Encore Rehabilitation-Columbiana was delighted to assist Anna Smith with her recovery from an ankle break. Physical Therapist Suzanne Jarvis says, “It was a pleasure getting to work with Anna. Her ankle isn’t hurting anymore and she has resumed all her normal activities. She was a great patient!”
Anna and her family chose Encore based on excellent referrals from friends.
Thank you, Anna, for choosing Encore Rehabilitation-Columbiana! We wish you all the best!
Encore Rehabilitation – Columbiana
101 West College Street, Suite 100
Columbiana, AL 35051
Debbie Richards (left) with Marla Kizzire, PTA at Encore Rehabilitation-Fayette
When Debbie Richards first came to Encore Rehabilitation-Fayette, she had very limited use of her shoulder due to a fractured humerus. Physical Therapist Assistant Marla Kizzire says, “Debbie worked super hard. Now she has full function of her arm again. I’m excited and happy for her!” Debbie is excited, too, because now she is able to go visit her grandson again. We wish you all the best, Debbie!
“I became a Physical Therapist Assistant for one reason and that was to help people. When I was 15 years old, my mother and I were in a bad motor vehicle accident which broke her neck and crushed her right ankle. After seeing what she went through and the importance of physical therapy in her recovery, I knew I wanted to help others like my mother.”
Chantry received his Physical Therapist Assistant degree from Wallace State Community College and has been a clinician for six years. He has worked for Encore Rehabilitation for one year, treating patients at the Encore Rehabilitation offices in Haleyville and Russellville. Chantry is also a Certified Personal Trainer.
Chantry continues, “I love seeing people thrive and meet new people. I have developed some good friendships that stand to this day. I was a sports fanatic and so I love to see athletes get back to what they love to do and have success. I believe all of us therapists desire to make a difference.”
Dealing with a flood of emotions can be hard for stroke survivors. Some emotions are normal responses to the changes in your life after stroke. Others are common but should not be considered a normal part of stroke recovery. If you suffer from depression, anxiety or emotions that are not in line with the occasion, seek help.
Dealing with Depression
Grieving for what you have lost is good for you. But when sadness turns to depression, it’s time to act. Depression can take hold right after a stroke, during rehabilitation (rehab) or after you go home. It can be – but not always – caused by brain damage from the stroke. Mild or major, it is the most common emotional problem faced by survivors.
Your treatment may include counseling, medicine or both.
Depression symptoms include:
Feeling sad or “empty” most of the time
Loss of interest or pleasure in ordinary activities
Fatigue or feeling “slowed down”
Sudden trouble sleeping or oversleeping
Sudden loss of appetite or weight gain
Being unable to concentrate, remember or make decisions like you used to
Feeling worthless or helpless
Feelings of guilt
Ongoing thoughts of death or suicide, suicide planning or attempts
A sudden change in how easily you are annoyed Crying all the time
Some useful tips:
Make the most of rehab; the more you recover, the better you will feel
Spend time with family and friends
Maintain your quality of life by staying active and doing things you enjoy
Seek help soon after you note symptom
Having Extreme Anxiety
Anxiety is an overwhelming sense of worry or fear. It can include increased sweating or heart rate. Among stroke survivors, feelings of anxiety are common. Often, stroke survivors suffer from both depression and anxiety at the same time.
Anxiety can affect rehab progress, daily living, relationships and quality of life. So, be sure to seek help right away.
Anxiety symptoms include:
Ongoing worrying, fear, restlessness and irritability that don’t seem to let up
Feeling panicky and out of breath
Scary rapid heart beat
Feeling sick to your stomach
Again, treatment may include counseling, medicine or both.
Do you find yourself laughing or crying at all the wrong times? If so, you may suffer from Pseudobulbar Affect (PBA). Also called emotional incontinence or pathologic lability, PBA is a common medical problem among stroke survivors. It can cause you to laugh at a funeral or cry at a comedy club. It can even make you cry uncontrollably for little or no reason. For this, it is often confused with depression. But, PBA is not depression.
People with PBA are unable to control their emotional expressions the way they used to. When this happens in social settings, they feel embarrassed, frustrated and angry. They also sense that others are uneasy. They may avoid work, public places and family get-togethers. This can lead to feelings of fear, shame and isolation.
There is no treatment approved by the Federal Drug Administration (FDA) for PBA, though antidepressant drugs can help.
These things may help you cope with PBA:
Be open about it. Warn people that you cannot always control your emotions.
Explain that the emotions you show on the outside don’t always reflect how you feel on the inside.
Distract yourself. If you feel an outburst coming on, focus on something boring or unrelated. Try counting the number of items on a shelf.
Note the posture you take when crying. When you think you are about to cry, change your posture.
Breathe in and out slowly until you are in control.
Relax your forehead, shoulders and other muscles that tense up when crying.
What Can Help
Ask your doctor about emotional changes and symptoms early on.
Ask your family to stimulate your interest in people and social activities.
Stay as active as possible and stay involved in your hobbies.
Set goals and measure accomplishment.
Plan daily activities to provide structure and sense of purpose.
Stay involved with people, thoughts and activities that you enjoy.
Get information on stroke recovery from National Stroke Association. Visit http://www.stroke.org or call 1- 800-STROKES (1-800-787- 6537).
Contact your local stroke association. Join a stroke support group. Other survivors will understand your issues, and offer support and ideas to help you manage your emotions.
Speak openly and honestly to your caregivers about your emotional changes. They’ll be glad you did, and together you can work out a solution.
Psychologists, psychiatrists and other mental health professionals experienced with stroke-related emotional disorders.
Rehabilitation is a lifetime commitment and an important part of recovering from a stroke. Through rehabilitation, you relearn basic skills such as talking, eating, dressing and walking. Rehabilitation can also improve your strength, flexibility and endurance. The goal is to regain as much independence as possible.
Remember to ask your doctor, “Where am I on my stroke recovery journey?