A stroke changes life for the survivor and everyone involved. Not only do survivors experience physical changes, but many experience personality changes ranging from apathy to neglect. Some survivors just don't seem to care about anything. The best response to apathy is activity.
As you begin to recover, you might feel that your behaviour changes or improves. You may start feeling better physically and emotionally. But some changes will be long term. You are still the same person, but a stroke may change the way you respond to things.
It is possible to live a normal life after a stroke, but you will need to actively participate in your rehab. Brain injuries can affect mobility, swallowing, speech and, therefore, your ability to do the vital tasks of daily living. So, you will need help, support, counselling, encouragement, and loving care.
Just like in life, personality after stroke will continue to change over time. Immediate changes in personality are not always permanent and there are things that can help. Cognitive behavioural therapy. Helps you identify and change unhelpful thought patterns, creating a more positive and problem-solving approach.
A stroke can cause permanent loss of function. The long-term effects of stroke depend on which part of the brain was damaged and by how much. Early treatment and rehabilitation after stroke can improve recovery and many people regain a lot of function.
On average, between 10 and 15 years after stroke, 25% of survivors were moderately-severely disabled, 21% were inactive, 22% had cognitive impairments, 32% were anxious and 38% depressed. Functional, cognitive and psychological outcomes between 10 and 15 years after stroke.
Even after surviving a stroke, you're not out of the woods, since having one makes it a lot more likely that you'll have another. In fact, of the 795,000 Americans who will have a first stroke this year, 23 percent will suffer a second stroke.
You or your loved one may experience feelings of irritability, forgetfulness, carelessness or confusion. Feelings of anger, anxiety or depression are also common. The good news is many disabilities resulting from stroke tend to improve over time. Likewise, behavioral and emotional changes also tend to improve.
As many as two-thirds of stroke patients experience cognitive impairment or cognitive decline following a stroke; approximately one-third go on to develop dementia. The risk for cognitive impairment or decline is increased by a history of stroke.
Irrational, Impulsive, or Inappropriate Behavior
Impulsiveness in particular is often associated with both frontal lobe strokes and a stroke in the temporal lobe, which plays a role in judgement and decision-making, particularly when the right side is affected.
Recovery time after a stroke is different for everyone—it can take weeks, months, or even years. Some people recover fully, but others have long-term or lifelong disabilities.
A stroke can damage parts of the brain that are linked to the emotions, leading to problems with controlling emotions. Some people have difficulty controlling their mood, and seem angry or irritable, which can put a strain on relationships. Some people find that they become more sexual, or lose inhibitions.
The brain damage that occurs with a stroke or a ministroke (transient ischemic attack) may increase your risk of developing dementia.
The short answer is yes; the brain can heal after acute trauma from a stroke or brain injury, although the degree of recovery will vary. The reason the brain can recover at all is through neuroplasticity, sometimes referred to as brain plasticity.
Driving after a stroke
Whether you can return to driving depends on what long-term disabilities you may have and the type of vehicle you drive. It's often not physical problems that can make driving dangerous, but problems with concentration, vision, reaction time and awareness that can develop after a stroke.
Mental illnesses that are commonly associated with stroke are depression [38], anxiety [39], fatigue [40], sleep disturbances [41], and emotionalism [42].
After six months, improvements are possible but will be much slower. Most stroke patients reach a relatively steady state at this point. For some, this means a full recovery. Others will have ongoing impairments, also called chronic stroke disease.
Although just 10% of people fully recover from a stroke, 25% have only minor impairments and 40% have moderate impairments that are manageable with some special care.
Gains can happen quickly or over time.
The most rapid recovery usually occurs during the first three to four months after a stroke, but some survivors continue to recover well into the first and second year after their stroke.
There are significant cognitive and physical disabilities in the second recurrent ischemic stroke as compared to the first-ever one, and the second stroke tend to be more dangerous and carry more disability.
The first question a stroke survivor should ask:
Did I have a white stroke or a red stroke? Of people who survive a first white stroke, within 1 year 8% will have another one (1), and within 2 years 11% will have a second one (2). In one study, 39% of second strokes were fatal (2).
If you have already had a stroke or a transient ischemic attack (TIA), also known as a “mini-stroke,” your chances of having another stroke are higher.