Heart Patients Could Benefit From Therapy

Oct. 9, 2008 — -- When Edward Richardson, 50, learned he needed bypass surgery, it wasn't his heart that was troubling him -- it was his head.

"I kept hearing a saw. I couldn't go to sleep. I kept hearing this saw and, 'OK, your chest is going to be cut open,'" Richardson said. "I mean, it was a strange thing where my mind was playing tricks on me."

Depression is three times more common among people who have had a heart attack, compared with the general population, according to a report released by the American Heart Association.

Because depression can have lasting consequences for a patient's recovery, including an increased risk of future heart attacks and hospitalization, and even an increased risk of mortality, the American Heart Association now recommends depression screening for people suffering from heart disease.

The Bluhm Cardiovascular Institute at Northwestern Hospital in Chicago was already ahead of the curve with an innovative program, requiring heart patients to see not only a cardiologist, but a psychologist, as well.

"We know the mind and the body are connected. And patients with a chronic medical illness have increased risk of experiencing a poor quality of life, depression, anxiety and emotional distress," Northwestern Memorial Hospital psychologist Kim Lebowitz said.

Richardson began behavioral treatment before surgery. In therapy, Lebowitz asked him to discuss his fears and taught him breathing and relaxation techniques. Before long, he was no longer hearing that saw.

During his recovery, Richardson continued the breathing and relaxation exercises, which reduced his need for pain medication.

"Dr. Lebowitz said it's a fear that everyone goes through. It manifests itself in different ways," Richardson said. "After a few sessions, it was determined that there are some things that you just cannot control and you need to relax and leave that alone."

Richardson's wife, Carolyn Nelson, was shocked by her husband's transformation after a few sessions.