Mary’s score on the mood screening tool indicates a possible mood disorder. RCP (2016) and SIGNÔÇ»118 (2010) guidelines state that post-stroke depression can be treated with antidepressants, although RCP (2016) recommend that brief psychological interventions are considered first.
It is decided that the most appropriate person to speak to Mary at this point is the stroke physician, Dr Smith.
Clinical psychologist
Clinical psychologists work with people of all ages who experience mental or physical health problems such as depression, anxiety, adjustment to physical or neurological illness, personal or relationship problems. Some specialise in neuropsychology such as stroke and assess damage to the brain on psychological processes and behaviour. Most but not all Stroke Managed Clinical Networks (MCNs) in Scotland have access to stroke specialist clinical psychologists, but these are often a limited resource and you should contact your local clinical psychology service to find out more.
Psychiatrist
A psychiatrist is a medically trained doctor who specializes in the diagnosis, treatment and prevention of mental health disorders. Psychiatrists can prescribe medication to help alleviate symptoms. Few Stroke Managed Clinical Networks (MCNs) have access to neuropsychiatrists (specialises in neurological problems) and generally psychiatry involvement comes from either hospital liaison psychiatry or local sector psychiatrists. Check with local services for specific referral criteria.
Appropriately trained stroke physician
An understanding of emotional disorders should be an integral part of the training and ongoing continuing professional development of any trained stroke physician. Senior medical staff often assess and initiate treatment for emotional distress.
Page last reviewed: 24 Feb 2020
