رجل عمره ٥٧ سنة بعد احتشاء بشهرين في برنامج تأهيل القلب. صار يغيب عن الجلسات، ويقول للممرض: ما أحس إني راح أرجع مثل قبل، ما أنام، وفقدت الاهتمام بكل شي من أسبوعين. لم يذكر إيذاء نفسه. ما التصرف الأنسب؟

A 57-year-old man two months after an MI in cardiac rehabilitation has started missing sessions and tells the nurse: ‘I don’t feel I’ll ever be the same, I can’t sleep, and I’ve lost interest in everything for two weeks.’ He has not mentioned self-harm. What is the best action?

1. Change the subject to focus on his heart medicines
2. Screen for depression with a validated tool and inform the team
3. Reassure him it is a passing feeling without assessment
4. Give him a sleeping pill from the pharmacy

Answer: B) Screen for depression with a validated tool and inform the team. Depression is common after MI and linked to worse cardiac outcomes and poor adherence. It is screened with a validated tool, including asking about thoughts of self-harm, and referred for support and treatment.