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Depression after stroke may be left untreated

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As many as two-thirds of people who experience stroke or transient ischemic attach (TIA) are not diagnosed for depression but are among the highest at-risk patients. Reports of depression are just as high with TIA as stroke even though the physical impairment does not remain.

“The findings suggest this is not just a simple association between depression and the functional impairment typically associated with stroke,” said Daniel Laskowitz, MD, professor of medicine at Duke and the senior author of the study. Several factors may be at play. Brian injury caused by stroke and TIA might lead to depression or the vascular risk factors that predispose patients to stroke and TIA may also put them at risk for depression.

Stroke has been experienced by 5.4 million Americans. Stroke is when a blood clot blocks an artery or a blood vessel breaks. Blood flow to the brain is interrupted and this can lead to disabilities. TIA is a brief episode of neurological dysfunction.

“The high rates of under-treated depression seen in this study demonstrate the need for depression screening in these patient populations,” says Nada El Husseini, MD, a stroke fellow at duke. “It should become standard procedure to screen for depression after stroke and TIA.”

Patients should also be better informed as to what to expect post-stroke. “When I see patients in clinic, its rare for them to say they are feeling depressed. But if I ask them, they tell me how they feel. If they knew more about the association between depression, stroke and TIA, they may be more likely to bring up these symptoms with their providers.”

Source: MedicalNewsToday, Stroke

My mom had a stroke 13 yrs

My mom had a stroke 13 yrs ago. It left her without any use of her right arm and very limited use of her leg. She is not the same person she was before. She has been taking Celexa for over 10 years. She lost her husband, home, and a few other things in the last 2yrs. Somedays she is unnbearable. This was a very bad week for her. She has been saying that. She no longer wants to live. She is miserable. Since she moved into her apartment and I have returned to school her quality of life has decreased significantly. I also believe she is starting to show sign of dementia. I don't know what I can do for her to help. I honestly believe she wants to die. She refuses therapy. She has no filter(most of the time) on what comes out her mouth. She gets frustrated and blows up with everyone. She cant keep a provider and some doctors refuse to see her. She was only 49 when she had her stroke and have been her main care giver. But I am at my wits end. I love her with all my heart but I am at a dead end.

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