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Health Forum Online    The Psychologist's Source for C.E. Credits Online

Emotional Changes After Stroke: Facilitating Adjustment to Involuntary Emotional Expressive Disorder and Other Psychological Sequelae

by Paula Finestone, PhD 3 CE Credits

Stroke is an acute medical event with long-term physical, cognitive,and psychological impact on the patient and the family system. Current treatment for stroke includes medical stabilization and some level of physical rehabilitation. However, the cognitive-affective deficits resulting from stroke can be devastating to patients (i.e., Involuntary Emotional Expressive Disorder [IEED]) and caregivers as well. With present trends in reimbursement shifting the greater part of the recuperation process away from the hospital setting and into the community, primary providers including psychologists and other allied health professionals, are playing a greater role in patients' recovery. Effective treatment of the psychological consequences of stroke can maximize a patient's gains, improve quality of life, facilitate a productive lifestyle, and reduce excess healthcare utilization.

This course reviews the prevalence, etiology, and consequences of stroke. Emotional sequelae of stroke for the patient and caregiver are discussed, with a focus on depressive and pseudodepressive disorders. Evidence-based assessment of post-stroke psychological disorders is presented. Current treatment trends and directions for future intervention research are reviewed.


Continuing education for this online course is offered through the following approvals:


  • HealthForum is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. HealthForum maintains responsibility for this program and its content.
  • HealthForum (ACE Provider #1156) is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) Program. HealthForum maintains responsibility for the program. ASWB Approval Period: (6/20/2017 to 6/20/2020). Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 3 Clinical continuing education clock hours.
  • HealthForumOnline, LLC, SW CPE is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #0355
  • HealthForum has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6216.  Programs that do not qualify for NBCC credit are clearly identified. HealthForum is solely responsible for all aspects of the programs.


Course Sections/Outline:

  • Introduction
  • Prevalence and Etiology
  • The Impact of Stroke on the Individual
  • What Are the Psychiatric Consequences of Stroke?
  • Depression Post-Stroke
  • Consequences of Post-Stroke Depression
  • Treating Depression Among Stroke Patients
  • Involuntary Emotional Expression Disorder: A Pseudodepressive Phenomenon
  • Distinguishing IEED from Depression
  • Treating IEED among Post-Stroke Patients
  • Less Common Psychological Conditions Post-Stroke
  • Conclusion
  • Web Resources
  • References

Learning Objectives:

After completing this course, health professionals will be able to:
  • Distinguish between post-stroke depression and Involuntary Emotional Expressive Disorder [IEED].
  • Recognize at least 5 risk factors associated with the development of depression and/or IEED post-stroke, including the bidirectional relationship.
  • Identify at least 4 theory- and evidence-based techniques than can assist patients in self-regulating endogenous mood changes and how these strategies can be integrated into the medical management of these patients.