The Stroke Effect

Caregiving through stroke recovery

  • The Things No Caregiver Wants to Admit

    Caregiving is a labor of love and respect. It is difficult, but necessary. You can read a thousand articles and blogs about caregiving—no matter the diagnosis—and most of what you hear are the joys, rewards, and blessings of the role. Yes, caregiving can be noble and rewarding, but today I want to talk about the other side. The side few are willing to say out loud.

    Any caregiver can relate to this, but especially those caring for someone after a stroke. This is my truth—some days.

    Almost seven years ago, when my husband first had his stroke, I was happy to do everything. I threw myself into caregiving, likely doing far more than I should have, trying to show love and compassion to a man who had once been fiercely independent. The stroke damaged his self-confidence, and many parts of who he once was seem permanently out of reach.

    Here is my truth: seven years later, some days I feel tired. Some days resentful. Some days annoyed. And some days, I wish I could walk out the door and never come back. If that sounds harsh, I make no apologies—because it is honest.

    How did I get here when, in the beginning, I didn’t mind any of it? The answer is simple: I began to feel ignored, unvalued, and unappreciated. And while that may sound selfish to some, it is incredibly difficult to give endlessly when you feel unseen. I love my husband deeply, but the sacrifices have been enormous. I could carry them more easily if there were signs of appreciation.

    He will say “thank you” or acknowledge my help if prompted. I understand that a stroke causes personality changes, but it does not remove one’s sensibilities.

    I accepted early on that my life would change. I had no problem staying home, limiting outings, washing clothes and sheets, preparing meals, cooking, cleaning, driving, managing the household, and handling every responsibility alone. I knew that part. What I wasn’t prepared for was the lingering depression, the short temper, the refusal to go anywhere, and the stubborn resistance to even basic care—things like brushing his teeth, cutting his hair, shaving, or wearing new shoes.

    Let me explain. He will only allow me to brush his teeth when he has a doctor’s appointment—which isn’t often. He refuses to let me or a barber cut his hair or shave him more than once a month. In between, he looks unkempt, and people quietly place the blame on me.

    He wears the same pair of shoes every day. While he does not walk, the shoes help him grip when standing or transferring. After a year, they are worn and need replacing, but when I try to put a new pair on his feet, you would think I was hurting him. He flatly refuses.

    I work relentlessly to keep him clean, the house clean, his meals healthy, and his appearance respectable—and he fights me on all of it. This is where resentment quietly takes root.

    Yes, I love him. But some days I fantasize about being free—about simply being me again. Some days my eyes roll involuntarily when I hear his wheelchair approaching because I know it means more work. Either he needs help getting to the restroom, or he already has.

    This would be manageable if I were rested—but I am not. My biggest struggle is that he stays up all night, making his schedule the opposite of mine. I am woken repeatedly to help him, and my rest is constantly broken. It feels as though I never have a truly peaceful moment. I am always tired.

    This is not me complaining or standing on a soapbox. This is reality. I am human. There is no one to relieve me for a day. No one to take him to appointments. No backup.

    There are days I would give anything to stay in bed all day watching movies, uninterrupted. That will never happen—but it is a comforting fantasy. The truth is, I will never get a vacation or a true break. This is my reality, and I accept it.

    I wanted to say my private thoughts out loud so others who feel the same will know their feelings are valid. My husband will never suffer or be neglected—no matter how I feel—because I love him and would never mistreat him. He receives the best care I can give.

    What I have learned is this: I do not have to feel guilty for the days I resent the situation or feel deeply alone. Those feelings are valid. You are not a bad caregiver for having them. You are human.

    At the end of the day, we would not trade our lives because we want the best for the ones we love. That is why the “mini vacations” I mentioned in my last blog matter so much. Self-care is not optional—it is survival. If you do not nourish yourself, there will be nothing left to give.

    This is how I get up and do this every day.

    I’ll share another post before the holidays.

