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Post-stroke depression — DGM MCQ

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HardStroke and rehabilitationPost-stroke depressionDGM

An 88-year-old woman after stroke has low mood, poor sleep and disengagement from therapy. She denies wanting to die. PHQ-9 suggests moderate depression and there is no delirium or infection. What is the most appropriate management?

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Correct answer: BTreat post-stroke depression and adapt rehabilitation goals

Post-stroke depression is common and should be recognised and treated because it affects rehabilitation participation and quality of life. Slow progress should not be interpreted as futility without addressing mood, cognition and fatigue. Rehabilitation plans should flex around psychological as well as physical barriers.

Reference: NICE NG236; NICE NG222