• ASHWIN SHIBU
• MEERA S
• ANUJA V GOPAL
• Dr PRASOBH G R
• Dr. GRACE N RAJU

Abstract: Depression is one of the most common psychiatric manifestations in post-stroke patients. It affects approximately one third of all stroke survivors and is often undetected, undiagnosed, untreated or undertreated. These unsatisfactory situations are due to assessment complexities of mood disorders in disabled patients and patients with medical co-morbidities. Post-stroke depression (PSD) hampers rehabilitation and negatively alters the outcome of the therapy. The etiology of depression in post-stroke patients is complex and multi-factorial in origin. Family history or previous history of any depressive disorder distinctly makes them prone to be affected by depression. Depression followed by stroke is characterized by vegetative signs and symptoms and less likely to include dysphoria. Due to vague symptoms of depression that emerge as signs and symptoms of stroke, diagnosis of depression in elderly stroke patients is more challenging. Antidepressants are not generally used for mild depression because the balance of risk and benefit is not satisfactory in elderly stroke patients. Selective serotonin reuptake inhibitors (SSRI’s) are used as the first line treatment for PSD in elderly patients. SSRI’s has a lower potential for drug interaction and development of side effects whereas interactions and side effects are common for tricyclic antidepressants. Now stimulant medications have emerged to be a new promising therapeutic intervention for PSD. Other treatment methods like cognitive behavioural therapy and electroconvulsive therapy are also indicated for severe refractory PSD.

"Management of post-stroke depression in elderly", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.9, Issue 7, page no.c441-c451, July-2022, Available :http://www.jetir.org/papers/JETIR2207256.pdf

"Management of post-stroke depression in elderly", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.9, Issue 7, page no. ppc441-c451, July-2022, Available at : http://www.jetir.org/papers/JETIR2207256.pdf