Depression and anxiety are common in people with congestive heart failure. Feeling unwell, being unable to do some of the things he once enjoyed, and uncertainty about the future can all contribute to feelings of sadness. But if a patient seems consistently unhappy, he may be depressed. Look out for these signs of depression, and if you notice any, notify his doctor:

• Frequent crying episodes
• Feelings of hopelessness or worthlessness
• Poor appetite or increased appetite
• Sleeping too much or not enough
• Increased agitation and restlessness
• Loss of interest in life
• Expressing thoughts of dying or suicide

Depression is a serious problem that requires evaluation and treatment. But you may be able to help manage his moods with these activities:

• Help him stay active and connected by doing things he enjoys. Talk to the doctor about any physical restrictions he may have and how to get around them.
• Help him structure the day around activities that give him pleasure and a sense of purpose. For example, he could plan to meet friends for lunch, or enjoy a leisurely walk through the mall.
• Try to stay positive and upbeat, but don't foster unrealistic expectations. Instead of saying, "You'll be hiking again in no time," you might say, "If we keep walking together every day, you'll probably notice that it gets a lot easier."
• Let him talk about his fears and concerns. If it's difficult for you to listen to his feelings, you may want to find someone for him to talk to -- perhaps a therapist or some other mental health professional. A support group may also be helpful.