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Ecosystem focused therapy in poststroke depression: a preliminary study

Poststroke depression (PSD) occurs in the context of abrupt, often catastrophic disability that finds the patient and his or her family unprepared. We developed the Ecosystem Focused Therapy (EFT), a systematic intervention aimed to increase the PSD patient's and his or her ecosystem's abilities to address the “psychosocial storm” of PSD and utilize available treatments effectively and efficiently. This is a preliminary study of its efficacy.