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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anxiety And Sleeplessness After Treating A Brain Stroke?

My mom is 90 in January, she had a rig brain stroke sept 1 of this year.She is home with hospice care.She has much trouble relaxing & is very anxious & scared all the time, scared to be alone. She needs something to relax and sleep. I have the usual comfort care kit but nothing seems to work well enough. Any suggestions?Thank you so much, Catherine ; devoted daughter & caregiver
Mon, 28 Jan 2019
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Neurologist,  's  Response
Hello,

Depression and anxiety are common phenomena after a stroke. Age and previous cognitive decline may contribute as well, accelerated by the stroke.

I would suggest discussing with the doctor the possibility of initiating antianxiety medication.

After a stroke and at that age SSRI antidepressants like citalopram would be the preferred choice due to low risk of side effects although should know that their effect may need a few weeks to take place.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Olsi Taka, Neurologist
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What Causes Anxiety And Sleeplessness After Treating A Brain Stroke?

Hello, Depression and anxiety are common phenomena after a stroke. Age and previous cognitive decline may contribute as well, accelerated by the stroke. I would suggest discussing with the doctor the possibility of initiating antianxiety medication. After a stroke and at that age SSRI antidepressants like citalopram would be the preferred choice due to low risk of side effects although should know that their effect may need a few weeks to take place. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olsi Taka, Neurologist