How to Handle Anxiety After Blood Clots

I’m frequently asked, “does the anxiety after blood clots ever go away?” My answer is, “usually it gets better, but it takes time – sometimes it takes a long time.” Health-related anxiety after a blood clot is something that many people experience, and it is something that I have dealt with – and still deal with – six years after a DVT and PE changed my life forever. While I still face anxiety from time to time, it does not completely rule my life. That is what I hope for you too, and that is what I mean when I say, “it does get better in time.”

A blood clot in my lung is one of the scariest things I have ever experienced. If you’re feeling that too, you’re not alone. The anxiety I felt after my blood clot was debilitating, and healing from it was just as hard as – if not harder than – healing from the physical problems I faced. For me, the anxiety would start with a small ripple, just the smallest thought thrown into the pool of my mind, like a stone: What if that tight muscle isn’t just a tight muscle? The stone would sink, and the ripples would spread out: What if it’s a blood clot? I think it hurts to put pressure on my leg. Farther and farther: I’m not sure if I can breathe. I must have a blood clot. I can’t go through this pain again. I won’t survive this one. My thoughts would escalate until there was nothing else on my mind, except what might be wrong with me.

No one doubted that I believed I had a reason to be afraid, but no one in my personal life really understood what I was going through. On the outside, I looked fine. My initial days, weeks and months after my blood clot were filled with frantic phone calls to my doctor – and his nursing staff – to ask about a current pain, feeling, sign or symptom of something that was, without doubt, going to be the end of me. My doctor was supportive and listened to my concerns. He told me I was normal for being worried. He usually instructed me in one of three ways: Watch something for a progression of symptoms and call back, make an appointment to come see him as soon as possible, or head to the ER to get checked out. I have done them all. Through this (repeated) process, I have since learned what I can watch myself, when I need to make a phone call, or when I need to go to the hospital.

It has been six years since my blood clots, and I don’t focus on the fear from day to day anymore. It took me a long time to heal, though, and it wasn’t always easy. While I was recovering, I spent months and months wondering if my health would improve, or if something else would happen that would leave me with more problems, or worse yet, dead. Living with antiphospholipid syndrome – or APS, which is the autoimmune clotting disorder responsible for blood clots – makes it hard for me to go back to the way I was. APS could progress, or create more serious problems, such as problems with my organs or stroke, so I can’t ignore changes in my health. Taking warfarin – an anticoagulant to prevent future blood clots – has changed my life in several significant ways. I get my blood tested regularly, and I take some extra precautions – like calling my doctor – if I hurt myself or notice anything unusual, such as bleeding or bruising when or where I shouldn’t be bleeding or bruising.

Even though my daily life is not consumed by “what ifs” with regard to my health, there are times when it still gets to me, and there are times when my anxiety still takes over. I have always been an anxious person, especially about my health, but my blood clot experience – and my APS diagnosis – has added another layer to my anxiety. When I was a child, I always thought I would have the “worst-case scenario” disease or injury, when in reality, I was a pretty healthy child (except for an underactive thyroid). When the worst-case scenario did happen to me – a life-threatening blood clot at just 29 years old and diagnosis of a disease that no one had ever heard of (or that no one could pronounce) – it seemed that all of my childhood fears had come true.

Sometimes these deeply embedded fears, combined with what I went through with my blood clots, get the best of me. Last Monday, I woke up with a pain in my stomach that felt a little bit like bloating, but it wouldn’t go away. It lasted two days, during which time I convinced myself it was massive internal bleeding. So, I had my INR checked and found out it was within my normal range. Given that I had no other symptoms besides pain, I made an appointment with my primary care physician who ran some tests and concluded that it was one of two things: indigestion or the start of my menstrual cycle. The latter proved to be true – within hours of leaving my doctor’s office – and I felt relief from my stomach pain. I relaxed, confident that I had talked to my doctor and everything pointed to my period.

The next day, I had a strange sensation in my head and some weird anomalies in my vision, which worried me. Vision changes can be a concern for people on certain medications and for people with APS. I believe I experienced on ocular migraine, which the Internet said (thank you, Internet) could be a result of disrupted blood flow in the brain. I panicked – and ran with blurred vision – to tell my husband. In my heightened state of fear, I managed to trip and fall halfway down the staircase, twisting my ankle and banging my back on the bottom step. Now, I knew I was bleeding internally and would need ankle surgery too.

