What should you know about post stroke depression?

Post-stroke depression may involve persistent sadness, loss of interest, fatigue, irritability, difficulty concentrating, feeling anxious or changes in appetite. Sleep can also change: some people struggle to sleep, while others experience daytime sleepiness. Communication difficulties, pain, reduced independence and changes in social roles can make symptoms harder to describe. Depression may overlap with stroke effects, so an assessment helps separate mood symptoms from physical or cognitive changes.

Tell the stroke team or GP what has changed, using examples from daily life such as missed therapy, reduced self-care or withdrawal from people. Keep medicines and rehabilitation appointments organised, and ask for communication support if speaking or writing is difficult. A clinician may discuss talking therapy, medication, sleep problems or practical rehabilitation adjustments. Gentle routine, daylight, connection with trusted people and achievable activities can support recovery without replacing professional care.

Seek immediate help if there are thoughts of suicide, self-harm, harming someone else, or an inability to stay safe. Contact emergency services for new facial weakness, arm weakness, speech difficulty, severe confusion or another sudden neurological change, because these may signal a new stroke rather than depression. Arrange a prompt review when low mood, fatigue or sleep disruption is steadily worsening or interfering with essential care.

Which symptoms may be depression and which may reflect the stroke? What support is available for communication and rehabilitation? Could my medicines or sleep be contributing? What is the safety plan if my mood suddenly worsens?