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Common psychological issues

Recovery times and experiences vary. Everyone will have a different journey. For some it will be relatively quick and easy; for others it might be harder.

After weeks or perhaps months in hospital, it is important plan the return home.

Although people may no longer need the monitoring, treatment or therapies provided in hospital, they may still have some symptoms that need monitoring, treatment or therapies provided in the community or in their home.

Having ongoing physical symptoms, not knowing when/ if you will “get back to normal”, facing other people asking you what happened and how you are feeling can be upsetting.

It's important to remember that it is common, normal and expected to feel overwhelmed and distressed at times while you are ill or recovering. Feeling upset is not a sign that you are not coping or that there is something wrong with you; it’s a sign that you are going through a really tough time.  For many, these difficulties fade and pass with time.

Sometimes psychological or emotional problems arise late in the recovery process, often once they returned to normal. This can be quite difficult for a number of reasons. Some people hide or feel guilty about these issues when they feel that their family has already been through enough and they want to appear strong for everyone else. It's never too late or too difficult to get the help you need.

 

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External Video: Common psychological problems in ICU video by the Faculty of Intensive Care Medicine (FICM)

It is very common for patients who have suffered a critical illness to experience psychological issues. This 59 sec video briefly explains this

Article: Coping with transfer to the ward

It's not always easy or even possible to prepare patients for transfer out of Intensive Care and onto the general wards. Intensive Care beds are in great demand and it's often impossible to predict when a bed might be needed for someone else. Although we try to avoid it as best we can, this sometimes means that patients are transferred out with little warning. From one to one care to "one of many" Patients often tell us that transfer to the wards can be a bit of a...

Article: Feeling anxious, low or sad

Is it common to feel anxious or low while in hospital, even if I’m well enough to move from Intensive Care to a ward? Yes, it is very common. Being unwell and needing to be in hospital for treatment can be very frightening, and being away from home or feeling ill often leads people to feel low in mood. This is entirely normal. For most people anxiety reduces and mood improves with time, especially when we are feeling physically better and are able to do more. Comparing what you...

External Video: Frightening dreams and hallucinations in ICU: a video by the Faculty of Intensive Care Medicine (FICM)

Unfortunately many patients experience hallucinations, such as seeing things that aren’t there, whilst on critical care. Almost two thirds of the patients we see in the post ICU recovery clinic admit to having experienced them. They can be very frightening and bizarre. Patients frequently report feeling that they were trapped or being held captive. Some people even felt that the staff were trying to harm or even kill them. This video is 7 minutes 47 seconds long with patients talking...

Article: I don't remember what happened to me on ICU: patient quotes

It’s extremely common for patients to remember very little of their time in Intensive Care. Sometimes patients “lose” the few days prior to ending up in Intensive Care and may struggle to make sense of how they ended up there. “The last thing I remember was…the ambulance. I don’t remember anything else until I woke up weeks later.” “It felt very strange…because I really wasn't sure whether I was ill, whether I'd had an...

Article: Not remembering what happened to you

Once patients are transferred to the wards, they often "come to" and have to begin to make sense of what's happened to them. Not remembering (amnesia) how you ended up in Intensive Care and what happened while you were there is extremely common. Patients sometimes "lose" the few days before ending up in Intensive Care, even though they were comparatively well at that time. Not remembering is likely to be a combination of how ill you were, the nature of your illness,...

Article: Paranoia, confusion or behaving out of character

Is it common to have been confused, paranoid or to have behaved out of character? Yes, it is very common. Just as these things are very common in Intensive Care, patients often experience these symptoms in the first few days following transfer to the ward. You may have felt very confused (not quite knowing where you are or why), you may have felt that others were out to harm you (paranoia) or may have behaved completely out of character by perhaps being a little unreasonable, emotional or...

Article: Problems with thinking

When we have been very unwell, our ability to think clearly can change. Concentration, memory, making decisions, understanding what it happening and completing tasks can all get worse. Why does being ill affect my thinking? Fatigue You might not feel that you have enough energy to pay attention to things even if you want to, making it difficult and tiring to focus on tasks. Fear and Anxiety When we are distracted by worries about being unwell or what the future might hold, this...