I wasn’t bleeding – thankfully – and my ankle pain resolved after ice and rest. I decided to live out the week – and maybe the rest of the year – in a bubble. In all seriousness, though, I am concerned about what happened with my vision, and wondering about it sent my anxiety into overdrive. An appointment with my eye doctor didn’t reveal any immediate problems, but we’re keeping an eye on my symptoms.

I know, though, that I will be okay. What I have learned since my blood clots is that healing is a process – and it is something that I constantly work to obtain. My healing wasn’t linear, it didn’t happen overnight. I didn’t heal in all aspects of my life all at once. My journey to healing was filled with twists and turns, ups and downs, and bumps in the road. At times, I would take three steps forward and eight steps back to a place where I had just come from. It took me years to repair my physical health, my financial health, my self-esteem, and my relationships. I am still working on healing my emotional health.

Over the years – and since I have gained some distance from the time when my blood clot happened – I have learned a few simple things that have helped me deal with anxiety after blood clots. Ignoring it was not helpful. Wishing it would go away – and not doing anything about it – was not helpful. Telling myself to suck it up – and get over it – was not helpful.

Here is how to handle your health-related anxiety after a blood clot:
Trust yourself – and be kind to yourself.

If you think something is wrong – or different – you’re probably right. Give yourself some credit after everything you have been through. If you have a question or a concern – whether physical or emotional – allow yourself to feel that. Your body has a way of telling you when something is wrong. Honor that relationship and get it checked out.

Talk to your doctor.

Your doctor should be your number one go-to when you have a concern about your health. No matter how small – or big – you think your concern is, communicate with your healthcare team. Sometimes, even the smallest symptom or problem might be a sign of something serious. Or, it may turn out to be something insignificant, but at least you know. You have to nurture your physical and emotional health. There is no sense in worrying about something, if you can get it checked out instead. Take your trust in your body’s signals and contact a medical professional to help you figure out what may – or may not – be going on. Both outcomes are okay!

Keep a journal or log of your symptoms.

I love journaling a lot of different aspects of my life – work tasks, travels, stories, blog posts, recipes – so this comes easy to me. If journaling doesn’t come easy for you, that’s okay. Start by getting a notebook – or the notepad on your phone – and just make a list of what is happening to you. If you have a question or a concern, write it down. Write the date, what occurred, how long it lasted, how you felt, and what you did about it. This is helpful because when your doctor asks if anything is new, you have it all right there in front of you. If you make an appointment to see your doctor for an issue, your doctor will ask for details. Be prepared ahead of time and pull out your notes.

Seek help for the emotional aspect of recovery.

Sometimes, we can’t do it all alone, even if we try. Often times, people wouldn’t find it unusual to contact a physical therapist for help with movement and motion after surgery, for example, but they are afraid to contact a counselor or psychologist for help with emotional healing. Do not be afraid. Just like our bodies, our minds may need help to heal. You would never expect to heal physically from a blood clot without medical intervention from a doctor. Equally, if you are struggling on your own, you should not expect to heal emotionally without assistance from a professional. If you need help, talk to your doctor. He or she can direct you to these services.

Have patience with the process.

I was not patient during my recovery from blood clots. Looking back, though, I can see that time was perhaps the most critical factor in my recovery. It took time to heal physically – and it is taking time to heal emotionally. There was nothing I could have done to speed it along. Blood clots are life-changing and traumatic for many people. Trauma is not healed in a day, a week, or even a month or two. It can take a very long time to heal. It is so hard to be patient when you want to desperately to feel better, but sometimes, time is what it takes to get to where you want to be. Your body – and your mind – have been through a lot. Allow them to take the time they need to heal.

Don’t forget, it’s important to talk to people who understand what you are going through – because they have been there too. Join my private Facebook Group for more peer support.

There is hope for healing, and you are not alone.

 

 


Reader Writes In: Do you struggle with health-related anxiety? If so, what are your thoughts for dealing with it? Share in the comments. I would love to hear from you, and your comments are so helpful to the other people who read this blog.


Get my resources for emotional healing from blood clots here.


