Coping with Depression Following a Heart Attack or Other Medical Emergency By Kara N Bradford, BS, LCDC, LMSW

If you have recently had a heart attack or other medical emergency, it is likely that you may be flooded by emotions. Think about it–you have survived a catastrophic medical event that some people survive but that many also do not. That’s a big deal. Experiencing feelings of depression are common after having a heart attack–the American Heart Association refers to it as ‘the cardiac blues’– and symptoms usually subside in a couple of weeks, but that does not mean that these feelings and emotions do not cause distress. There may not be a ‘the ______ blues’ for your lived medical emergency experience, but that does not minimize the impact it may have on your mental health. Though there is no evidence that directly links depression to heart disease or any other disease, it is interesting that many of the symptoms of depression are risk factors for these diseases; for example, isolation can fuel a sedentary lifestyle which can increase the risk of poor diet, overeating, and increased risk of substance abuse. All in all, it is difficult to say that a specific medical emergency–such as a heart attack–causes depression, but it is fair to say that it could exacerbate what may have already been present. 

So, you’re home from the hospital with specific orders of what can and cannot be done for a certain amount of time, you may have physical therapy beginning soon, you probably will not be released to drive or go back to work for a few weeks, and you are wondering…what now?

If you’re feeling alone, reach out to family and friends for support. Even if they are not nearby, just engaging in conversation over the phone or video chat can help with those feelings. If you don’t have family or friends that you feel like you can reach out to for support, there may be community groups that share your lived experience that may understand what you’re going through and be able to provide support. If there is not a group available in your community, there are so many online support groups that facilitate group meetings over numerous video chat softwares.

If you’re feeling depressed, there are self-coping strategies that can help with these feelings. Studies have shown that participating in things that decrease stress can also help decrease symptoms of depression; things such as exercise, a balanced diet and consistent eating patterns, and getting a good quality sleep. If some of those things seem impossible to focus on right now, think about some things that you have enjoyed in the past that relieve stress. Maybe reading is a place of comfort for you; go to your local library or purchase an ebook that sounds interesting to you. Have you thought about picking up a coloring book and some crayons, colored pencils, or markers, and spending some time coloring? There are studies that support the idea that coloring helps reduce stress. If the symptoms of depression linger on for more than 2 weeks and are causing significant distress to any areas of your life, reach out to your physician or a mental health professional for help. There are many ways to treat depression and you deserve to make the choice that is best for you. 

If you’re feeling anxious, know that this feeling is normal. Again, you have just experienced a catastrophic medical event that can leave you feeling vulnerable and fearful. You may have fear that you will experience the emergency again, which can cause anxiety and present with physical symptoms such as high pulse rate, hyperventilation, feeling ill, or feeling very hot or very cold, which can cause more anxiety. Feelings of anxiety can be triggered by feelings of stress or worry, so try things that are going to help you focus on what you’re feeling in the moment–not what could potentially happen. Practice grounding techniques that use your senses to keep you in the present moment to formulate a plan of action as far as coping. Again, if these feelings persist, there are multiple options available to treat them. Reach out to your physician or mental health professional for help. 


The therapists at Niyyah Counseling PLLCare prepared to help you navigate this time of feeling overwhelmed and uncomfortable. Our desire is to walk alongside you on your journey to recovery and support you in whatever that looks like for you. Many, if not all of us, are eclectic in our approach to therapy and believe it should be individualized to fit your needs.Reach out today!

Signs of Depression in Elderly People by Amanda Young, LCSW

Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. Fortunately, it is also treatable. Depression causes feelings of sadness and/or a loss of interest in activities you once enjoyed. It can lead to a variety of emotional and physical problems and can decrease your ability to function at work and at home.

Depression can affect anyone and it does not discriminate no matter what age, religion, socioeconomic class, ethnicity, race, or gender you identify with. There are several factors that can contribute to depression such as biochemistry, genetics, personality and environmental factors. 

Depression symptoms can range from mild to severe and co-occur with other medical conditions. It can be hard to identify depression in elderly but below are some symptoms that might be overlooked due to different changes in their health. The following list are common symptoms of depression: 

  • Feelings of sadness or having a depressed mood

  • Loss of interest or pleasure in activities once enjoyed

  • Changes in appetite — weight loss or gain unrelated to dieting

  • Trouble sleeping or sleeping too much

  • Loss of energy or increased fatigue

  • Increase in purposeless physical activity (e.g., inability to sit still, pacing, handwringing) or slowed movements or speech (these actions must be severe enough to be observable by others)

  • Feeling worthless or guilty

  • Difficulty thinking, concentrating or making decisions

  • Thoughts of death or suicide

In addition, seniors who suffer from depression signs are fatigue, experiences changes in sleeping or eating, sadness, anxiety, trouble focusing, physical illness and mood changes in addition to the signs listed above. The main two signs are social isolation and loneliness. Seniors can be triggered by losing their spouses, feeling alone or isolated, health issues, changes in where they live, life decisions and medication that they are taking for health related issues. If you or a loved one needs further help with understanding or dealing with depression please contact our team at Niyyah Counseling PLLC, and we will be more than happy to assist you.