Stroke as a Contributing Factor to Depression

     Stroke can contribute to the development of depression, particularly if the brain regions responsible for emotion are affected. In such cases, patients are at increased risk of developing depression. Common symptoms among this group include insomnia, fatigue, restlessness, changes in appetite, mood, and thought patterns, such as feelings of worthlessness, absent-mindedness, and a diminished sense of life satisfaction.

Post-Stroke Depression

     Post-stroke depression (PSD) is a common psychological condition observed in patients beginning approximately three months after experiencing a stroke. It is most frequently found in individuals in middle age and older, typically from 55 years of age onwards. The condition may arise from the location and size of the brain lesion, especially when the lesion affects cognitive and emotional centers. Additionally, age-related brain degeneration and existing chronic illnesses can also contribute to the development of this condition.

Risk Factors for Post-Stroke Depression

• Personal or family history of psychiatric disorders
• Pre-existing anxious personality traits
• Severity of the stroke
• Genetic differences
• Social withdrawal before the onset of stroke

Disability as a Contributing Factor to Depression

     Stroke-induced paralysis often leads to a significant loss of physical function, rendering patients unable to care for themselves as they once did. This loss can lead to feelings of diminished self-worth. Accumulated stress in patients can inhibit the generation of new neurons and disrupt the balance of certain brain chemicals, such as serotonin, dopamine, and norepinephrine. It is essential for physicians to carefully observe the symptoms and utilize a variety of diagnostic criteria to differentiate between conditions and select the most appropriate treatment.

Holistic Treatment: Healing Both Body and Mind

     In addition to medical treatment, fostering a supportive social environment serves as a form of emotional therapy that nurtures recovery. Active listening, paired with engaging in meaningful activities, plays a valuable role in rehabilitation. These efforts help patients rediscover self-love and regain a sense of pride and purpose in life.