 Hello, I am Dr. Bhushan Joshi. I am practicing consultant neurologist and practicing at Manipal Hospital, Kharadi, Pune. We have created videos regarding awareness of stroke. I have talked about multiple aspects of stroke. What is stroke? How it is caused and what we can do to treat the importance of golden hour. But today it is an attempt to create awareness about a neglected aspect of stroke treatment. A mental health and the mental challenges patient faces after he suffers from stroke. Stroke, as we know, is a brain attack. It happens suddenly. The life before and after that event is drastically different. There are many changes patient experience after the stroke and then the practical problems faced by him are numerous. So this also not only creates physical problems for the patient but there are immense emotional challenges patient faces too. Cope up with all those changes. He is not aware or he was not expecting anything of that sort happening with him that creates mental and emotional problem in patient. Apart from this one fact, stroke brain damage in particular area of brain such as frontal lobe or thalamus also creates some emotional problems, anxiety, anger, forgetfulness, those type of issues. So mainly because of this damage to the brain there are limitations and patients are unaware of their future uncertainty about the future creates mental issues. How can we cope up with those mental issues? Firstly, patient needs strong familial and friends of circle support. We should be open about his diagnosis with patient. He should be aware what is happening with him and what will be the future and what are we planning to take care of his limitations. So in making him aware about gradual physiotherapy, the speed of recovery is slow. Once patient knows that then he can actively participate in physiotherapy exercises. He can proactively take some medications and water precautions and dietary changes, exercises needs to be followed. He follows them religiously. That creates some mental confidence. Sometimes if this doesn't help proper psychological counseling also helps patient in taking care of his emotional challenges. In extreme cases, some anti-depressant or more delievering type of medications needs to be used in certain set of patients. If required, we use those medication in these patients. It is not only affecting patients' mental health but also family or caregiver mental health is also affected because entire family was dependent on the patient and then suddenly that person changes. That creates emotional turbulence in entire family. Tackle this issue. There are stroke support groups where similar patients enroll with the stroke and they can share their experiences. They can counsel each other. They can share their positive experience and that helps in handling mental health of the family members or caregivers also. So let us create awareness about this aspect of the stroke. You can join different stroke health group. You can be open with your doctor. Whatever mental issues you are facing after the stroke recovery and your doctor, your psychologist, your family and your friend will definitely help you. This aspect of stroke also can be treated. Thank you.