Living With Stroke

Mental and Emotional Difficulties
After a stroke, the following mental and psychological problems have been commonly observed:

  • Depression
  • Anxiety
  • Post-traumatic stress syndrome
  • Emotional responsibility*
  • Irritability, change in logic and thinking
  • Difficulty in maintaining control, loss in reasoning and memory


  • After stoke, brain cells are damaged due to lack of oxygen. The physical changes are due to the related area of brain being damaged.
  • Loss of daily functional ability, and physical and mental disability will indirectly affect mental health and mood. One-third of stroke patients will have depression, often occurring 3-6 months after onset.

Signs that the patient does not notice but are felt by other people. These include:

  • Disinterest in doing things, moral collapse, lack of joy in life
  • Staying sad and upset, do not feel like doing anything themselves
  • Fatigue, low on energy, difficulty sleeping or excessive sleeping
  • Poor appetite and weight loss
  • Difficulty in concentrating, feeling inferior or useless, do not feel like doing anything
  • Feeling lazy, uncomfortable, or difficulty sitting still
  • Not wanting to live and suicidal thoughts

If any of the above symptoms are observed, help from physicians and health care professional should be sought immediately. Otherwise, the chances of recovery greatly decrease and the chances of disability and death increase.

*Emotional responsibility – Means that emotional reactions are excessive or unrelated to the situation. This includes being really angry, groaning or laughing and crying simultaneously. These symptoms are visible in patients who have survived stroke. 

Provided by Dr. Thomas Ho

Exercise after Stroke

Will I be able to walk after a stroke?
After a brain injury, the brain heals itself quickly. After a stroke, the stroke-affected side recovers in a sure way. The amount of recovery depends on the place and size of brain injury and reasons such as the patient’s age.  

These are included in the assessment of recovery:

  • An evaluation of shoulder pain, bodily control, arms, hands, legs and foot motor recovery stage.
  • An evaluation of moving around in bed, by standing, by exchanging different tasks, by walking and by climbing stairsMan doing yoga
  • An evaluation of speech and behavior such as understanding, pronunciation, communicating with others, solving problems and memory
  • An evaluation of being able to urinate and defecate

Which exercises can be useful after stroke?

  • the range of exercises that help you move around
  • exercises that help the arms move easier
  • Bodily control exercises
  • Exercises that make it easy to move around in bed
  • Exercises that make it easy to exchange tasks
  • Balance exercises
  • Walking exercises
  • Easiness of climbing stairs
  • Aerobic exercises

Information provided by Barnard Lee