You are not alone. Connect with the private BCRN Facebook community for more inspiration and encouragement.

How to Recover After a Blood Clot

Here are my strategies to help promote health and healing after a blood clot.

After my blood clots, I felt like a fish out of water – literally and figuratively. I could not breathe without an oxygen tank, and I also felt like I had no knowledge of what happened to me, or knowledge of what to expect during my recovery. I had no idea idea how to recover after a blood clot. Those feelings of inadequacy and frustration are some of the most devastating ones that I have ever experienced. I felt like I had lost all control over my life, and I had no idea how to regain control again.

Recovery from blood clots is different for everyone. It can take weeks, months, or years, and some people struggle with complications that last even longer. My recovery was extensive – it took a couple of years – and I will be on anticoagulants long-term to prevent further blood clots. During my recovery, I often wished I had a plan to help me through it. While no singular plan exists for recovering from a blood clot, because of how varied recovery can be from person to person, there are some simple strategies that I have learned that can help you promote healing and recovery in your life.

How to recover after a blood clot.

Here are my nine strategies to help you move through blood clot recovery to a healthy – and hopeful – outcome:

1. Find a doctor who you can trust. One of the first, and most important things, that you can do during your recovery is to find a doctor who you trust. You should have no doubts that your doctor has your best interest in mind and will help you heal. If you don’t have a doctor who you consider a good partner in your care, find a new doctor. It is okay to get a second – or even a third – medical opinion about your health situation.

2. Follow your treatment plan. The standard treatment for blood clots are prescription medications known as anticoagulants, or blood thinners. While these medications don’t actually thin the blood, or dissolve blood clots, they do help to prevent new blood clots from forming, or old blood clots from breaking apart and traveling through the blood stream, which can lead to a life-threatening pulmonary embolism. The most common reason for a repeat blood clot is not following a treatment plan. Take your medication as prescribed and follow your doctor’s instructions. If you have questions, ask. Remember, you should feel comfortable communicating with your doctor at all times.

3. Understand your situation. Blood clot diagnosis, treatment, and recovery can be overwhelming – especially if you don’t know anything about blood clots. Take some time to learn about your situation, whether it be basic information about blood clots, clotting disorders, or even ways to prevent blood clots. Seek out information in books and online, but make certain that they are reputable sources, such as patient advocacy organizations, medical journals and academic publications.

4. Listen to your body. It can be difficult to know what’s normal and what’s not normal during recovery from a blood clot. Always listen to your body and what it might be trying to tell you. If you have new or worsening chest pain, shortness of breath, or headaches, always get in touch with your doctor right away. If you don’t know if what you are experiencing is normal or not, ask your healthcare team to help guide you.

5. Make overall healthy living a priority. Recovery from a blood clot can feel like pure “survival mode,” especially in the beginning, but don’t forget to take care of all aspects of your physical and emotional health. Try to eat healthy, drink plenty of water, move around when you can, sleep, relax, rest, and do a few things that you enjoy, even if they are small activities. If you’re getting ready to start a new eating or exercise plan, be sure to touch base with your doctor before you do.

6. Recognize there may be obstacles. It is often said that healing is not linear, or does not go in a straight line, and that’s true for healing from blood clots too. You will have days when you feel better, and then perhaps worse again. It’s important to understand that your recovery may have ups and downs, but if the hardships start to outweigh your progress, make sure you talk to your healthcare team about it.

7. Connect with your peers. It’s not uncommon for the people closest to you – your family and friends – to be equally confused and overwhelmed by your recovery. In fact, they may not understand what you are going through, and they may not understand that healing can be a lengthy process. It’s important to connect with people who do understand, and who share your experiences. You can find peer support groups online, on Facebook, and sometimes even in person. When searching for support groups, make certain that they are dependable, trustworthy, and expertly moderated.

8. Get professional help if you’re struggling emotionally. Recovery from blood clots is not just physical. It’s not uncommon for people to feel anxious, depressed, isolated, overwhelmed, angry, sad or stressed after a blood clot. Some people experience even more powerful circumstances, like grief and post-traumatic stress disorder. If you’re struggling psychologically after a blood clot, reach out to a professional counselor or psychologist.

