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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.

This online course is approved for APA CE credit, NBCC CE clock hours, ASWB Clinical CE clock hours, and NYSED CE credit.


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.