The Emotional Impact Of Stroke - Life After Stroke: Stroke


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The emotional impact of stroke


Given that the brain is the cradle of your emotions and your psyche, it is not surprising that a brain attack can have psychological reverberations. As you recover from your stroke, you may find yourself flooded with feelings that are overpowering or misplaced. It's not uncommon to feel an increased urge to laugh or cry inappropriately, or to get angry easily. You may also experience sexual dysfunction. Although counseling is part of rehabilitation, your need for counseling may last far longer than your need for muscle-strengthening exercises or speech therapy. Psychosocial counseling for you and your family can help you learn to live with the aftershocks of your stroke.

Depression

About 25% of people who've had a stroke develop major depression. (For symptoms of major depression, see "Is it depression?") Left untreated, depression can undermine efforts at rehabilitation and worsen cognitive disabilities, such as difficulty with speech and language. For some people, depression is a reaction to the impairments caused by the stroke. For others, it may stem from injury to certain parts of the brain. If you think you are suffering from depression, talk to your doctor. If you are getting rehabilitation therapy, find out if there is a psychologist affiliated with the rehab program. Psychotherapy, antidepressants, or both may be helpful.

Is it depression?

The following test can help determine whether you are suffering from serious depression after a stroke. (Answer yes or no.)

  1. I feel downhearted, blue, and sad.

  2. I don't enjoy the things I used to.

  3. I've felt so low that I've thought of suicide.

  4. I feel that I'm not useful or needed.

  5. I notice that I am losing weight.

  6. I have trouble sleeping through the night.

  7. I am restless and can't keep still.

  8. My mind isn't as clear as it used to be.

  9. I get tired for no reason.

  10. I feel hopeless about the future.

You may be suffering from depression if you answered yes to at least five of these questions, and these symptoms have persisted for at least two weeks. If you answered yes to statement 3, seek professional help immediately regardless of your other responses.

   Life after stroke: 2 of 4   


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Last updated: September 05, 2008

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