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On 9th May 2015 paralyzing both her right hand and leg. Since then she is in bed at home under medical care. She is maintains all her vitals. She had no sugar. Every care is being taken of her by her family members and nursing staff. But she is going into depression since last six months and crying and weeping particularly during evenings. During the past few days she is crying and weeping even during time also. What to do? Please any one help us?

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I don't know what your mom's health was like prior to her stroke but losing the use of her right hand and leg and becoming bed bound as a result would be a terrible blow to someone. To their dignity, their confidence, their self-esteem....under the circumstances I think many people would experience depression after such a loss.

Has your mom's Dr. been informed of her depression? There are antidepressants the Dr. could try your mom on. However, the medications just deal with brain chemistry and can only help so much.

Have you tried talking to your mom? Or rather, listening to your mom? Has she been able to express herself openly without judgement and without being talked out of feeling the way she does?

Look into antidepressants and encourage your mom to talk to you. You don't have to fix the problem, just let her talk it through. No pep talks, don't try to cheer her up. Let her share her feelings.

Does your mom have a reverend or a spiritual leader of some sort? If so, maybe you could encourage your mom to talk to her pastor.
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Thank you for suggestion. Prior to stroke my moms health is quite good. Actually in Jan2015 we have taken her to a cardiologist and after due testing he prescribed acetrome 2mg since the PT/INR test gave a result of 0.91 . The medicine is to prevent stroke. In spite of using this she got stroke in May2015. She was hospital for 37days. It was informed that she had internal bleeding in the abdomen as a side effect of the drug acetrome and two big hematomas of about 100mm and 140mm size, located in an inaccessible area and all the medical experts suggested against surgical interventions becoz of her age and location.
Recently one month back her abdomen was scanned and found the hematomas disappeared. Since joining in the hospital she was under the supervision of a consultant Neuro physician. Due the period of last one year the clarity of her speech has became deteriated and we were unable to understand it except a few words here and there. Moreover while trying to say something simultaneously she weeps and cries, making her speech senseless. I think this causing depression.
We are treating her with physio therapy to avoid freezing of joints and to give some mobility. Ours is a big family and a minimum of 4 to 5 family persons are attending on her besides round the clock nursing staff.
All her medication is under the expert guidance of our consultant Neuro physician. Presently she is being given Nexto forte 10mg one pill after dinner. If she does not get sleep with that pill she is given Zelfresh sleeping tablet after 3-4 hours.
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Thank you for suggestion. Prior to stroke my moms health is quite good. Actually in Jan2015 we have taken her to a cardiologist and after due testing he prescribed acetrome 2mg since the PT/INR test gave a result of 0.91 . The medicine is to prevent stroke. In spite of using this she got stroke in May2015. She was hospital for 37days. It was informed that she had internal bleeding in the abdomen as a side effect of the drug acetrome and two big hematomas of about 100mm and 140mm size, located in an inaccessible area and all the medical experts suggested against surgical interventions becoz of her age and location. Recently one month back her abdomen was scanned and found the hematomas disappeared. Since joining in the hospital she was under the supervision of a consultant Neuro physician. Due the period of last one year the clarity of her speech has became deteriated and we were unable to understand it except a few words here and there. Moreover while trying to say something simultaneously she weeps and cries, making her speech senseless. I think this causing depression. We are treating her with physio therapy to avoid freezing of joints and to give some mobility. Ours is a big family and a minimum of 4 to 5 family persons are attending on her besides round the clock nursing staff. All her medication is under the expert guidance of our consultant Neuro physician. Presently she is being given Nexto forte 10mg one pill after dinner. If she does not get sleep with that pill she is given Zelfresh sleeping tablet after 3-4 hours.
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I am so sorry to hear about your mother and her struggles. Having a stroke is difficult for anyone even with very good physical recovery. It is very common for depression to be an issue. Some of this is due to the psychological trauma but some of it is due to the physical changes in the brain. And from what you are describing I also wonder if your mother is having further small strokes affecting her speech. It also sounds like there is some difficulty in getting her coagulation balanced optimally. Strokes can be caused either by a clot or by a bleed. Do you know which one her May '15 stroke was? That will have an affect on her correct medical treatment. Also rehab after a stroke is really important. It is important to give her back as much independence as possible or to help her feel useful and important in some way. And antidepressants are important in many cases for at least awhile. I think it is really important that they be considered as it sounds like she is very depressed.
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Depression is common post-stroke - chemical, endogenous depression, that is, on top of the very natural misery one might expect to feel when one is left paralysed and exhausted by that same stroke. This is one example of anti-depressants being almost certain to work because they will help to correct the chemical imbalance. No miracles, but you should see an improvement. Ask her doctor.
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My mother's speech was bad and she was very hard of hearing. But she could still read. So we wrote on a grease board and would communicate with her that way.
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Aside from the fact that depression would be understandable due to her condition, it's also common even in individuals who have had better outcomes. Even heart surgery has a high depression rate long after physical recovery. The whole body is affected and likely chemical balances as well as emotional balance are thrown off.

