Harshini, M.L.Jayasundara, D.M.S.P.Williams, S.S.2023-02-192023-02-192022Sri Lanka Journal of Psychiatry.2022;13(2):46–48.2579-2008http://repository.kln.ac.lk/handle/123456789/25990Psychiatric manifestations associated with COVID-19 infection have become a subject of study in the wake of the global pandemic. Some psychiatric disorders such as anxiety and depression are well recognized with the COVID-19 infection while overt psychosis is less so.We present four cases of first-onset psychotic episodes with a clear temporal relationship to COVID-19 infection. They appear mainly affective in nature, although only time will determine their eventual progression.enCOVID- 19PsychosisCase ReportsCase Report