptomatic.

As of January 2021, 42 cases of psychosis associated with COVID-19 infection have been reported.  It has been hypothesized that a COVID-19 infection OR vaccine administration triggered cytokine storm may increase the risk of psychosis. Coincidentally, schizophrenia has been linked to a pro-inflammatory status.  Increased inflammation due to the virus OR the vaccine can trigger the psychotic episode.  It should also be noted that other vaccines have notably caused cases of cytokine storm inflammation that led to a psychotic episode: yellow fever vaccines and influenza vaccines.