9. Always remain hopeful. No matter how overwhelming recovery from a blood clot is, it’s important to remember that recovery is possible. Never give up, and never stop hoping that there will be better days ahead. Celebrate the small improvements and acknowledge the setbacks. In the end, you will emerge, perhaps even with new inspiration for experiencing the things that matter most to you.

Remember, there is no right or wrong way to recover, and your experience may be entirely different from the next person’s experience. It can be a long journey – and there may be some frustrating setbacks – but recovery is possible. Ultimately, most people do recover from blood clots, and they do go on to lead normal lives, even if they have to take long-term anticoagulants to help prevent future blood clots.

Recovery resources to get you started.

Find A Doctor Tool (United States)
World Thrombosis Day (International resources)
More About Blood Clot Treatment
The National Blood Clot Alliance
The American Society of Hematology
The U.S. Centers for Disease Control and Prevention
BCRN’s Online Facebook Support Group
The National Blood Clot Alliance’s Online Support Group (not on Facebook)
How to Get Mental Health Help

There is hope for healing and you are not alone,

 

 


Reader Writes In: What is the scariest part of blood clot recovery for you? What have you learned during recovery that can help other people? Share in the comments below.


Recovery can take a long time and varies for each individual. Read more about what to expect and connect with others who are also recovering.


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15 Tips to Help You Handle Holiday Stress After A Blood Clot

Holiday Stress Cover

The holidays are here – and so is the holiday stress. While many people look forward to a house full of relatives on Thanksgiving, a White Christmas filled with friendly get-togethers and a New Year celebration even better than the last year, facing the holidays while recovering from a blood clot, or other serious illness or injury, can be downright scary and even extra stressful. But, there are some things you can do to handle holiday stress.

I suffered a blood clot in my leg or deep vein thrombosis (DVT) and blood clot in my lung or pulmonary embolism (PE) at the beginning of summer, but I was still unprepared when the holidays rolled around that very first year. To be honest, the whole season from November to January filled me with dread as soon as the Halloween candy was gone. I did not expect to feel any anxiety around the holidays because after all, I never had before. Yet, about a week before Thanksgiving I was suddenly filled with dread for the plans I had made and an overpowering grief that somehow the holidays would never be quite like I remembered them because I, in fact, was a different person than I remembered.

My thoughts ran wild and ranged from “What if I couldn’t make it to where I said I would be, when I said I would be there?” to “What if I fell on the ice and cracked my head at a relative’s house?” to “How was I going to afford Christmas gifts in light of recent and debilitating medical bills?” to “What if I ruined Christmas and all of the New Year for everyone I happened to come into contact with?”

All rationale flew out the window with the last of the fall leaves and as the winter chill settled in and enveloped the world outside, my feelings about the impending festivities were also cold. I wanted nothing to do with the holidays because I clearly could not handle them anymore. I certainly did not want to be around anyone at the holidays, especially myself. Everything was a chore, overwhelming and it seemed like I couldn’t trust myself to interact normally with people. It was a fear I had never experienced before and I had no idea how to handle my feelings.

Since then a couple of seasons have gone by, and I have started to enjoy the holidays – and myself – again. It hasn’t been an easy process and it has taken me some time to adapt to the way things are now. I noticed that most of my holiday anxiety comes from stress I unnecessarily put on myself. Maybe before my blood clots I could handle that stress without a second thought, but now I have to take careful steps to take care of myself and not let the holiday hustle, and in turn my own well-being, get out of hand.

