Change in personality after stroke – VnExpress

People recovering from a stroke often face personality changes such as irritability, aggression, and loss of emotional motivation.

After a stroke, in addition to the physical effects, there are significant personality changes. Some cases act “no longer being myself”, surprising themselves and those around them.


Depression is a very common personality change that occurs for many reasons. Depression occurs due to limitations caused by stroke, such as weakness, loss of vision… making the patient feel depressed. After a stroke, people often worry about their health or worry about mortality. Feelings of helplessness or hopelessness contribute to depression. In addition, the damage caused by a stroke causes changes in the way the brain works, causing biological activity to be altered, which is also a cause of depression.

Avoid society

According to the same study, many stroke survivors often experience feelings of social anxiety, specifically one in five people after a stroke have an anxiety disorder. The cause of this condition is explained by changes in the patient’s brain. Some stroke survivors even have severe disabilities, making it difficult to drive, leave the house, or even get out of bed. All of these factors lead to anxiety and social avoidance. This makes the patient’s loneliness worse, very difficult to escape without a specific plan.

Loss of cognitive skills

After a stroke, people may experience changes in cognitive skills, such as trouble with language, reading, and simple calculations. Some people become absent-minded, forget names, lose things, or neglect important tasks. Loss of cognitive skills occurs after stroke in most regions of the brain. This symptom occurs most often with strokes that affect the frontal, parietal, or temporal lobes.

Emotional instability

A stroke damages the parts of the brain that control emotional responses. After a stroke, a person may not be able to control their emotions, crying irregularly.

After a stroke, the patient may be angry, difficult to control emotions. Photo: Freepik

Lack of motivation

In fact, a stroke can lead to a lack of motivation and lethargy. Manifestations are that the patient is less interested in seeing friends and family, avoiding social gatherings and giving up the habit of doing things that he used to do before. The above indifference will negatively affect the health and quality of life of the patient.


Some stroke survivors become unexpectedly hostile and angry, behaving “malicious” or more physically aggressive. Aggression is more pronounced in people who have had a major stroke or have the type of stroke that causes vascular dementia.

Lack of empathy

After a stroke, patients sometimes become less empathetic towards others, by saying or doing hurtful things. It is caused by damage to the right regions of the brain, affecting the patient’s perception of other people’s emotions and facial expressions.

Loss of sense of humor

Many types of stroke reduce a person’s sense of humour, as shown by the inability to make jokes or not to be amused by jokes. People with damage to the right frontal lobe from a stroke have trouble seeing jokes. They laugh less.

Losing the rules in society

Many stroke survivors behave in ways that are considered socially inappropriate. Behaviors include taking food from a stranger’s plate, loudly insulting others, and even undressing or urinating in public. Often, these patients do not realize that their actions are inappropriate. They are also unlikely to apologize or attempt to correct the behavior.


A rare type of stroke causes a condition called Othello syndrome, named after the character in Shakespeare’s plays. Othello syndrome is characterized by irrational jealousy, especially in the context of romantic relationships. Caused by traumatic brain injury in the right cerebral cortex. This area of ​​the brain is affected causing the patient to become jealous for no reason, accusing his partner of being unfaithful.

Mr. Chi (According to VeryWellHealth)


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