Depression and Stroke

Depression is a common experience for stroke survivors. It’s often caused by biochemical changes in the brain. When the brain is injured, you may not be able to feel positive emotions.

Common symptoms of depression may include:

Persistent sad, anxious or “empty” mood
Restlessness and irritability
Feelings of hopelessness, pessimism, guilt, worthlessness or helplessness
Loss of interest or pleasure in hobbies and activities, including sex
Decreased energy and fatigue, and feeling “slowed down”
Difficulty concentrating, remembering and making decisions
Insomnia, early-morning awakening or oversleeping
Appetite and/or weight changes
Thoughts of death or suicide, or suicide attempts

Be aware when a sense of hopelessness overwhelms you and disrupts your ability to function, as this is called clinical depression. If these feelings persist for longer than two weeks and are accompanied by thoughts, expressions or actions of harm, speak with health care professional immediately.

Depression is often accompanied by anxiety in stroke survivors. Worry and fear may range from uncomfortable to disabling. Generalized anxiety disorder combined with clinical depression can further disrupt recovery. Treatment is important.

Depression may make the rehabilitation process more challenging for survivors to do the hard work required. However, treatments and strategies that can improve these changes are available.

A good psychologist or psychiatrist can help. Treating depression and anxiety not only improves the survivor’s mood, it boosts physical, cognitive and intellectual recovery. Social support is also crucial. Several studies show that depression goes hand in hand with lower levels of support. Look to your family, friends, a stroke support group or a combination of resources for help. Everyone involved in recovery needs to be aware of the survivor’s depression — and ready to respond to it. The right kind of treatment and support can help ease the pain and move the survivor down the road to recovery.