Adjusting to stroke is not easy. You might have experienced some of the following emotions.
对于中风的心理调整并不容易。您可能会经历以下一些情感阶段。
Typical emotional stages that patients diagnosed with stroke undergo:
被诊断为中风的病人经历的典型情感阶段包括：
- Initial shock
When first diagnosed, it is not uncommon for patients to ask questions like “why me?” and “what is happening?” This should be seen as a normal reaction to a major illness.
- 起初的震惊
当第一次被诊断中风时，病人常常会问“为什么是我？”和“发生了什么事？”之类的问题。这应该被认为是对于一个重大疾病的正常反应。
2.Fear of the unknown
Very commonly, patients are fearful of both the short-term and long-term outlook and the effects of stroke on their lifestyle. This is also not uncommon.
- 对未知的恐惧
病人常常会害怕中风的短期和长期预后和中风对生活的影响，这是常见的现象。
- Denial
The reality of stroke is harsh. It may be difficult to absorb the full impact of the diagnosis. It is very common that in the initial stages, patients might deny what has happened. Time is thus needed for patients to come to terms with the illness.
- 否认
中风的现实是残酷的。让病人完全接受这个诊断的影响是困难的。在最初的阶段，病人常常否认已经发生的事情。因此，病人需要时间来接受这个疾病。
- Anger
Anger is a natural and predictable reaction to loss and an attempt to overcome it. It is a result of partially accepting the fact about the onset of a severe illness, the loss of functional ability, and the loss of significant roles. It may be displayed and randomly projected into the environment
It is important that the patient and his caregiver recognize that this is one of the common stages patients might experience.
If it is not properly addressed and handled, it may result in chronic anger. When the patient is unable to express anger at anyone, it might be turned inwards towards himself.
- 愤怒
愤怒是对损失和对抗损失的一个自然和可见的反应。这是对严重疾病的发生、身体功能的丧失、重要地位的丢失这些事实的部分接受。病人可能会随机地对周围的人或物表达愤怒。重要的一点是病人和他的照顾者能够认识到这是病人要经历的一个常见阶段。
如果处理不当，这可能会发展成慢性愤怒。当病人不能向外界表达他的愤怒时，他可能把愤怒转向自己。
- Stress and anxiety
Fear and anger about the stroke condition increase the patient’s emotional stress and raise his level of anxiety. This can cause a wide range of physical symptoms such as faster heart rate, increased blood pressure, headaches, muscle pains, loss of appetite etc
- 压力和焦虑
对于中风的恐惧和愤怒增加了病人的情绪压力和焦虑水平。这可能导致一系列躯体症状，包括心跳变快、血压增高、头痛、肌肉酸痛、食欲下降等。
- Depression
It is not uncommon for the patient to feel depressed and unhappy after a stroke. He mourns and grieves over what he has lost. He becomes more reserved, withdrawn, moody, teary, quick tempered or may even appear unreasonable. There are some stroke patients who cry easily due to emotional lability. This is a normal psychological reaction to a sudden severe illness.
- 抑郁
在中风之后， 病人常常会感到抑郁和不开心。病人会为他的损失忧伤。病人会变得更加保守、孤僻、情绪化、易流泪、易发脾气或是更加不可理喻。有些中风病人因为情绪的不稳定很容易就哭泣。这是对于突如其来的重大疾病的一个正常心理反应
- Bargaining phase
Simple everyday activities like walking, dressing, feeding might be major challenges for the stroke patients. It is not uncommon for patients to bargain with healthcare professionals and caregiver.
- 商议阶段
简单的日常活动（包括散步、穿衣、饮食）可能会成为中风病人的一大挑战。病人常常会和医疗专业人士和照料者进行商议。
- Acceptance
Acceptance would happen only when the patient has worked through the variius feelings involved (Stages 1 to 7) and has come to terms to the illness and has learnt how to cope.
- 接受
只要当病人经历了以上的7个情感阶段，病人才会接受这个疾病并学会如何应对这个疾病。
It is important for you to recognize these emotions and let your caregiver and doctor know how you are feeling during your routine follow-up appointments. Your doctor might provide you with the necessary counseling or refer you to other healthcare professionals to help you with the emotional distress that you are undergoing.
You could help yourself by setting appropriate goals. Work with your caregiver on this. Setting goals gives you something to strive for. Goals give you a sense of control and make you focus on what you want to achieve. Make plans for the future, for next week, for next year. Look beyond your treatment to what you want to do when you are well again.
It is important for you to recognize that the best way to get well from stroke is through the support and care by your loved ones, and jointly working together to improve every ability that remains.
Remember, you don’t have to face your problems all by yourself.
重要的一点是，您能认识这些情感阶段并告诉您的照顾者和医生您在常规随访中的心理感受。医生可能会提供必要的心理咨询或是让其他的医疗专家一起帮您解决您的情感苦恼。
您可以通过设定特定目标的方法帮助自己，这可能需要和您的照顾者共同努力。设定目标让您有了努力的方向。目标让您有了控制的感觉并能让你专注于您想要的东西。请为未来、下周和明年制定计划。请多想想在康复后您想要做什么事情。
重要的一点是，您要认识到康复的最好办法是通过亲人的支持和关心，以及共同努力提高每一项您尚存的能力。
请记住，您没有必要一个人面对您的问题。
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