1 / 17

Psychiatric Problems in Stroke Patients

Psychiatric Problems in Stroke Patients. Dr. Himalee Abeya. Common Post Stroke Problems. In Patient: Psychological problems Psychiatric illnesses In Carers: Difficulty in coping with change. Psychological Impact of a stroke. Recovering from stroke mentally exhausting

jbenefield
Download Presentation

Psychiatric Problems in Stroke Patients

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Psychiatric Problems in Stroke Patients Dr. Himalee Abeya

  2. Common Post Stroke Problems In Patient: • Psychological problems • Psychiatric illnesses In Carers: • Difficulty in coping with change

  3. Psychological Impact of a stroke Recovering from stroke mentally exhausting • Emotional changes • Cognitive changes • Behaviour changes • Relationship changes Need to adjust

  4. Common Psychological problems Adjusting to change – GRIEF • Shock • Denial • Reaction • Acceptance

  5. Common Psychological problems EMOTIONAL: • Helplessness • Frustration /anger • Sadness • Worry

  6. Common Psychological problems COGNITIVE: • Memory loss • Aphasia + communication problems

  7. Common Psychological problems BEHAVIOUR: • Confused and cautious • Poor judgment + irritable • Apathetic

  8. How to communicate with a stroke patient • Keep conversation at an adult level • Use a normal tone of voice • Speak at a comfortable pace • Avoid distractions • Talk one-on-one

  9. Post stroke psychiatric illnesses • Depression • Anxiety • Emotional lability (hard to control) • Dementia • Psychotic illness

  10. Post stroke depression • Depression common DEPRESSIVE ILLNESS: • Sadness and crying • Lethargy • Loss of interest • Sleep loss and Low appetite • Suicidality + • Low concentration For > 2 weeks

  11. Post stroke depression- Mx • Identify early and treat • Rx reduced illness & reduced mortality • Early measures: • stimulate interest • encourage leisure activities • participate in spiritual activities • Individual counseling / group therapy • Drugs – SSRIs best

  12. Emotional lability • Sudden laughing or crying for no reason • Short time • Difficulty controlling emotional responses • No happiness or sadness involved RESULT: Patient feels embarrassed, frustrated and angry.

  13. Emotional lability ADVICE TO PATIENTS: • Be open about it • Distract yourself • Note posture you take when crying - change • Breathe in and out slowly • Relax your forehead, shoulders (these tense when crying) TREATMENT: drugs possible

  14. Vascular dementia • Forgetfulness • Disordered thinking Specially when intense • Language problems • Change in behaviour • Cognitive testing done

  15. Vascular dementia - Mx • Safe environment • Orient • Improve memory • Stimulate • Keep occupied – schedule • See to hearing/ vision • Drug treatment

  16. Caregiver problems • Huge burden • May get depressed/ anxious • Need help & support • Schedule day • Keep fit • Take time off

  17. Thank You

More Related