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Trigger points for a GP referral to a psychologist

Stroke is a signficant factor for experiencing depression. Trigger points for referral may include:

New or recent diagnosis and indications of difficulty in adjusting to the diagnosis such as mood changes
No change in behaviour
Poor adherence to self-management strategies
Low, mood, elevated levels of anxiety and/or previous histry of mental health condition
Poor stress management
Difficulty accepting and integrating changes in self-concept or body image

Trigger points for a psychologist referral to a GP

Deteriorations in physical health and functioning, especially cognitive function
Extended time between medical reviews
Increasing symptom severity such as transient ischaemic attacks
Comorbid conditions such as diabetes, high blood pressure
Failure to respond to psychological therapy for mood disorder

Biophysical and/or neuropathy assessment to precede the intervenion
Ensure accurate knowledge and understanding of stroke symptoms and short/long term consequences
Help ensure expectations of treatment(s) and recovery prospects are realistic
Assist with goal setting that focuses on the factors that influence functioning
Provide strategies to address changes in cognitive and behavioural stress management
Provide evidence-based treatment for psychological disorders (e.g. mood, anxiety and eating disorders)
Assertiveness and problem solving training
Psychosocial support for partners and carers
Assist patient to adapt to changes in functioning (such as mobility, speech, cognitive) affecting social, work, sexual and family relationships to minimise loss of self-esteem and confidence