As for the crying - the Pseudobulbar Affect (PBA) is common. You can find out much more on the site Stroke.org. My uncle had this and it was very distressing to watch. My heart goes out to both of you.
Carol
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My mother also had a stroke where her left arm and hand were paralyzed and she suffered afterward from anxiety and depression..She did not want to take anti depressants but eventually we had her evaulated by a geriatric psychiatrist who prescribed meds and slowly increased her dose..It took about 3 month to get to a really therapeutic level but then she was much less anxious. ( I think it was Cyprexa)..For her sake and yours, must get her on antidepressants..My heartfelt support to you...
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Her depression needs to be dealt with just as others have indicated.

Can anything be done to get her out of the bed and back to the center of family life? My Aunt was paralyzed on her entire right side for fifteen years, but got dressed (with assistance) and into her wheel chair nearly every day. She used a computer to write letters (typing with one finger) and sent them via the postal service. She looked up things she was interested in on the computer. It kept her from feeling isolated and the letters allowed her to connect with people across the country. Her eye sight was such that her daughter often had to read the letters to her, but it gave meaning to her life to be engaged with others and part of the ongoing pattern of life. If her condition allows, consider getting her out of bed and more integrated into life.
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Include her in your daily chores as much as you can and her condition permits. When you go to walmart, roll her or walk her to the common sitting area and let her watch people, cashiers, etc. while you go about your business. In other stores park close to the entrance and leave her in the car to watch people. Take her to your doctor appointments and allow her to sit with you in the room. Have her practice handwriting by copying things, like verses form a poem or the Bible, or a book.
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Zyprexa
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Ganapathirao: Bible scripture recitation seemed to comfort my late mother. And it was the only thing at night that calmed her. Any passage will do.
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If she resists antidepressants, ask the doctor to call them pain pills.
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Let me make a suggestion. I am 73 years old and lost my husband two years ago. I have been finding it difficult to adjust to realizing and accepting getting older and not being able to do all the things I use to do. Sometimes I feel very 'down' about it. Maybe some of these feelings are bothering your mom. She can no longer live the way she used to live...that's got to be a downer for her. Maybe try to take her out sometimes to visit friends or relatives...or to her church. She needs some bright moments in her day.
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Thank you very much all for your valuable suggestions and support. We will try our best to keep her comfortable as advised by you.
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Depression and strokes are both vascular concerns. Find a Naturopathic physician or herbalist in your area to potentially supplement her care.
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I had a brain tear in November 2015 during an exercise class offered through my work which resulted in a stroke and went I through rehab. My work terminated me and filed for disability on my behalf. I have found that I am getting depressed because on disability right now that it can be terminated if I try to work and I need some sort of income. I had a temporary job through an agency (with reduced responsibilities, I did accounting before this happened) and find that the stress was too much at this time ( it did not help when someone was murdered at a work location behind us and I was told it was unsafe to walk around the building at lunch time). This week (yesterday) I have reached out to some volunteer opportunities and I am waiting to hear back from them. I find myself impatience and just wanting a somewhat normal life and feel like that is not going to happen. Does it get better? Will a want to do anything social anymore?
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KimHop: You should really start a new thread. But since you posted: #1 This sounds like a worker's comp case to me, #2 why are you looking at volunteer jobs if you need income?
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Your mom could be depressed because of losing her independence. When one is used to coming and going as one pleases, it's very difficult to accept not being able to continue doing so. Try to take her out often or to see friends often. If her church has activities for Senior Citizens, help her participate in them as much as possible. Hopefully this will help her adjust.
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My mother also suffered depression after a stroke, including anxiety..We had a hard time convincing her to try meds but we were successful with Cyprexa, as mentioned above, starting with a low dose and increasing. If you could have here evaluated by a geratric psychiatrist, that would be the best....Also, as someone suggested, having the dr call them meds to relieve the pain since she is most certainly also in physical pain..good luck!
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Bear in mind MANY people do not SURVIVE a stroke. Count your lucky stars if your LO does!
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