---
title: Stroke and Depression Connection
description: What is the connection between stroke and depression? What are some of the ways to treat it?
image: https://blog.chsc.org/hubfs/PHOTOS%20SPEECH/man%20with%20stroke%20FB%20timeline.jpg
---

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# Communication Matters

# Stroke and Depression Connection

[Tracy Biller, M.A., CCC-SLP Speech-Language Pathologist; Adult Services Coordinator](https://blog.chsc.org/blog/author/tracy-biller-m-a-ccc-slp-speech-language-pathologist-adult-services-coordinator) | Posted on  March 23, 2020

![man with stroke FB timeline](https://blog.chsc.org/hs-fs/hubfs/PHOTOS%20SPEECH/man%20with%20stroke%20FB%20timeline.jpg?width=214&name=man%20with%20stroke%20FB%20timeline.jpg)After a stroke, the main focus for the patient, their family, friends, physicians, therapists and other health care professionals is often on their physical aspects. How far can the patient walk? Can the patient still get dressed with the use of just one hand? Can the patient safely swallow food and liquid without coughing or choking?  Will the patient need to use oxygen after discharge to home? These are all issues that are visible and obvious.

Other issues that cannot be seen, and may not be so obvious, include things like pain levels. Our health care system has made great strides in evaluating these types of problems.  For example, we now routinely ask patients if they are having pain and to what degree. Pain is a barrier to being able to participate in therapy which can have a negative impact on progress in rehabilitation.

However, an important unseen issue that may go untreated is depression. For many people, a stroke may completely alter life as they knew it. Lots of sudden changes are happening to them and around them that they have no control over. Feelings of being overwhelmed and eventual isolation can easily lead to depression. This can negatively impact their recovery.

**Signs of depression may include the following:**

- Persistent sad, anxious or “empty” mood
- Restlessness and irritability
- Feelings of hopelessness, pessimism, guilt, worthlessness or helplessness
- Loss of interest or pleasure in hobbies and activities, including sex
- Decreased energy and fatigue, and feeling “slowed down”
- Difficulty concentrating, remembering and making decisions
- Insomnia or oversleeping
- Appetite and/or weight changes

Depression affects about one-third to two-thirds of all stroke survivors, especially those who experience physical or mental difficulties. People who have a history of depression or lack support from others may also be more prone to depression after stroke. It’s often caused by biochemical changes in the brain. When the brain is injured, the survivor may not be able to feel positive emotions.

Recognizing depression after a stroke can be difficult because some stroke symptoms can mimic depression. For example, after a stroke, some people experience reduced emotional expression or "flat affect," which can make them seem depressed. Problems with communication such as difficulty understanding or trouble speaking can limit the diagnosis and treatment of depression. It is essential for doctors to continue to check for symptoms of depression, and for families and caregivers to notice when their loved ones seem sad or depressed.

**Help for the Stroke Survivor**

For the stroke survivor experiencing depression, there are many things that can be done to improve mood and quality of life.  These may include:

- Consider medication, counseling, or a combination of the two. Early treatment may have a positive effect on how well someone recovers from a stroke, not only emotionally, but also physically.
- Seek out other stroke survivors through [Stroke Support Groups](https://www.stroke.org/en/stroke-support-group-finder). Talking to people going through a similar experience can help. 
- Consider mindfulness activities such as meditation, tai chi or yoga.
- Get moving. Hormone regulation may change after a stroke, leading to an increase in cortisol levels. Elevated cortisol levels can make the person feel sluggish and fatigued, cause weight gain and affect blood pressure. Having a healthy lifestyle can help the stroke survivor feel good in body and mind. Eat well and limit alcohol.

[![Click here for stroke survivor programs](https://no-cache.hubspot.com/cta/default/3275645/7fa96d75-b413-4a8f-a06d-919cc034d01b.png)](https://cta-redirect.hubspot.com/cta/redirect/3275645/7fa96d75-b413-4a8f-a06d-919cc034d01b)

 

 Tags: [Communication](https://blog.chsc.org/blog/topic/communication), [Support](https://blog.chsc.org/blog/topic/support), [Stroke](https://blog.chsc.org/blog/topic/stroke), [Caregiving](https://blog.chsc.org/blog/topic/caregiving), [Brain Injury](https://blog.chsc.org/blog/topic/brain-injury)

## Comments

### Blog Categories

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- [Rebecca Mental, Ph.D., CCC-SLP, Director of Research and Jonathan Plessner, M.A., CCC-SLP, Speech-Language Pathologist (1)](https://blog.chsc.org/blog/author/rebecca-mental-ph-d-ccc-slp-director-of-research-and-jonathan-plessner-m-a-ccc-slp-speech-language-pathologist)
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- [Kellie Vaughan, M.A., CCC-SLP (1)](https://blog.chsc.org/blog/author/kellie-vaughan-m-a-ccc-slp)
- [Dr. Jennell C. Vick (1)](https://blog.chsc.org/blog/author/dr-jennell-c-vick)

see all

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- [![Flickr](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/flickr.svg)](https://www.flickr.com/photos/clevelandhearingandspeech)

##### Menu

- [Audiology](http://www.chsc.org/audiology)
- [Hearing Aids](http://www.chsc.org/hearing-aids)
- [Speech & Language](http://www.chsc.org/speech-language)
- [ASL Interpreting](http://www.chsc.org/american-sign-language-interpreting-services)
- [Community Center (CCDHH)](http://www.chsc.org/community-center-for-the-deaf-hard-of-hearing)
- [Resources](http://www.chsc.org/resources)
- [About](http://www.chsc.org/about/about-chsc)
- [Giving](http://www.chsc.org/giving)
- [Events](http://www.chsc.org/ways-to-give/fundraising-events)
- [Contact](http://www.chsc.org/contact)
- [Schedule an Appointment](http://www.chsc.org/contact)
- [Donate](https://transactions.chsc.org/CampaignForm/CHSC/Cleveland+Hearing+and+Speech+Center)

![CARF](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/carf-logo.png)

##### Accreditations and Affiliations

- [Commission on Accreditation of Rehabilitation Facilities](http://carf.org)
- [Certified Medicare and Medicaid Provider](https://www.cms.gov/)
- [National Association of Speech and Hearing Centers](http://www.nashc.net/)
- [Registry of Interpreters for the Deaf](http://www.rid.org/)
- [Case Western Reserve University](https://case.edu/)
- [United Way of Greater Cleveland](https://www.unitedwaycleveland.org/)

##### Contact Information

11635 Euclid Ave.  
 Cleveland, OH 44106  
 Voice: (216) 231-8787  
 Appt: (216) 325-7570  
 Fax: (216) 231-7141  
[info@chsc.org](mailto:info@chsc.org)

![CARF](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/carf-logo.png)

- [Corporate Information](http://www.chsc.org/corporate-information)
- [HIPAA](http://www.chsc.org/hipaa-cleveland-hearing-speech-center)
- [Privacy Policy](http://www.chsc.org/privacy-policy)
- [Terms & Conditions](http://www.chsc.org/terms-and-conditions)
- 501c3 Non-Profit

© 2017 Cleveland Hearing & Speech Center. All rights reserved.