Changes in judgment after a stroke

A person who was very concerned about details before a stroke may become sloppy and care little about personal appearance after a stroke. Because these problems may be annoying, it is easy to think that there is an emotional or psychological problem. In fact:

• There may be a problem with memory. Someone who fails to bathe or change clothes may need a checklist on the bathroom mirror as a reminder.
• There may be a behavior problem. The person may not respond appropriately in social situations. Inappropriate behavior should be discussed immediately and in a matter-of-fact way.

If your family member has judgment problems:

• Remember that nagging or getting angry only makes things worse.
• Tell the person immediately when he or she does something wrong.
• Be sure to acknowledge when he or she does the "right" thing.
• Talk with your doctor to see if medicines might help treat the problem.