Psychiatrists’ Experiences in Managing Medications Via Online Platforms During the Covid-19 Pandemic in Iran: A Qualitative Study Publisher



Mahdiar M ; Ranjbar H ; Shirazi E ; Taghavizanjani F ; Javan A ; Ghadirivasfi M
Source: Journal of Iranian Medical Council Published:2026

Abstract

Background: The COVID-19 pandemic disrupted traditional psychiatric practices that depend on face-to-face interactions. Patients with psychiatric disorders often have higher rates of other health issues, which worsen their outcomes when infected with COVID-19. This underscores the need for timely diagnosis and treatment, as well as accessible psychiatric services, especially considering the possibility of future pandemics. Methods: A qualitative study conducted in 2024 involved selected psychiatry faculty members from Tehran’s psychiatry departments, who were experienced in online consultations. Semi-structured interviews continued until data saturation was reached. Interviews were recorded, transcribed, and analyzed using qualitative content analysis (Graneheim and Lundman approach). Ethical considerations and informed consent were ensured. Results: The study involved 14 faculty members from the Psychiatry Department of Iran University of Medical Sciences. Their experiences with telepsychiatry consultations in medication management were examined. Among the participants, four were women and 10 were men. Data analysis using conventional content analysis produced 7 main themes and 13 subcategories. The main themes included advantages of telepsychiatry, challenges of telepsychiatry, impact on doctor-patient relationships, effects on diagnosis and treatment, job satisfaction of psychiatrists, ethical and privacy concerns, and training and preparedness of psychiatrists. Conclusion: Telepsychiatry can improve access to mental health care. This study offers insights for policymakers and healthcare leaders on the practicality and infrastructure needed for widespread telepsychiatry adoption, especially in future crises. Adopting telepsychiatry can enhance community mental health and ensure reliable access to psychiatric services. © 2026, Journal of Iranian Medical Council.