But is that a bad thing? See 1. here, for the positive effects of antidepressants in helping stroke recovery. They may inadvertantly be helping recovery and depression without knowing about it.
Seems to be the common theme in stroke rehab, we don't know if this helps but try it anyway. Evidence based therapy could be helpful but then we may not get any therapy at all since there is not a defined way to bring back dead brain functions. Oh joy to the insurance companies, No EBM, no therapy, more profits. We're screwed. Be careful what you wish for.
http://psychcentral.com/news/2012/10/02/many-stroke-patients-treated-for-depression-without-diagnosis/45426.html
According to new Canadian research, many stroke patients are being
prescribed antidepressants without a proper diagnosis, suggesting that
some patients are being over-treated while others are getting
overlooked.
“A lot of people are being treated for depression, but we don’t know if they’re the right ones,” said lead researcher Katherine Salter of Parkwood Hospital in London, Ontario.
“This study found that 40 percent of stroke patients were treated for
depression, but most were not screened or diagnosed. Who are we
treating?”
Depression is the most common mental health condition after a stroke,
affecting more than a one-fourth of all stroke patients. Depression may
get in the way of a patient’s ability to participate in post-stroke therapy and is linked to slower rehabilitation and a longer stay in the hospital.
For the study, researchers looked at the medical charts of 294
patients discharged from five in-patient rehabilitation programs over a
six-month period. Only three of 294 patients given an antidepressant were formally screened, assessed and diagnosed with depression first.
The findings also showed that 40 percent of all patients, whether or
not they were screened or assessed for depression, received treatment
for it.
Furthermore, 100 percent of patients who had already been taking an
antidepressant when they entered in-patient rehabilitation still
received one at the time of their discharge, mostly without being
reassessed.
“No matter what the best practice recommendations say, if you’re on
an antidepressant when you show up, you will not likely be screened or
assessed, but you will be given more drugs,” said Salter.
A lack of formal screening and assessment for depression means that
stroke patients without a history of depression or other mental illness
could be overlooked for treatment.
According to the findings, patients with a history of mental illness
and those with severe impairments from their stroke are more likely to
be given antidepressants.
“Depression is a serious problem for people with stroke. We need to
make sure that everyone who needs treatment for depression is receiving
the right help,” said neurologist Dr. Michael Hill, Co-Chair of the
Canadian Stroke Congress.
According to Salter, a lack of access to mental health care
professionals, as well as “some inertia” by clinicians reluctant to
change their methodology, may be the reason that patients are not being
screened properly.
“We need to be able to include psychological resources as part of our
health care team. These professionals should be a central, integrated
part of recovery,” said Salter.
Ian Joiner, the director of stroke for the Heart and Stroke
Foundation said, “Screening for depression after all strokes could
result in more positive outcomes for patients and their families. With
screening, those who would benefit from specialized medication,
counseling and referral to other health professionals won’t be missed.”
The study was presented on October 1 at the Canadian Stroke Congress.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
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