What can I do to encourage my father to work on recovering from his stroke?

A fellow caregiver asked...

My 64-year-old father had a stroke six months ago, and he doesn't seem to care about getting better. He won't do any of his rehabilitation exercises, and he refuses to stop smoking. What can I do to encourage him?

Expert Answer

James Castle, M.D. is a neurologist at NorthShore University HealthSystem (affiliated with The University of Chicago) and an expert on strokes.

Your father may be suffering from depression, which affects as many as half of people who've had a stroke. Symptoms of depression can include a lack of energy and interest, along with changes in appetite and sleeping habits, agitation and restlessness, and crying episodes. Depression can be detrimental to a stroke patient's long-term recovery and overall health. 

If you think your father could be depressed, I wouldn't wait to have him evaluated. Be sure to get him in to see his doctor or a psychiatrist. He may benefit from psychotherapy or medication.

As a caregiver, you can encourage his progress by providing emotional support, a positive attitude, and an environment that's conducive to recovery. Have your father go to bed at the same time each night and wake up at the same time each morning. Open the shades of his room or take him outside during daylight hours to let him know it's time to stay awake and work on improving his strength. Creating a positive, healthy environment can go a long way toward helping your father feel motivated to do the work of recovery.