Charleston is buzzing with hope as a new initiative promises to change the lives of stroke survivors across South Carolina. With an increasing number of stroke cases in the state, the emotional tolls of recovery have often been overlooked. This innovative program, developed by the Medical University of South Carolina (MUSC) with a grant from The Duke Endowment, aims to tackle that very issue.
Stroke is a serious health challenge; it affects more than 795,000 people annually in the U.S. and leads to severe disabilities that can limit a person’s mobility by half for those aged 65 and older. In South Carolina, this grim reality puts a spotlight on the need for holistic treatment plans, especially concerning mental health. Recent studies show that half of stroke survivors experience anxiety, and a significant number develop depression.
As Ann Schwanke, an 84-year-old woman from James Island shared, “After my stroke, I felt down. I kept asking myself, ‘Why me?'” However, her outlook began to shift after she began her therapy sessions at Roper Rehabilitation Services, where she found support in both physical and emotional realms. “They helped me with my depression,” Schwanke said, reflecting on her journey as she worked diligently on a stationary bike.
This new initiative not only focuses on traditional rehab techniques like physical and occupational therapy but also incorporates cognitive behavioral therapy, which is a type of talk therapy that aims to help patients manage their emotions and improve their mental health. The goal? To create an emotional support network that aligns with existing rehabilitation services.
With funding amounting to $900,000, Michelle Woodbury, a professor at MUSC and a co-principal investigator on the grant, is leading efforts to develop this comprehensive support program. “We’re flipping the script,” Woodbury explained. “Instead of just addressing physical capabilities, we’ll prioritize emotional well-being.” This approach has the potential to significantly improve recovery outcomes by addressing the mind alongside the body.
One of the standout features of this initiative is its commitment to reach underserved areas through a statewide telerehabilitation network. This network will be particularly beneficial for patients in rural regions where access to mental health services is limited. Through innovative technology, therapists can connect virtually with patients to provide essential emotional support right where it’s needed the most.
As Lisa McTeague, co-principal investigator, emphasizes, “We want to ensure everyone has access to not just physical recovery, but emotional recovery as well, regardless of where they live.”
So, how will this program work? Techniques like behavioral activation will be foundational. Setting small, achievable goals within physical therapy can boost a patient’s mood — for example, working towards walking a particular distance or cooking a meal. “Feeling a sense of accomplishment can be incredibly uplifting,” remarked Woodbury.
Jerry Hurst, an occupational therapist at Roper, echoed this sentiment. “If we focus on past limitations, moving forward can feel daunting. We want patients to see how far they’ve come,” he said. His team’s strategy includes not only physical exercises but also discussions centered on emotional progress, creating an uplifting environment for recovery.
As the program gears up to launch this October, many are hopeful for its success. With current research indicating that untreated emotional struggles can hinder recovery, this initiative comes at a critical time. Collaborating with organizations like Stroke Onward, which focuses on rebuilding identities and lives post-stroke, ensures a supportive community for patients navigating these challenges.
For many, recovery is more than just a physical battle; it’s about finding a way to regain the joys and activities that once defined them, a sentiment that Schwanke knows all too well. “I couldn’t walk when I started here; I was in a wheelchair,” she recounted. Today, thanks to the support of her therapists, she’s amazed at her progress. “It’s been unbelievable what they’ve done for me.” With initiatives like these, recovery is not just tangible — it’s promising.
While the journey ahead may be long, the integration of emotional and mental health into stroke recovery programs in Charleston and beyond can reshape— and in many cases, save— lives.
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