How to get back to normal after a stroke. Depression after divorce: how to get back to normal
Divorce - contentment is often a way of solving intra-seed problems. Unable or willing to resolve the situation differently, the spouses separate and subsequently divorce.
If the problem that led to the divorce is truly destructive to living together, then a divorce is necessary. Such a destructive factor is the abuse of family members by one of the spouses, drug use, excessive alcohol addiction, criminal activity, and an immoral lifestyle. In such cases, dissolution of the marriage is liberation.
If the reason was not so complex reasons (for example, adultery in the form of chance without building a parallel family, dissatisfaction of relatives on the one hand with the other, material difficulties, poor living conditions, problems of child behavior, the birth of a seriously ill child), then divorce will aggravate the mental the state of the spouses.
The problem will not be solved and internally every ex-spouse will protest against the wrong step that was taken by them and led to the destruction of family life. In this case, protracted depression, deterioration of health, a noticeable decrease in working capacity are frequent, and outbursts of shocking behavior occur. How to get out of depression after a divorce?
Stages of the post-divorce period
Former spouses go through the same stages of the post-divorce period for all.
- Rejection... Divorce is rejected at the subconscious level. It seems like a dream, a joke, a mistake. - anything but reality. It seems that a little time will pass, the relationship will be restored, everything will return to normal, life with your spouse will improve.
- Negation... The understanding that a divorce is inevitable, which has come, results in a stream of threats, blackmail, manipulation aimed at the initiator of the divorce. Demonstrative suicide attempts are sometimes made.
- Spite... There is a desire to take revenge, to harm the ex-spouse. At this stage, prohibitions on communicating with children, spreading rumors, damage to property, causing physical pain when meeting begin.
- Cooperation... Most often, the reasons for cooperation are far-fetched: an imaginary pregnancy, a false illness - one's own or children, problems in everyday life. There are frequent attempts at demonstrative "arrangement of personal life", which almost always cause disappointment in new relationships.
- Oppression... If there is no result in restoring relations with the ex-spouse, a pre-depressive state begins. It is characterized by a sharp decline in self-esteem, self-doubt, depressed state of mind, emotional emptiness.
- Awareness... With a successful exit from depression, there comes a perception of oneself in a new way, liberation from lying down comes to restore an irreparable relationship, unhealthy attachment to the ex-spouse ends.
- Adaptation... A readiness for new relationships is formed, a positive attitude towards representatives of the opposite sex develops, resentment against the ex-spouse leaves.
Awareness of their new marital status - ex-spouse, divorced - and adaptation to it come only to those: who coped with depression after divorce.
Depression after divorce in women, due to their greater emotionality and immersion in the family, visits more often than men.
What is depression?
Depression after divorce is a mental disorder characterized by depressed state of mind, emotional instability, and deterioration in physical condition. Prolonged or deep depression requires medical attention and medication.
Psychology understands depression as an affective state with hypothymia (bad mood), inhibition of motor activity and asphyxiation of intellectual activity. The way out of it can be independent or with the help of a professional psychologist.
The symptoms of depression are varied.
- The first of them is little-understood and the most difficult to eliminate - constant reflections about the ex-spouse, building internal dialogues with them, trying to mentally imagine reconciliation and re-creation of the family. A person seems to be immersed in an artificially created world and can live like that for a long time. This is especially true for women.
- The second symptom is sleep disturbance, difficulty falling asleep, insomnia. At first, I don't want to sleep, but the body is depleted, nervous health worsens. It is typical for both women and men.
- The third is an eating disorder. There is no appetite at all or, on the contrary, it is excessively increased and the former spouse is trying to "seize" the bitterness of parting.
- Impairment of memory and attention is the fourth symptom. It is difficult to concentrate, concentrate, there is no interest in new information, it is almost impossible to work productively. It is more common in women.
- Somatic manifestations: headaches, frequent colds, chest pains, hyperkinesis (nervous tics), is the fifth symptom.
