The loss of a limb can have a considerable psychological impact. Many amputees report feeling emotions such as grief and bereavement similar to those experienced upon the death of a loved one. Thus, coming to terms with the psychological impact of an amputation is often as important as coping with the physical demands.

 

Undergoing an amputation can have a considerable psychological impact for three main reasons. Victims must cope with:

 

• the loss of sensation from the amputated limb

• the loss of function from the amputated limb

• Significant changes in both one’s own body image and others’ perceptions of one’s body

 

Negative thoughts and emotions are common following an amputation. This is particularly true for those who undergo an emergency amputation, as they do not have an opportunity to mentally prepare for the effects of surgery.

 

Common negative emotions and thoughts experienced after an amputation include:

 

• depression

• anxiety

• denial (refusal of steps such physiotherapy necessary for adapting to life with an amputation)

• grief

• Suicidal thoughts

 

People whose amputations followed a traumatic injury (particularly members of the armed forces) also have an increased risk of developing post-traumatic stress disorder (PTSD).

Talking to one’s care team regarding thoughts and feelings is an important part of the recovery process, particularly if these include feelings of depression or suicidal thoughts. Some victims may need additional treatment, such as antidepressants or counseling, in order to improve their ability to cope following an amputation.