The psychiatric and psychological sequelae of vaccine-induced immune thrombotic thrombocytopenia (VITT)

Abstract

This review paper explores the potential psychiatric and psychological sequelae of vaccine-induced immune thrombotic thrombocytopenia, also called vaccine-induced immune thrombocytopenia, and thrombosis (VITT). In the absence of any literature to date we have extrapolated data from similar conditions, particularly data pertaining to the critical care population. We discuss both the direct and indirect effects of thrombosis, likely psychiatric and psychological challenges during recovery, and ethical issues around vaccination. We have also suggested a comprehensive guide to the psychiatric assessment and management of patients presenting with VITT with the aim of early identification of problems and maximizing rehabilitation potential and quality of life.

Keywords: Covid-19; Vaccine-induced immune thrombocytopenia and thrombosis (VITT); Vaccine-induced immune thrombotic thrombocytopenia (VITT); neuropsychiatric symptoms; psychosocial assessment.