- The sixth is the inability to experience joy, pleasure; increased anxiety, feelings of fear, shame and guilt; secrecy and the desire to leave home.
How to get out of depression after a divorce? This state is prolonged, the person is immersed in it and does not see a way out. In these cases, the involvement of family and friends is essential.
To return to normal life after a divorce, you need to realize the need for this, admit that the current state is dangerous, and take the first step towards healing.
Treatments for depression are varied and are effective when used in combination.
- Lifestyle changes. With an effort of will, you need to stop thinking about the divorce that has taken place, to look for the culprit, to sort out the reasons in memory. A drastic change in some habits will allow you to quickly clear your mind of unnecessary and destructive thoughts. Playing sports, yoga, dancing, walking to work, visiting other shops will automatically change perception and affect the reformation of consciousness.
- Phytotherapy- An effective and tasty way to fight depression. Herbal teas with mint, lemon balm, primrose, chamomile soothe the nerves and strengthen the immune system.
- Aromatherapy- treatment with natural oils by inhalation, evaporation in aroma lamps, taking baths with them. For depression, oils of citrus and conifers, mint, rose, ylang-ylang, patchouli, geranium, sandalwood, jasmine, incense, lavender are shown.
- Melotherapy is considered a new treatment for depression. But in fact, it is a forgotten ancient way of treating mental disorder. Avicenna and Hippocrates believed that music makes a person stronger and healthier, cleanses the soul and strengthens the will. Sounds of nature and calm classical music are the right choice.
- Hippotherapy- a long-known direction of zoomedicine - "horse treatment". Horseback riding and grooming can calm your nerves and can be a great hobby and a chance to meet new people at the racetrack.
- Kanistherapy- Another promising health-improving direction of zoomedicine is “dog treatment”. Walking with the dog, playing with it, tactile contact softens the soul and soothes the nerves.
- Psychotherapy- a common and effective method. It is implemented by a psychotherapist and includes well-known and highly specialized techniques. The main thing is to turn to a psychotherapist - a person with a higher medical education, graduated from a university and received a diploma of a doctor's education, and not to a sorcerer, psychic, telepath, sorcerer and other pseudo-healers.
- Medication therapy carried out according to indications and under the supervision of a doctor. Uncontrolled drug use can seriously harm mental and physical health and then additional problems will be added to depression.
A stroke is always an unexpected blow that divides life into "before" and "after". People who have suffered a stroke lose the opportunity to work and live as they did for many months and even years. But this does not mean that their position is hopeless. There are many known cases when those who survived a stroke fully recovered and returned to their normal life. Of course, you will have to work hard to recover from a stroke. But today there are many effective methods of rehabilitation. Timely rehabilitation therapy, support from loved ones and self-confidence can restore health and minimize the damage caused by a stroke. Stroke and its consequences Stroke is a violation of blood circulation in one of the vessels that feed the brain. An area of brain tissue deprived of oxygen is damaged and, in the most severe cases, dies. An ischemic stroke, during which an artery is blocked, is not as dangerous as a hemorrhagic stroke, in which a vessel breaks and a cerebral hemorrhage occurs. Ischemic strokes account for 70-85% of cases, and this is, so to speak, good news. Rehabilitation after ischemic stroke is easier and faster. The consequences of a stroke can be very different - it all depends on in which part of the brain the accident occurred. Most often, after a stroke, weakness develops in an arm or leg, up to paralysis. Loss of strength in the limbs can be accompanied by decreased sensitivity, dizziness, impaired speech, memory, orientation in space and vision. In severe cases, a patient who has suffered a stroke becomes as helpless as a newborn child. He will have to re-learn to walk, talk, move, do the simplest work. And the sooner this training begins, the better the results will be and the faster a person can return to their usual way of life. Stroke recovery: when to start? Rehabilitation after a stroke should begin in the very first days after a stroke, while still in a