Understanding and Managing Post-Stroke Depression: A Comprehensive Guide to Recovery
Ibrahim Krenawi1*, Victor Hugo Post2, Markus Müller3 and Mohamed Mustafa4
1Consultant Neurologist, Burjeel Royal Hospital, Al Ain, UAE
2Senior Consultant Psychiatrist & Psychotherapist , LVR-Klinik, Bedburg-Hau, Germany
3Resident Physician in Psychiatry, Klinikum Hersfeld-Rotenburg, Germany
4Specialist Psychiatrist & Psychotherapist, Praxis CityNord for Psychiatry und Psychotherapy, Dortmund, Germany
*Corresponding Author: Ibrahim Krenawi, Department of Neurology, Burjeel Royal Hospital, Al Ain, UAE.
Received:
July 14, 2025; Published: July 21, 2025
Abstract
The problem of post-stroke depression (PSD) is critical and widespread, as some stroke survivors often delay rehabilitation and experience a decreased quality of life. This review discusses the underlying causes, risk factors, symptoms, diagnostic plans, treatment plans, and lifestyle interventions for PSD. The disorder is a complex interplay of neurological injury, emotional stress, and social isolation following a stroke.
Some of the most typical symptoms and manifestations include persistent depressive affect, fatigue, diminished interest in activities, alteration of appetite, and cognitive problems, which are often confused with the overall impact of stroke recovery. Diagnosis is achieved mainly through clinical interviewing, standardized screening instruments, and medical examination in order to eliminate other disorders. Treatment options include antidepressant drugs, psychotherapy, sociability, exercise, and alternative methods such as mindfulness. Other considerations in the management of PSD include lifestyle changes, which can take the form of physical activity, a healthy diet, and emotional support. Early interaction, constant observation, and the participation of caregivers are key to enhancing outcomes. PSD is manageable with a comprehensive care plan, even though it cannot be prevented. To ensure that physical health and emotional status are in a better condition, this review focuses on the necessity of identifying and treating depression as a means of improving stroke recovery.
Keywords: Post-Stroke; Depression; Guide; Recovery
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