Here are 15 tips to help you reduce and manage holiday stress after a blood clot (or other serious illness).
  1. Take time for yourself. The holidays are without doubt some of the busiest times of the year and they are filled with spending time with friends, loved ones and even colleagues. During the season, it is important to also take time for and spend time with just yourself. Do something positive that does not involve someone else, unless it is a close friend of family member you want there. Go for a walk, watch a movie, read a book or take a bubble bath. Whatever you want to do – whether it be alone or with someone special – just do it and do it more than once or twice. I like to go for a walk in the park with my husband and dogs or read a book by myself in the evening. I make a plan to be home from events by ten or eleven at night, just to make sure I have some reading time.
  1. Don’t feel pressure to buy a gift if you are facing financial hardship. You can still do something to let someone know you are thinking about them during the holidays, but it doesn’t have to cost a lot of money. For example, you can handwrite a letter or card letting them know how much you appreciate them, write them a pending invite to a home-cooked dinner (for after the holidays and when you are feeling better), make them a CD of their favorite songs or bake a special treat. Pinterest has no shortage of affordable craft ideas for those who like to make things and being crafty is also creative and relaxing. It feels good to make something that makes someone feel special, some would argue even more so than buying a gift from the store.
  1. Set your boundaries – and stick to them. It’s easy to want to do everything for everybody, especially when in the spirit of selflessness and giving. It is the holidays, right? True, but you also need to take care of yourself first. If you’re not comfortable driving three hours to get to your favorite cousin’s Christmas party – don’t. Call instead to see if you can arrange a visit at a later date or drop-in on via Facetime or Skype. If you’re not in a position to plan the company holiday potluck – don’t. Instead offer to help find someone who can take your place. If you don’t want to talk about how you are feeling – don’t. Instead stick to a single phrase and use it often, “I’m doing the best I can right now, it’s good to spend time with friends. How have you been?” Set your boundaries in the beginning and don’t lose site of them.
  1. Don’t over-commit yourself or over-schedule yourself to be places during the holidays. You do not have to be perfect – and you do not have to be everywhere. I overcommitted a lot when I was recovering and then not only did I feel bad about not going where I said I would, but it was even worse to tell the person I was supposed to see that I wasn’t going to see them, especially if I cared about them. If you usually take on multiple projects during the holidays or go to a lot of celebrations, assess them one by one and determine as you go, what you can and can’t do. Give people notice that you might not be able to make it and say, “I would love to come by for coffee after dinner, but I just don’t know how I will be feeling because so much can change for me in just a day. How about I call you in the afternoon to let you know for sure?” When people are prepared for change, it is much easier to deal with. If you usually cook all of Thanksgiving dinner, how about asking others to join in this year and say, “I would love to have Thanksgiving at my house still, but I am going to need help preparing and cooking the food. Who can be here early to help out?” Or, “Thanksgiving at my house will be difficult this year because I’m not feeling myself quite yet, but I would love to make my mashed potatoes and casserole to bring to your house this year.”
  1. Agree to something you can do – and delegate the rest. Something about the holidays makes as want to be and do everything we can be and do and then some. It can be hard to stop doing all of the things that once came very easily. If you usually coordinate your child’s holiday party at school you can say, “I would love to be involved with setting up for the party, but I am going to need some extra help this year. What other parents can I call for back-up?” Then call them. Do you usually organize your friend gift exchange? This year, call on your Bestie to stand in until you’re feeling better. You don’t have to do it all yourself, unless you take it all on. Just like you, people want to help out and you might even find they jump at the chance to take on an extra roll this year.
  1. Do less. Do less. Do less. You know the old saying, less is more? Well, it’s true, especially when recovering from a blood clot. And doing less does not mean doing nothing. Take some stuffing off the proverbial plate and take a break. You can always get back to your regular holiday routine as you start to feel better and only if you want to.
  1. Enjoy yourself. Do not let rules rule your holiday, either. Yes, I enjoy a glass of wine or two with dinner and eat as many green beans as I can (I will even enjoy cranberry sauce). If you have concerns about your diet or what you can or can’t do, talk to your doctor before the holidays are here about what is acceptable for your treatment plan. If you want to go ice skating, find out if you can wear a helmet, if needed. If you want to take time to stroll the neighborhood to view Christmas lights, plan a light day ahead of time or make plans to have someone drive you through the streets. Do something you love this holiday season.
