Instructed patient that it is not uncommon to experience significant stress, anxiety or depression when receiving your LVAD or becoming a caregiver for an LVAD recipient. There have been a lot of changes in your body and your life recently. There are many different causes of mental health issues, many of which are not under your control. If you are experiencing symptoms of depression or anxiety, it is not a bad thing to ask for help. There are many new medications and treatments available to help you feel better. Sometimes mental health issues are not recognized by the person who is affected. We have provided this tool to help you or a loved one identify when you may need to ask for help. Understanding was verbalized.