Zinvol handelen bij postcovid

Postcovid is a debilitating persistent multisystem disease for which no specific (curative) treatment is available yet. We present two postcovid patients and evaluate interventions that were tried. We comment on the use of a biopsychosocial approach in the evaluation of postcovid and the identification of possible ‘treatable traits’. Interventions in the biological domain are aimed at ‘treatable traits’ such as pain, sleep problems, POTS and MCAS-type symptoms, as well as comorbidities. Comorbidities may require specialized care, and rehabilitative care may be necessary to stabilize the illness and (hopefully) improve functioning in severely ill patients. Interventions in the psychosocial domain are aimed at psychological complaints that often accompany postcovid (anxiety, depression) and reducing stress (related to work or school, financial insecurity, etc.). In absence of a specific treatment for postcovid, meaningful intervention is aimed at stabilizing the illness and (hopefully) improving functioning by addressing ‘treatable traits’ in all biopsychosocial domains.

Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.