  1. Take time to be grateful. Being thankful can be hard, especially when it feels like you don’t have a lot to be thankful for. I assure you, you do. I find gratefulness in small things, and sometimes those are the only things, like a pretty sunset or an extra half hour of sleep. Once you take time to be grateful for the small things, you might start noticing some bigger things like the opportunity to celebrate another holiday.
  1. Communicate with your loved ones, family and friends – face to face. It’s really easy to get wrapped up in text messaging, Facebook and phone calls, more so than I would like to admit sometimes. This holiday season (and maybe even after it), try talking to your loved ones about your needs in an actual conversation, with eye contact. Let them know how you are feeling, what you are struggling with and where you could use a little extra help. It will not only help you to feel more relaxed and less pressure, but good communication fosters better relationships and friendships between us all. Let someone know if you need to sit down, stand up or cut your shopping trip shorter than usual. If you need an afternoon nap, speak up during holiday planning and push that party back an hour or two. Make your needs known ahead of time. For others, who are not someone you want to share details with, it’s none of their business how you are feeling or what limitations you are facing. You are not obligated to tell all just because someone asks you.
  1. Stick to your routine. Change is hard for a lot of people to deal with, myself included and the holidays tend to bring about a lot of change. It is very important to stick to your daily routine as much as possible. Make sure you take your medication on time, move around if you are going to be sitting for long periods, remain consistent in your diet and hydrate with water regularly. If you read the paper every morning, continue doing that. If you have a cup of tea before bed, still do so even though you were out a little later. Stick to your routine as much as you can.
  1. Get out of the house. It’s really hard to be stuck in the house all the time, especially when recovering from a serious illness or injury. Make it a point to get out at least a few times over the next couple of months, even if it is difficult for you. Maybe you decide to go to one holiday party or meet a close friend for cheesecake and coffee. Get out, enjoy the scenery. You don’t have to be gone long and it doesn’t have to be complicated. You could visit a book store, tour a light display near you or drop off a pumpkin pie to your neighbor.
  1. Abandon your old customs, especially if you are lonely or depressed. A lot of my sadness around the holidays came from the fact that they aren’t the same as they used to be. Whether it be from illness, loss of a loved one or drastic change in living and financial conditions, sometimes things just can’t go back to the way they were. If that’s the case, change what you do for the holidays. If you always put up a six-foot-high Christmas tree, but can’t this year, put up a smaller tree in a new place with new decorations. If you always had dinner at Mom’s, but she’s not here anymore, make one of her dishes and bring it to Thanksgiving dinner at someone else’s house. Make a new tradition that you may or may not continue – it could get you through for a short time or become one of your favorite additions to your holiday customs when things return to normal.
  1. Listen to music. Music (preferably in the form of Marcus Mumford of Mumford & Sons) has saved me more than once from an emotional breakdown, yelling at someone or total wreckage of my entire day. And research from the University of Maryland has shown music can relax blood vessels and decrease blood flow so if you’re feeling anxious, hit play on your favorite song. Take your headphones with you to that party or dinner and if you’re feeling the holiday stress, excuse yourself to listen to your favorite song (I’ve hidden in the bathroom with iTunes more than once). Or, even if you’re not headed out, listen to some Christmas jams (or any jam) to lighten your mood throughout the day. I promise, it makes a difference.
  1. Think positive (and laugh while you’re at it). Surviving the holidays is hard, there is not doubt about that, but don’t be too hard on yourself. I believe nothing was ever accomplished with a bad attitude alone. If you can say something positive to yourself about the holidays like, “Hey, I didn’t have to do dishes by myself this year so I can spend more time with the kids,” or “Thank goodness Aunty Mary was able to make the pies so I can have more time to prepare the turkey,” it’s far more rewarding than focusing on the things that made you unhappy about your situation. Even better, if you can laugh about the forgotten whipped cream or fact that the tree wasn’t plugged in for the big lighting, you’re one step ahead of being positive.
  1. Be patient with yourself. A lot of these things are easier said than done, especially in the beginning. The important part is acknowledging your holidays may change, either temporarily or permanently, and that does not mean you cannot enjoy them.