hospital. The first priority is to get the brain cells to work and take over the functions of the affected cells. The simplest and most effective way to "stimulate" the work of nerve cells is therapeutic massage. At first, this is a gentle rubbing and kneading, then you can move on to more intense massage and electrical stimulation techniques. Many people lose their ability to move after a stroke. But strict bed rest is contraindicated for those who have suffered a stroke! The most common complications of stroke - bedsores and pneumonia - are caused by immobility. Therapeutic exercises are of great importance for recovery from a stroke. There is no need to invent anything - exercises for those who have suffered a stroke have been developed for a long time and give excellent results. It all starts with passive gymnastics, then, as the condition improves, the patient moves to the active level of training. The load should build up gradually. These exercises will help you first learn to feel your body again, and then - and control it. If the ability to speak has suffered as a result of a stroke, then the patient will need classes with a speech therapist and neuropsychologist. They also need to be started as early as possible, while still in the hospital. The task of the first stage of rehabilitation is to restore the victim's ability to move independently and to take care of himself. Rehabilitation therapy in the first weeks after a stroke is also important because it gives the patient the right mindset. It was noticed that those who did not perform the necessary exercises immediately after the impact, later got used to depend on loved ones, and, considering their illness incurable, did not show the desire to work on themselves, thereby greatly inhibiting the healing process. Rehabilitation after discharge After 3-4 weeks, most stroke patients return home from the hospital. Moreover, with proper restorative therapy, about 80% of patients may well leave the ward on their own, even if relying on a cane. The worst is over, but from this moment on, a person will have a long period of rehabilitation, at the end of which he can fully regain his health and well-being. To achieve the greatest effect, rehabilitation is best carried out in special centers. The point is that recovery from a stroke must be comprehensive. At home, a person will be looked after by relatives who are loving, but poorly oriented in medicine. The help that they can provide to the patient is not enough. But for a speedy recovery, you need to follow a lot of rules. A patient after a stroke must perform special exercises every day, engage with a speech therapist, and adhere to a special diet. A person who, before the trouble happened to him, was active, lived a full life and made all the decisions himself, experiences helplessness very hard. Because of this, many fall into depression and apathy. The future seems hopeless to them. In this case, the help of a professional psychologist is needed. Sometimes physiotherapeutic procedures are also needed, which cannot be carried out in a domestic environment. In addition, the patient should be under the supervision of a doctor, as there is always a risk of a second stroke. It is very difficult to provide all these conditions at home. But specialized rehabilitation centers have the necessary equipment and highly qualified specialists. Staying in such a center is healthier and safer than trying to recover at home.
For three years, the Americans observed 5666 people and found out that sleeping less than six hours a day is powerful. For a while, the body copes with stress, then weakens, hypertension, atrial pathologies and, as a result, a stroke occur. And the British doctors have already figured out how to save people. It turned out that the brain is protected from the consequences of a stroke with the help of the protein hamartin. It allows neurons to receive oxygen and live for several tens of minutes, although most of the nerve cells in the brain die immediately.
Scientists want to create a medicine that protects cells as well as gamartin - then you can fully recover from the disease. Our doctors believe that this is still a distant future. However, already today, patients after a stroke can be helped.
How to raise a person to his feet and maintain his health as much as possible? By Maxim Domashenko, Ph.D., senior researcher of the 2nd neurological department of the Federal State Budgetary Institution "Scientific Center of Neurology" of the Russian Academy of Medical Sciences.
Four hours of life
"AiF": - Maksim Alekseevich, what achievements in the treatment of stroke is used by Russian medicine?