    Until next time,

    Lillian

  • 🌿 Daily Mini-Vacations: Caring for Yourself While Caring for Someone You Love

    By Lillian — Caregiving Through Stroke Recovery

    I never knew how heavy care could feel until I stepped into it unexpectedly. Stroke caregiving is sacred work, but it is also exhausting — the kind of work that quietly empties you while the world keeps moving around you.

    And if there’s anything caregiving taught me, it’s this:

    You don’t need an hour to breathe. Sometimes you just need a minute.

    That’s where daily mini-vacations come in — small, simple moments of peace that help refill your spirit so you can keep going with love, strength, and clarity.

    🌼 Mini-Vacation #1: A Warm Cup of Peace

    There is something healing about holding a warm mug between your hands. It calms the body and reminds your mind to slow down.

    Make one cup of tea each day that belongs only to you.

    Sip slowly. Breathe deeply.

    calming tea

    🌿 Mini-Vacation #2: A Gentle Scent to Reset Your Mood

    Aromatherapy became one of the quickest ways for me to calm down when caregiving felt overwhelming. One soft breath of lavender or lemon balm can create instant ease.

    diffuser

    ✨ Mini-Vacation #3: A 60-Second Stretch

    Caregiving asks a lot of your body — lifting, bending, turning, supporting.

    Just one stretch can release so much tension.

    Stand tall. Roll your shoulders. Let your body feel like it belongs to you again.

    📖 Journal

    You don’t need long writing sessions to unload your emotions.

    Sometimes one sentence is enough.

    Try:

    “Right now, I feel…” “Today, I need…” “A small victory today was…”

    🎶 Mini-Vacation #5: One Song That Lifts You

    Music is therapy you don’t have to schedule.

    Choose one song that always brings you back to yourself.

    Press play when you need strength or comfort.

    🌙 Mini-Vacation #6: A Nighttime Reset

    Before bed, give yourself one minute of quiet:

    Turn off bright lights Light a candle Sit still and breathe

    This one moment can completely change how you fall asleep.

    💛 Why These Mini-Vacations Matter

    Caregiving is a marathon without a finish line. Mini-vacations give you the strength to stay present and emotionally grounded in the middle of something incredibly demanding.

    You deserve peace, too.

    Not once in a while — every day.

  • When Progress Gets Interrupted: The Hard Truth About Therapy Limits

    Here he was in physical therapy—taking steps, climbing stairs, walking the full circumference of the large room twice. I was absolutely beaming. I just knew this was the beginning of using the wheelchair only on occasion. He was doing so well, and every session showed real, tangible progress.

    Fast forward to today: he can barely take steps, and the wheelchair is now part of our daily reality.

    What happened, you might ask?

    It’s called insurance.

    Anyone who has been a caregiver knows this truth: therapy is like gold. And yet, almost every insurance company caps how much you can receive—no matter how essential it is to recovery.

    He was failed from the beginning. The rehab center he was placed in right after his stroke had no therapists on staff, yet that didn’t stop them from billing for therapy services. I reported them, and suddenly outside therapists appeared—but only for 30 minutes a day. That was nowhere near enough. In the meantime, spasticity and atrophy were quietly setting in.

    Once he came home, his outpatient therapy was limited to six weeks, twice a week.

    By the time his body finally acclimated and began making true progress, the sessions ended—and we were forced to wait until the next year unless we paid out of pocket. At $350+ per hour on a disability income, that simply wasn’t possible.

    When therapy ended, he would sink so low. He knew how much it was helping him, and losing that momentum felt like losing hope. Those were some of my hardest moments as his caregiver—watching him slip into discouragement and feeling helpless to change it. I used every bit of reverse psychology, encouragement, and faith I had just to help him keep going.

    I rented machines, bought equipment, and tried everything within our means to keep him limber until the next therapy cycle. Even that became expensive. But I stayed positive for him, and leaned heavily on my faith to stay encouraged myself. If our roles were reversed, I know he would have moved Heaven and Earth for me. I simply couldn’t fail him.

    What I’ve come to understand is this: stroke recovery is not a sprint. It’s a long, winding journey, and even with the best care, the person will never be exactly who they were pre-stroke.

