ModuleDraft

Internist module: Post-stroke depression + cognitive screening (outpatient practice)

An internist workflow for screening and initial management of depression, anxiety, and cognitive impairment after stroke, with referral triggers and documentation templates.

ClinicianClinicianIntermediate25 minClinical (pro)

Educational only

Educational only — follow local behavioral health pathways and evidence-based screening tools.

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If suicidal ideation or acute safety concerns arise, activate urgent evaluation per local protocol.

Key takeaways

  • Implement brief, repeatable mood/cognition screening in follow-up visits
  • Recognize when symptoms threaten safety/adherence and require urgent referral
  • Coordinate with rehab, neurology, and behavioral health

Why it matters

  • Adherence
  • Rehab participation
  • Caregiver strain

Screening workflow

  • Mood
  • Cognition
  • Sleep
  • Safety

Referral triggers

  • Suicidality
  • Severe cognitive impairment
  • Caregiver burnout

Practice check

What you’ll practice

These questions are untimed. After you answer all of them, you’ll see your score and a clear next lesson or reference step.

0 of 2 answered

Question 1

1. Mood and cognitive symptoms can directly impact adherence and secondary prevention outcomes.

Question 2

2. A practical outpatient approach is to…

References

  1. Tier 1
    AHA/ASA Stroke Rehabilitation & Recovery Guideline (2016) (psychosocial recovery)
  2. Tier 4
    NIMH Depression overview (general)