Happy holidays, friends. May your days be merry, bright and full of gratitude for the small things in life.

Reader Writes In: What’s your number one holiday stress reducing tip?

There is hope for healing and you are not alone,

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Dealing with Depression

Ever since you’ve had your blood clot, you’ve been feeling a little down. Maybe you don’t enjoy the activities you once did (either because you can’t do them or don’t feel up to it), you feel alone, are easily discouraged, emotionally charged and cry or react at the drop of a hat – literally (don’t worry, I cried for several hours over spilling spaghetti sauce in the kitchen once shortly after my PE). Maybe you feel hopeless, like no one cares and even wonder if life’s going to be like this from now on, why not give up? It hurts to move, get up, lie down or even breathe. No wonder you’re depressed when you spell it all out, right? Dealing with depression after a blood clot is not uncommon, yet, it is uncommonly talked about.

Experiencing a DVT or PE, brings a lot to cope with, both physically and emotionally. Clot Connect, an organization seeking to increase knowledge of blood clots, clotting disorders and anticoagulation by providing education and support resources for patients and health care professionals states, “It is normal to feel shock, anxiety and fear following the diagnosis of a blood clot”  on their FAQ page. Let that sink it for a moment before reading on. You are normal for feeling this way.

In fact, it has been noted that high levels of anxiety, depression and psychological stress are reported among patients with DVT and/or PE, but very little research has been done regarding the psychological implications of surviving a DVT and/or PE. The anxiety, fear and depression that can be quite common after a blood clot can be attributed to many factors including, but not limited to the fact that a patient survived a life-threatening event, limited mobility and daily function, the lifestyle impact of being placed on a long-term blood thinner, decrease in quality of life, and fear of a clot returning (which can happen). There are few resources available regarding the emotional and psychological concerns that accompany a PE and DVT. I have included the ones I know of here:

The National Center for Biotechnology (NCBI) information also notes that “although thrombosis is rare in the young, [it] can cause severe psychological distress that influences the quality of life and the coping capacities of patients [Source].”

If you are feeling depressed, anxious, scared or unsure about all that has happened to you during and since your DVT and/or PE, here are my top tips for dealing with depression.

Tips to Help You Recover From the Emotional Effects of DVT and PE
  • Remember you are not alone. Blood clots are a common medical condition. It is estimated that 900,000 people in the United States develop DVT and PE each year [Source].
  • Talk to your doctor.  He or she may be able to direct you to other resources or provide anti-anxiety or anti-depressants. Even if you do not think your primary physician will understand your concerns about depression, still inform him or her about your feelings. It may also be beneficial to seek out a referral to a counselor or psychologist as an additional support for what you are going through. Do not be afraid to ask for help!
  • Understand post-thrombotic syndrome and do what you can to prevent it.  One of the long-term, and potentially upsetting, effects of DVT is post-thrombotic syndrome (PTS) and it is not in your head. Find out more about PTS, including the emotional effects and how to help prevent it.
  • Seek out a support group. Finding support is important when dealing with recovery from a blood clot. While some in-person support groups do exist (ask your doctor if there are any near you), they are rare. You can join BCRN’s private support group on Facebook. Also, visit here to find even more support groups.
  • Learn about your condition. What you went through was a significant and even life-changing event. Learning about what happened to you through reading, relating to others and talking to your doctor and others can help you to feel empowered, calm and knowledgeable about what did happen and what your recovery might entail. Don’t know where to start? The list of resources on the left-hand column of this page is a great place!
  • Know that your condition is treatable and manageable. Be confident in your treatment plan by discussing it with your doctor and any trusted friends or family members you may have. Connect with other survivors who have been where you are now.
  • Write your feelings down. A daily or weekly journal of how you felt, what you did, progress you made or challenges you faced can help you to see how far you really have come over time. Writing, even if it is only a few sentences a day to express a particular emotion or event, is very helpful in releasing your feelings and giving value to them. Consider writing down and sharing your entire blood clot story. What you feel is important and sometimes it just feels good to get it out of your head.
  • Have patience with yourself. Recovery takes a long time and it’s not easy. Know what you are okay, you are doing what you can and you are right where you need to be. Something as simple as walking to the bathroom or making a sandwich is enough for one day. If you are struggling to get back to where you were pre-blood clot physically and emotionally, remember it takes time and it is different for everyone.
  • Be kind to yourself. You are loved. You have been though a lot and your body and mind have been faced with a catastrophic incident. It is okay to feel the way you do from time to time and it will take some time to adjust.

Please remember, if you are facing thoughts of self-harm or suicide, please call 911 or seek other help (such as a hospital emergency room or doctor’s care) immediately.

If you are thinking of suicide, The National Suicide Prevention Lifeline is a 24-hour, toll-free, confidential suicide prevention hotline available to anyone in suicidal crisis or emotional distress.

Remember, even if it seems hopeless, suicide is not the answer.

Share your story. Have you felt depressed since your blood clot? How have you dealt with depression?

There is hope for healing and you are not alone,

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