A stroke causes brain damage. When this damage occurs in areas that control functions such as memory, problem-solving, concentration, and communication, it can cause confusion.
Confusion is a common side effect of a stroke. Many people who experience a stroke are confused in the weeks and months that follow. They might have difficulties with memory, following directions, staying focused, and more.
Some people make a rapid recovery and regain those skills within the first

It’s very common to experience confusion after a stroke. Strokes can affect memory and thinking ability. These effects can lead to confusion and difficulties in everyday life.
Often, the most severe confusion occurs in the days immediately following a stroke. This may be due to
Many people experience rapid recovery in the first few days and weeks after their stroke. However, this isn’t always a full recovery. People who have had a stroke can still have some symptoms of confusion and might still need therapy and recovery time.
Strokes can affect people in different ways. Common symptoms include difficulties with:
- concentration
- making and keeping plans
- problem-solving
- multitasking
- memory
- following directions
- noticing objects on one side of your body
- recognizing things
- recalling specific words or phrases
- money, numbers, and time
During a stroke, the supply of nutrient-rich, oxygenated blood to the brain is blocked. This causes brain cells to die.
Inflammation also occurs after a stroke. Inflammation
The combination of cell death and inflammation can affect areas of the brain responsible for functions such as thinking, memory, concentration, communication, sense of direction, and problem-solving, leading to confusion.
Treatment for confusion after a stroke can give you the tools you need to manage difficulties in daily life.
People are often able to improve quickly in the first
An occupational therapist will be the primary healthcare professional who can treat confusion. This specialist can help people learn ways to manage confusion and make their everyday lives easier.
For example, they may help someone learn to set reminders, use labels, make notes for yourself, or develop routines that are easier to stick to.
People who’ve experienced a stroke may also work with a speech-language pathologist. These specialists help people connect ideas and words and improve communication and memory.
In some cases, a clinical neuropsychologist, a healthcare professional who specializes in how the brain and nervous system work, might also be part of the treatment team. They can perform an assessment that measures thinking and attention skills and can develop a treatment plan.
There’s no way to predict exactly how long confusion after a stroke will last.
Although most people experience the most severe symptoms in the first few weeks and the fastest recovery progress in the first 3 months, there’s no set timeline.
People can experience confusion years after a stroke, but they can also have progress and symptom improvement years after a stroke.
The exact risk factors for confusion after a stroke aren’t completely understood. However, researchers are studying a few links.
These risk factors haven’t been proven but have been associated with stroke after looking at data from multiple studies.
Possible risk factors for confusion after a stroke include:
- diabetes
- underlying dementia
- having a previous stroke
- high blood pressure
- smoking
- atrial fibrillation
The outlook for people who experience confusion after a stroke is highly individual. A person’s recovery depends on many factors, such as:
- their age
- the treatment they receive
- their overall health
- the severity and location of their stroke
- the support they have
Typically, the progress a person makes during the first few months after their stroke is a good benchmark for how much progress they will be able to make overall. However, keep in mind that some people are able to make significant improvements years after a stroke.
You can learn more about confusion after a stroke by reading these answers to some common questions.
You can take certain steps at home to help the brain following a stroke. Staying active and busy may help promote healing.
Getting exercise, doing hobbies you enjoy, talking with friends, spending time outdoors, and even learning something new can help strengthen the brain.
If a loved one is experiencing confusion after a stroke, there are several ways you can support them.
It’s important to be patient when talking with your loved one. It can also help to break down activities and tasks into smaller steps, making them less overwhelming and easier to understand. It’s OK to pause and take breaks if your loved one seems frustrated, angry, or confused.
Many great organizations offer support after a stroke. You can check out:
- The American Stroke Association: You can use their search feature to find a support group near you.
- The Stroke Network: This online support group is always available when you need to talk with someone.
- The American Stroke Foundation: Their Next Step Program is aimed at people who have experienced a stroke and who are ready to start their recovery journey.
Confusion after a stroke is a very common effect. Stroke causes brain damage that may occur in areas that control functions such as communication, memory, problem-solving, and concentration. This leads to confusion and difficulties in everyday life.
An occupational therapist can help develop a treatment plan that will give you the tools you need to manage these difficulties.
Often, people make the largest recovery gains during the first 3 months following a stroke. However, it’s possible to continue improving for years.