    As caregivers, we can never give up. We are their support, their voice, and their advocates. We do everything we know to do—and then we trust the incredible resilience of the human body. Some things improve with time and determination, and some things simply won’t change no matter what we do.

    The key is this:

    Celebrate the victories. Don’t drown in what feels like defeat.

    In my experience, 75% of stroke recovery is self-determination. If the person you’re caring for doesn’t have the inner drive to keep pushing, your efforts can only take them so far. My husband could have progressed much more if he hadn’t given up when the results didn’t come fast enough. Recovery after a stroke requires grit, resilience, repetition, and a positive mindset—all of which are extremely challenging when depression is part of the equation, as it is for so many stroke survivors.

    Today, my husband is wheelchair-bound. His right arm is affected by hemiplegia, and his right leg by hemiparesis. He also lives with aphasia, which limits his speech. That’s a lot for anyone to carry.

    But here’s how I keep him encouraged: I point out the victories.

    Despite his right side being compromised, he can stand to help me transfer him to the bed, the car, and the bathroom. He couldn’t do that five years ago.

    His aphasia has improved dramatically—we can now understand most of what he says. Before, his speech was mostly babble.

    He couldn’t write, spell, or text. Now? He can do all three.

    He once fixed almost anything around the house but initially did not remember how. Today, he remembers the steps and can direct someone else through the repair. That’s huge.

    I’ve witnessed his growth, his setbacks, and his triumphs. And despite everything, I am incredibly proud of him. I look forward to every new victory on this journey.

    In my next post, I’ll share ways caregivers can take care of themselves. Most of us deserve a month-long vacation—but that won’t happen for 99% of us. What we can do is take small daily “mini-vacations” to protect our mental, emotional, and physical health. It’s the only way to survive this journey with our sanity and our spirit intact.

    Please feel free to share your own story or journey with me. I welcome your questions, your experiences, and your voice. We are stronger together.

    Until next time,

    Lillian

    This blog contains affiliate links. As an Amazon Associate, I earn from qualifying purchases at no extra cost to you. I only recommend products that support caregiving, comfort, and daily living.

  • The Depression No One Warns You About After a Stroke

    WHY DIDN’T ANYONE WARN ME?

    I had no idea my husband would fall into such a deep, crushing depression — one that felt like it lasted forever. After a stroke, most patients move through six stages: denial, anger, pleading with God, depression, acceptance, and eventually learning to live again.

    Each phase is painful for a caregiver to witness, but for me, depression was by far the hardest. His lasted almost two full years.

    Before the stroke, my husband was tough. He didn’t back down, didn’t complain, and certainly didn’t cry. I expected that same strength to carry him through recovery — but the person I brought home from rehab was not the man I knew.

    He became a shell of himself overnight. He cried throughout the day, refused to eat, and sank deeper into a sadness that felt impossible to reach.

    THE EMOTIONAL COLLAPSE NO ONE TALKS ABOUT

    Meals became battlegrounds. He wouldn’t touch anything I cooked. Accepting food, in his mind, meant accepting the stroke and all it had taken from him.

    So I began hiding healthy snack bars and cookies around the house so he could “find” them without feeling like he was giving in. He would eat them secretly and hide the wrappers in his pocket, thinking I wouldn’t know.

    Some moments were quiet, and then out of nowhere he would burst into tears. Once, at a doctor’s office, he suddenly turned his wheelchair around and started heading toward the exit. When I gently walked over to guide him back inside, he screamed loudly as if I was hurting him.

    Everyone turned and stared. I wanted to disappear.

    WHEN ANTIDEPRESSANTS AREN’T ENOUGH

    I spent countless hours sitting beside him, speaking affirmations and encouraging him. None of it seemed to help. His doctors prescribed two antidepressants and an appetite stimulant after a month of this.

    I was so hopeful.

    But nothing changed.

    For nearly two years, he cycled between irritability, anger, crying spells, and emotional shutdown. It broke my heart, and I know it broke his too.

    THE REAL DIAGNOSIS THAT CHANGED EVERYTHING

    Eventually, a neurologist finally pieced together what was really happening. The antidepressants weren’t failing — they were treating the wrong thing.

