Post-Stroke Depression
Post-Stroke Depression
Depression is a common and serious complication after a stroke affecting about 30% of stroke survivors. If left untreated, it can affect quality of life and make post-stroke recovery difficult. Because of the complexity of post-stroke depression several treatments should be tried to determine patient-specific usefulness.
Content
0.66 -> [Music]
5.2 -> depression is a common and serious
7.359 -> complication after a stroke
9.519 -> it's largely unrecognized
11.92 -> under-diagnosed
13.44 -> and under-treated
15.44 -> depression can result from a biochemical
17.6 -> change in the brain due to stroke or
20.16 -> from an emotional reaction to one
23.279 -> about 30 percent of stroke survivors
25.119 -> develop depression
26.72 -> it can occur right away or months or
29.359 -> even years after a stroke
32.16 -> depression may increase with stroke
33.92 -> severity
35.36 -> but the processes underlying post-stroke
37.84 -> depression are not completely understood
41.28 -> post-stroke depression or psd is a
44.559 -> feeling of hopelessness that interferes
47.039 -> with functioning
48.64 -> it's associated with
50.64 -> higher death rate
52.64 -> poor recovery
55.12 -> problems with thinking such as inability
57.52 -> to remember learn new things or
60.079 -> concentrate
62.16 -> poor functional outcomes
64.879 -> and lower quality of life
67.6 -> symptoms of post-stroke depression
69.6 -> include
70.72 -> depressed mood called aneedonia
74.32 -> persistent sad anxious or empty feelings
78.96 -> significant fatigue or lack of energy
82.96 -> lack of motivation
85.04 -> withdrawal from family and friends
88.479 -> problems concentrating or remembering
90.56 -> details
92.4 -> difficulty finding enjoyment in anything
96.32 -> sleep disturbances
98.24 -> irritability
100.24 -> an increase or decrease in appetite or
102.799 -> change in eating patterns
105.6 -> feeling helplessness hopelessness
108.56 -> or worthlessness
110.96 -> aches
112 -> pains or digestive problems that don't
114.479 -> get better with treatment
116.88 -> suicidal thoughts
119.68 -> your health care professional should
121.28 -> evaluate you for depression during a
123.439 -> follow-up visit
125.119 -> several factors can predict whether
126.96 -> you're at risk of post-stroke depression
129.679 -> these include
131.12 -> a history of depression
133.28 -> physical disability
135.44 -> stroke severity
137.68 -> cognitive impairment
140.239 -> previous stroke
142.239 -> a family history of psychiatric
144.239 -> conditions
145.68 -> being a woman
147.76 -> a lack of family and social support
149.92 -> after stroke
151.92 -> and anxiety after stroke
155.519 -> stroke patients present unique
157.36 -> challenges in identifying depression
160.239 -> aphasia or other stroke-related
162.319 -> neurological conditions may hinder
164.64 -> depression's identification and
166.72 -> treatment
168.4 -> there are a variety of screening tools
170.319 -> available
171.36 -> it's important to include family members
173.44 -> or caregivers in the evaluation process
176.319 -> because symptoms of depression might not
178.56 -> be easily identified by the stroke
180.56 -> survivor
182.239 -> patient education about stroke
184.4 -> and the opportunity to talk about the
186.4 -> impact of stroke on people's lives is
188.72 -> very important
190.48 -> because of the complexity of post-stroke
192.879 -> depression
194.08 -> several treatments should be tried to
196.56 -> determine if they're helpful
198.319 -> specifically to you
200.319 -> post-stroke depression can be treated
203.28 -> treatments may include
205.12 -> antidepressants which should be closely
207.519 -> monitored for their effectiveness
209.84 -> antidepressants may help people enjoy
212.319 -> life again
214.72 -> psychotherapy though it is not clear
217.04 -> whether psychotherapy alone can help
219.12 -> post-stroke depression
221.68 -> examples of psychotherapy include
224.72 -> cognitive behavioral therapy
227.519 -> motivational interviewing
229.84 -> and supportive psychosocial intervention
234.239 -> patient education
235.92 -> counseling and social support may all be
238.879 -> added as components of a treatment plan
242.56 -> if you've been cleared to exercise
244.799 -> a structured exercise program for at
246.959 -> least four weeks in addition to other
249.12 -> treatment might also help treat your
251.439 -> post-stroke
252.84 -> depression finding a stroke support
255.2 -> group can be beneficial
257.44 -> there you can connect with other stroke
259.28 -> survivors and share your story
261.6 -> you can also learn of resources and
263.44 -> services in your community to help make
265.759 -> your post-stroke journey easier
269.12 -> remember if you have depression talk to
271.68 -> your health care professional
273.6 -> be open and honest and explain what
275.759 -> you're experiencing
277.6 -> make it clear that what you're going
279.44 -> through started after your stroke
Source: https://www.youtube.com/watch?v=u6ko6K7-nU0