M.D .:- A colossal breakthrough in modern vascular neurology is that a patient who was taken to the hospital on time (when no more than 4.5 hours have passed since the first manifestations of a stroke) can be helped with thrombolytic therapy. The patient is injected in the hospital with a drug that restores blood flow in the blocked vessels. In this case, more than 60% of people (versus the previously existing 20%) recover. Unfortunately, 10% of patients in Europe manage to get into this time "window", in Russia - about 2%. But this figure can really be raised if you call an ambulance in time (see "Cut and save"). If more than 6 hours have passed after a stroke, unfortunately, it is not always possible to achieve significant results. The second point is the achievements in the field of neurorehabilitation. Robotic means dozens of times increase the effectiveness of the work of a physiotherapy instructor. All these achievements are successfully applied here, in the clinic of the Scientific Center of Neurology of the Russian Academy of Medical Sciences.
"AiF": - What kind of help from the state can a patient count on after a stroke?
M.D .:- A person is obliged to be under the supervision of a therapist and neurologist from the polyclinic at the place of residence for life. There is an approved list of essential drugs, according to which drugs are received free of charge.
Ideally, a social worker is assigned to the patient as needed. A physiotherapy specialist and speech therapist should come once a week. But, unfortunately, in our country the situation with post-stroke rehabilitation at home is far from ideal.
The main thing is communication
"AiF": - How should relatives behave at home in order to help a person get out of bed as soon as possible?
M.D .:- The more relatives are engaged in rehabilitation - preferably 2-3 hours a day - the higher the likelihood that a person will get out of bed. If the work goes on constantly, then you can achieve serious success: re-teach how to walk, speak.
If the left hemisphere is affected, the person does not speak, does not understand the speech addressed to him. If the right - the patient may be apathetic or overly active, quick-tempered. A leg or arm is often paralyzed.
If the degree of damage is medium (in half of the cases), then the patient moves in a wheelchair with a stick. Swallowing disorder is possible. In terms of caring for severe (bedridden) patients, the prevention of bedsores is important: turns every two hours, treatment of the body in the morning and evening with camphor alcohol or special agents. Twice a day - treatment of the oral cavity, for example, with a solution of chamomile. Put the person down, put it down, if possible. Passive gymnastics of paralyzed arms and legs is necessary (flexion-extension with the help of relatives, etc.) so that blood does not stagnate and there are no complications.
And it is very important to support the patient emotionally so that he does not feel flawed: discuss the news, take it outside, invite guests, read books, communicate.
How to tell if a person has a stroke
There is such a rule: in English it sounds like FAST (FAST), which helps to understand that you need to call doctors.
F is face, face. Stroke is indicated by its asymmetry. Ask the person to smile. If the smile is uneven, it is a danger sign.
A is arm. Numbness, limitation of movement of an arm or leg on one side.
S is speech, speech. Slurred speech, her misunderstanding.
T - it's time, time. If the above signs appear abruptly, you need to immediately call an ambulance. Doctors should immediately take the patient to hospitalization in a specialized institution.
What medications * need to be taken after a stroke
1st group: Drugs that reduce blood pressure (antihypertensive). They prevent the increase in pressure, keep it normal. Let small doses, but everyone needs to take them! Proven: it reduces.
2nd group: Medicines that thin the blood (antiplatelet agents or anticoagulants). Necessary for those who have had an ischemic stroke. Depending on the cause of the stroke (atherosclerosis, arterial hypertension, atrial fibrillation, etc.), antiplatelet agents or anticoagulants are prescribed. A third of patients with stroke have atrial fibrillation: blood clots form in the heart cavity, and, flying off, they clog the vessels of the brain. Then oral anticoagulants are prescribed. The new generation of these drugs (based on direct thrombin inhibitors) protects against recurrent stroke. The doctor prescribes the same medications for patients with atrial fibrillation to prevent the first stroke.
Group 3: Drugs that normalize blood cholesterol levels (lipid-lowering). They are necessary for a certain category of patients after an ischemic stroke.
4 group: Antidiabetic drugs. Prescribed to patients who have diabetes mellitus.
* Doses, names, regimen of taking all medications for each patient should be different, depending on concomitant diseases.