    He wasn’t only depressed.

    He had Pseudobulbar Affect (PBA) — a neurological condition that sometimes appears after a stroke and causes uncontrollable crying, laughing, or emotional outbursts that don’t match the situation.

    She prescribed a medication called Nuedexta, and for us, it was a complete game changer. The constant crying stopped. The sudden emotional explosions eased. For the first time in months, I felt like I could breathe again.

    A STROKE CHANGES EVERYTHING — INCLUDING THE JOURNEY

    Stroke recovery teaches you one undeniable truth: you conquer one hurdle, and another is waiting. The brain is healing, rewiring, and adapting daily — and caregivers must adjust right along with it.

    My next post will talk about something every caregiver faces but no one prepares you for: how to handle setbacks without losing hope.

    Until next time.

    This blog contains affiliate links. As an Amazon Associate, I earn from qualifying purchases at no extra cost to you. I only recommend products that support caregiving, comfort, and daily living.

  • The Small Victories No One Talks About

    There are several small victories that no one talks about, but they are monumental to the caregiver because we understand how much time and effort went into achieving them. In my situation, there were many. The first small victory came when he finally said a word that was recognizable. It took a few months before he was able to speak even a handful of words we could decipher. Before that, every sound came out as “wawawa,” and we were forced to play the guessing game over and over.

    His stroke caused a condition called aphasia. With aphasia, words are hard to pronounce, reading can be difficult, and writing is often nearly impossible. He cannot speak in full sentences, and while aphasia can improve with steady practice and therapy, it never fully goes away. In those early months, he couldn’t spell anything— not even simple words like “cat.” That was one of the hardest parts for me as the caregiver because if he couldn’t speak clearly, I needed him to be able to write things down or text me. But he couldn’t do either at first.

    I spent many hours working with him using Pre-K and kindergarten flash cards to help him remember names of things, practice saying words, and jog his memory. I handed him his cell phone and watched him struggle to use it in any capacity. This was a man who once understood and used technology every day—an IT wizard. At first, he couldn’t even remember how to turn his phone off or on. It was a monumental day when everything finally connected and he sent me a short text letting me know he wanted some tea. Now he sends texts all the time. Sometimes they have a few spelling or grammatical errors, but never enough to keep me from understanding what he wants or needs.

    I encourage any caregiver: never stop trying when your person is struggling with something. The more they do it, the more progress they’ll make—and the easier life becomes for both of you. It takes patience and creativity to keep them engaged in repetitive tasks without making it feel boring or laborious.

    Another not-so-small victory was when the depression finally lifted. Depression is an entire story of its own, one I will likely address in my next blog because it is, in my opinion, the single most challenging aspect of the caregiving journey. In his case, the depression medication didn’t seem to work, and it left us confused and frustrated. Thankfully, we had a great neurologist who recognized from the scenarios I described that he actually had Pseudobulbar Affect. It causes a person to react with the “wrong” emotions—laughing during something serious, becoming angry for no clear reason, or crying out of nowhere. It is essentially a neurological disconnect in the brain. This is not the case for everyone, but it was his. Once that issue was addressed, there was a huge turnaround.

    The brain goes through so much in the weeks and months after a stroke as it tries to repair itself. Many significant memories may be lost at first. My husband didn’t remember our wedding. He didn’t remember divorcing his ex-wife. He didn’t remember he had a child. He didn’t remember vacations, and he didn’t remember earning his Bachelor’s Degree in Engineering. Thankfully, all of these memories returned—but not all memories come back. For instance, he no longer remembers how to fix a computer, and that skill used to be as natural to him as breathing. Yet he has mastered the iPhone again and now does things on it that even I can’t figure out.

    We celebrate the little victories we have and continue to work on the things that remain challenging. This journey has been full of twists and turns, ups and downs, victories and—dare I say it—failures. But the truth is, the victories far outweigh everything else. There will always be challenges because new ones appear out of nowhere, but as caregivers, we can’t let our faces reflect the difficulty. We want them to stay as positive as possible because it is incredibly discouraging to go from independent to dependent almost overnight.

