• 8 months ago

    post stroke

    my brother, who is 52 yrs old, has had several strokes, and now his whole demeanor is changed. he doesn't seem to have whatever it is that triggers you to take care of your personal hygiene or cleanliness at all, is this something that can be fixed? my family is at their wits end trying to understand what is happening with my brother and now he is answering his room door in the nude and seems to be going further away from normal. any help or advice would be appreciated.


  • RE: post stroke

    Hi Cintheia,

    I know that must be so difficult for you and your family. Personality changes after a stroke are fairly common. The symptoms you describe, including the inappropriate behavior of appearing at the door nude, are sometimes seen, depending on the area of the brain affected by the stroke. Behavioral interventions may help, such as consistently reminding him to put on a clothes, wash etc. You do want to be careful of how you approach him so he doesn't feel like the family is coming down on him. Remember to him, he doesn't realize it's inappropriate or unusual behavior. I would highly recommend talking to his doctor to determine what assistance there is to helping with these behaviors. How permanent this is will be tough to tell but the longer it goes on with no change, the more chance that they won't improve. Hang in there. I know this is quite tough to see in a family member. Caregiving is such a very hard job.
      • 6 months ago
        Dr. Smith,
        I thank you for taking the time to respond. We are trying to locate a better living situation for him, at the moment he lives in an assisted living place that is mostly elderly people and he is the youngest one there and he constantly says he is bored to death. I intend to move closer to be able to spend more time with him, sometimes I feel like I am the only one who understands he will not ever be the same man he once was. I am hoping with a new living situation that offers more stimulation for him on a daily basis. When I am able I will get my parents together and see if they can have a talk with the doctor about his behaviors. Again, Thank you!
  • RE: post stroke

    That sounds like a great plan. Caregiving is a very tough role, so don't forget to take care of yourself through the process. Stress can really get to you and affect your health, which I know is the last thing you need when trying to help your brother. Hang in there, try some deep breathing exercises daily to help manage the stress, and take time for yourself.