What is pseudoboulevard affect
pseudoboulevard affect or Pba is a medical condition that results in sudden and uncontrollable episodes of laughing crying P B A is pronounced pseudo boulevard effect. It’s a disorder that affects some stroke survivors as well as people with dementia, traumatic brain injury, parkinson’s disease M S or als. Sometimes a stroke can damage the areas of the brain that control normal expression of emotion and a disconnection occurs, triggering episodes of uncontrollable crying and or laughing, while mood is how we feel emotionally inside the term affect describes how we display our emotions to the outside world and stroke survivors with pseudoboulevard affect mood and affect are disconnected. Healthcare professionals call this mood incongruent affect Pba is sometimes called emotional incontinence, just as a stroke survivor may lose control of his or her bladder, also known as incontinence. This condition refers to the inability to control the display of specific emotions, and just like incontinence, pba can also be disrupting and frustrating. Pba episodes can be triggered by something that is only slightly sad or funny, for example, a funny commercial about puppy dogs may cause tears. A person with Pba may laugh at something that’s sad or cry. It’s something that’s funny. Pba episodes can also be exaggerated from a person’s true feelings. For example, they may sob uncontrollably at something that is only slightly sadd for people with Pba. The disconnect between internal emotions and external expressions can be frustrating both for them and their loved ones. Survivors have described feeling as if they’re going crazy or sometimes claim that they didn’t know that they’re so emotional. Pba episodes can sometimes cause embarrassment and patient suffering from Pba report, spending less time with friends and family. Pba episodes may also interfere with participating in rehabilitation therapy. Understanding this condition can be the first step simply talking about Pba with loved ones can help. Pba is sometimes mistaken for depression, but it is different. Someone who has depression feels sad on the inside when they’re crying when someone with Pba suddenly starts crying. It doesn’t necessarily mean they’re actually it is certainly common to experience depression post-stroke. In fact, a stroke survivor can have both Pba and depression. However, Pba is not depression. It is important to differentiate Pba from depression so that the stroke survivor is treated with an appropriate therapy. A range of studies have found that anywhere to 52 percent of stroke survivors have P B A. However, not everyone’s experience with Pba will be the same episodes of laughing and crying can range in severity from person to person. Sometimes pba symptoms may lessen over time. These episodes can be so disruptive that they interfere with normal activities or cause people to avoid social situations for some stroke survivors. Treatment may be necessary if P B A is affecting your life or the life of a loved one, talk to a healthcare professional. Pba has been described in medical literature for over 100 years, yet it’s under-recognized under diagnosed and undertreated. Fortunately, Pba is treatable. Talk to your health care professional about your options and if treatment is right for you, remember one of the most important things. A person who may have pba can do is to talk with their health care professional, explaining that these emotional displays do not reflect how they really feel is important. Make it clear that these episodes only started occurring after the stroke. If you think you or someone you love may be experiencing P B A, you can visit national Stroke Association website to find a simple scale that will help you identify P B A symptoms, visit stroke dot org forward. Slash pba scale to access the pba scale now remember pa is a distinct neurologic disorder and should be diagnosed and treated separately from stroke .