    Our job as caregivers is to face the challenges, find creative ways to make things easier, and stay alert for anything that might improve their lives. I have learned so many things that helped both of us on this journey, and I will share those in upcoming stories. If any of this feels familiar to you, please let me know. Feel free to comment or ask questions—I truly welcome it. My hope is that someone out there feels less alone because of this. This is a difficult job, but it is also a labor of love.

    Until next time.

    This blog contains affiliate links. As an Amazon Associate, I earn from qualifying purchases at no extra cost to you. I only recommend products that support caregiving, comfort, and daily living.

  • The Beginning of My Seven-Year Stroke Caregiving Journey

    I never imagined that one ordinary day would turn into the beginning of a seven-year journey that would change me forever. Stroke caregiving wasn’t something I trained for or expected, but it became the place where love, exhaustion, fear, and faith collided. This blog is my space to finally share what those years looked like — the silent moments no one sees, the strength I didn’t know I had, and the lessons I’m still learning today.

    I decided to tell my story because I felt so alone and isolated throughout this journey. I never want another person to experience that same level of isolation or be forced to figure everything out the hard way. Through my trials, mistakes, and small victories, I’ve learned so much — and if sharing my experience can help even one person navigate this life-changing role, then opening up is worth it.

    The moment that changed the entire trajectory of my life happened almost seven years ago. It was a Monday night I will never forget. My fiancé, now my husband, and I were having one of our usual conversations — the kind filled with laughter and connection. In the middle of it, he suddenly went silent and stared ahead as if he were in a trance. For a split second, I thought he was joking. But then the right side of his face and body drooped.

    I knew immediately what was happening.

    My cell phone was right beside me, but somehow it felt like I couldn’t press those three numbers — 9-1-1 — fast enough. When the call finally went through, they put me on hold for a few seconds that felt like an eternity. The moment the operator answered, I blurted out my address, his age, and what I feared was happening. And that age — 49 — is what made all of this even more shocking.

    She continued asking a series of questions that annoyed me at the time. I understand now she was following protocol, but in that moment, giving the address and saying “possible stroke” felt like all that mattered. I hung up, not to be rude, but because I needed to stop him from attempting to stand.

    Before I even ended the call, I heard sirens in the distance; thankfully the fire station was right around the corner. I ran to the porch, waving them in like an air-traffic controller, all while my phone kept ringing — the operator calling back, insisting I stay calm and keep talking. But I was terrified, elevated, anxious, and completely outside myself. In that frantic two-minute span, I hung up again. It wasn’t out of disrespect. It was because the man I loved — charismatic, strong, intelligent, and full of heart — had been rendered helpless.

    Was this really happening to him? To us?

    We had dreams. We had plans.

    And in that single moment, everything changed.

    The first few weeks were some of the hardest days of my life — especially that very first week. He had a massive hemorrhagic stroke. Machines and tubes were everywhere. I did not know if he would survive until the third day. My chest stayed tight, my stomach was in knots, and I couldn’t eat for days. My entire world turned upside down in one single moment.

    The biggest lesson I learned early on is that strokes are unpredictable, powerful, and life-altering. I had believed nothing could break him — not with his mental strength, physical strength, and determination. But this stroke affected so many functions that it left him almost helpless. I’m not a medical doctor, but after all these years, the amount of research, reading, and firsthand experience I have gained feels like a second education.

    Being his caregiver for nearly seven years has taught me more than I ever anticipated. Some things I expected. Many things blindsided me. And this journey has been everything at once — rewarding, stressful, sad, tiring, overwhelming, triumphant, and at times absolutely chaotic. But it has also shown me love and resilience in their purest forms.

    In the next part of my story, I’ll share how those first few weeks turned into years of learning, adjusting, and fighting for hope when everything felt uncertain.

    This blog contains affiliate links. As an Amazon Associate, I earn from qualifying purchases at no extra cost to you. I only recommend products that support caregiving, comfort, and daily living.