What you need to know
- Depression and anxiety are common after a stroke.
- You may have depression if you feel sad or down for more than two weeks. You may lose interest in things you normally enjoy, lack energy, have difficulty sleeping, or sleep more than usual.
- You may have anxiety if anxious feelings do not go away once a stressful situation is over or if you feel anxious for no particular reason.
- Depression and anxiety are highly treatable and recovery is common.
Tackling depression after stroke
In this 45-minute video produced by beyondblue and the Stroke Foundation, stroke survivors and carers share their experiences of depression and mental health after stroke, and a psychiatrist gives advice for stroke survivors, carers and health professionals.
About depression and anxiety
After a stroke, it is normal to feel sad or worried. But if you feel sad, down or miserable for more than two weeks, you may have depression. You may lose interest or pleasure in things you normally enjoy. You may lack energy, have difficulty sleeping, or sleep more than usual. You may find it difficult to concentrate, to solve problems and to keep appointments.
Feeling anxious is normal when we feel under pressure. The feelings usually go away when the stressful situation is over. If anxious feelings do not go away, or if you are anxious for no particular reason, you may have anxiety.
The link between depression, anxiety and stroke
While everyone feels anxious from time to time, for some people these anxious feelings are overwhelming and cannot be brought under control easily. An anxiety disorder is more than just feeling stressed – it’s a serious condition that makes it hard for the person to cope from day to day.
What is the link between depression, anxiety and stroke?
Having a stroke is a life-changing event. It can change how you feel about yourself and make you worry about the future. Changes to responsibilities, relationships, work and finances can cause stress and sadness. The impact of stroke on the brain can also cause personality, mood and emotional changes. All this means there is a strong link between stroke, depression and anxiety.
One in three people experience depression at some point during the five years after their stroke. Depression is most common in the first year after a stroke, however it can happen at any time. Anxiety may also occur, either by itself or together with depression.
Partners, carers and family members of stroke survivors can experience depression and anxiety as well.
Getting help for depression and anxiety
Depression and anxiety can make it difficult to manage from day to day, and to participate in your rehabilitation. Depression and anxiety can affect how you feel about yourself, and can have an impact on your relationships.
While depression and anxiety are common, they are also highly treatable. Recovery is possible and there are many things that can help. The sooner you get help, the sooner you will move towards recovery.
If you think depression or anxiety may be an issue for you, speak to your doctor. It is important to have a medical diagnosis and a treatment plan that takes into account your personal situation, needs and preferences. Some medications can make you lethargic which can feel like the symptoms of depression, so a medication review can be helpful as a part of this process.
Anti-depressants are very useful in the treatment of moderate to severe depression. Your doctor may prescribe antidepressant medication along with psychological treatments. Anti-depressants are sometimes prescribed when other treatments have not been successful. They are also used when psychological treatments are not possible.
Research shows psychological therapies are the most effective treatment option for people with anxiety. However for severe anxiety, medication may be helpful.
If you have mild or moderate depression, psychological treatment and lifestyle changes may work for you.
Cognitive behaviour therapy (CBT). Helps you identify and change unhelpful thought patterns, creating a more positive and problem-solving approach. It is one of the most effective treatments for depression.
Behaviour therapy. Behaviour therapy focuses on doing activities that are rewarding, pleasant or satisfying. It aims to get you involved in life again.
Interpersonal therapy. Helps you recognise patterns in your relationships that make you more vulnerable to depression. You focus on improving relationships, coping with sadness and grief, and finding new ways to get along with others.
Mindfulness-based cognitive therapy. Group therapy that involves meditation. Mindfulness meditation teaches you to focus on the present moment without trying to change it. It can help to stop your mind wandering off into thoughts about the future or the past. It helps you notice feelings of sadness and negativity early on before they become fixed.
Having a healthy lifestyle can help you feel good in body and mind. Eat well and limit alcohol. Exercising regularly is especially helpful.
Do activities you enjoy and spend time with people whose company you enjoy. Talk to a trusted family member or friend about your feelings.
The health professionals at StrokeLine provide information, advice, support and referral. StrokeLine’s practical and confidential advice will help you manage your health better and live well.
Call 1800 STROKE (1800 787 653)
Join Australia’s online stroke community with videos, fact sheets, resources and support for stroke survivors, their family and friends.
beyondblue provides information and support about depression and anxiety.
1300 22 4636 www.beyondblue.org.au
For more information visit the EnableMe resource topic on Emotions.