Although depression constitutes one of the major mental health challenges that humankind must encounter in the 21st century it remains undiagnosed and untreated in CVD patients. Its great influence on the progress of CVD led to its classification as a risk factor along with dyslipidemia, arterial hypertension, diabetes, obesity, substance use, sedentary lifestyle (poor diet, stress) making imperative the need for treatment methods. As during COVID 19 pandemic we witnessed the elevation of mental distress as involving both lifestyle choices and dealing with unprecedented life situations while inducing psychological distress or exacerbating pre-existing physical and mental health problems – depression could act both as a contributor to and as the result of CVD. A 4-step intervention program is suggested.

Dr. Stefanatou has been involved in both teaching and clinical work. In 2008 she embraced the development of the cardiac rehabilitation center of ATTIKON University Hospital in Athens with further training in Inselspital, Berne. Since 1995 she has been working with families and children with chronic illness and/or developmental difficulties (Pediatric Hospital of Athens, ‘Support’ Center) . Since 1998 she has been teaching psychology courses in both the private and the public sector (Medical School of Athens) taking in both research and supervision in her work. In 2015 she joined the faculty of the Graduate School of the American College of Greece as a faculty member.