A stroke occurs when the brain is deprived of the oxygen it needs to function properly. Immediate medical attention may minimize damage to the brain. Nevertheless, a stroke can cause physical and behavioral changes. The symptoms experienced depend on the area of the brain affected and the severity of the stroke. It is important for family members and friends to understand that a stroke may affect a person's social behavior.
Impulsive or Cautious Behavior
Depending on what area of the brain was affected by the stroke and how much tissue damage occurred, changes in behavior can occur. The American Stroke Association states that damage to the right side of the brain may lead to impulse behavior and a loss of ability to make safe decisions. A stroke that affects the left side may cause a patient to become fearful and react very slowly and cautiously. Given this, stroke survivors may need help in processing information and making good choices.
Emotional Outbursts
Damage may have occurred to areas of the brain that normally control behavioral and emotional responses. Anger, depression and frustration may result while the person adapts to the effects of the stroke or if independence is lost.
If the areas of the brain that normally keep emotions in check are damaged, there may be public emotional outbursts that the patent is unable to control. Working with a physician and therapist may help develop coping skills for these situations.
Apathy
Some stroke patients seem to stop reacting to situations or stop caring, claims the American Heart Association. The person may seem to have no motivation to participate in activities or to interact with others.
Stroke survivors and their families may benefit from behavioral counseling.
Apathy differs from clinical depression and only a health care provider can distinguish between the two.
Clinical Depression and Isolation
The damage caused by a stroke may contribute to the development of clinical depression. According to the National Institute of Neurological Disorders and Stroke, depression can be exacerbated by grief and sadness due to a loss of independence. Although some level of depression is considered normal, it is important to be on the lookout for signs of clinical depression. These include insomnia, not eating, over eating, loss of interest in socializing or hobbies, irritability and suicidal thoughts or comments.
