getting back on track afterheart attack or surgery

cardiacblues

the ups and downs of emotional recovery

normal emotional reactions to a heart event

SHOCKYou may find it hard to believe that youhave a heart problem.

DENIALYou might find it hard to accept that this has happened to you.

WORRYYou may worry that you will never getback to your old self. You might befearful about dying.

GUILTYou may feel guilty about beingdependent or blame yourself for what has happened.

SADNESSYou may feel low and miserable, or your mood might be up and down.

ANGERYou may become frustrated andirritated about the changes in your life.

RELIEFYou may feel relieved or thankful thatyour heart disease has been diagnosedand treated.

Having a heart attack orheart surgerycan come as ahuge shockand canmake yourealise you’renot immortal.

‘A heart event is anemotional experience, not just a physical one.’

Many people experience changes inmood and emotions after a cardiacevent. Some people feel angry andirritable. Some feel sad and tearful. Some feel moody and ‘up and down’.

Some people worry about whetherthey will ever get ‘back to normal’.

When you leave hospital you may findyourself on an emotional rollercoaster.

These feelings are all common andnormal, especially in the first fewweeks or months.

These common emotional reactions can become a problem for some people. If you find that yourmood is not getting better over time, you mightbe experiencing depression.

Ongoing low mood means that you may be depressed.

If you get ‘stuck’ in these feelings orworries it is important to get help.

If you don’t get help, thesefeelings can last for a long time.

A heart event canbring unwelcomechanges.

the goodnews is...

For most people these worries and problemsgo away in the first few months after thecardiac event.

Usually within the first few months after a heart event you will start to get back toyour usual self and things will begin to get back to normal.

When do these feelings and symptoms become a problem?

Common symptoms that accompany theseemotions include:

Loss of interest in usual activities

Withdrawal from others

Getting tearful and crying easily

Being ‘short tempered’

Sleep problems

Change in appetite

Change in sex drive

Confusion and forgetfulness

Inability to concentrate

Bad dreams and nightmares

Worry about another heart event

Thoughts about death

BASIC FACTS ABOUT DEPRESSION

Depression in the general community:• Depression affects one in twenty people at

any one time • One in five people will experience depression

at some time over their lifetime

Depression amongst people who have had a heart event:• About one in five people go on to develop

depression after a cardiac event

These symptoms are profound and do not passquickly. Some people may have thoughts ofsuicide or self harm. If you are depressed, youneed to talk to your doctor about getting help.

Profound feeling of sadness most of the time.

Lack of interest or enjoyment in mostactivities, including activities you havepreviously enjoyed.

Features of depression

Depression includes:

Depression is different from the normalemotions that most people experience after a cardiac event.

Am I at risk of developing depression?

One in five people go on to develop depressionafter a heart event.

You are at increased risk of depression if:

you have had anxiety or depression in the past

you have no-one to talk to

you have been stressed at work or home

you have lost your job

you have financial worries

a loved one has died recently

you have recently divorced or separated

you regularly use cigarettes, drugs or alcohol

you have diabetes

you have other health problems

your mood is not getting better

If you think you are at risk, make anappointment to talk with your doctorabout depression.

W h er e ca n I get h el p?

L ifeline is a 24-hour confidential cris is supportservice T E L : 13 11 14 w w w.lifeline.or g.au

bey ondblue is the national depression initiative.w w w.bey ondblue.or g.au

Heart Foundation’s information service. T E L : 1300 36 27 87w w w.hear tfoundation.or g.au

Your local doctor can provide help and support.

Your local Community H ealth Centre has arange of services and programs that can help.

T o fi n d ou t m or e go t o:w w w.australianhearthealth.org.au

Be phy sically active even if y ou don’t feel lik e it

Spend time w ith people y ou lik e

A ttend a car diac rehabilitation pr ogram

Do things that y ou enjoy

Do things that y ou are good at

M ak e time for relaxation

Talk w ith y our doctor about how y ou feel

A sk for a refer ral to a psy chologist if needed

W h a t ca n I do t o pr even t a n d r edu ce depr essi on ?

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