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Dating After Stroke

Dating After Stroke: Confidence, Relationships and Starting Again

July 30, 202619 min read

Dating after a stroke can feel intimidating. You may be dealing with physical changes, communication difficulties, fatigue, reduced confidence or fears about how another person will react.You may wonder whether anyone will accept the person you are now.

But having a stroke does not make you unlovable. It does not remove your need for companionship, intimacy, affection or connection. Dating may feel different after a stroke, but meaningful relationships are still possible.

This article explains how to begin dating after a stroke, when to disclose your medical history, how to rebuild confidence and how to recognise whether someone is genuinely right for you.

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After Your Stroke, Dating May Feel Like Another World

Before your stroke, dating may have felt spontaneous.

You could meet someone, get dressed, go out and enjoy the experience without thinking about accessibility, fatigue, medication, speech difficulties or whether your body would cooperate.

After a stroke, even a simple date can require planning.

You may worry about:

  • Walking into a crowded venue

  • Using cutlery with one hand

  • Finding the right words during conversation

  • Becoming tired halfway through the date

  • Having visible weakness, tremors or facial changes

  • Explaining why you cannot drive

  • Being judged because of your disability

  • Discussing your stroke without frightening someone away

  • Becoming emotionally or physically vulnerable again

These concerns are understandable.

A stroke can affect far more than movement. It can change how you see yourself and how confident you feel around other people.

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The Good News

You do not need to be completely recovered before you are allowed to date.

You do not need perfect speech, perfect movement or complete independence to be worthy of a relationship.

The right person will be interested in your personality, values, humour, intelligence, kindness and the life you are building—not simply what your body can or cannot do.

Dating after stroke is not about convincing someone to tolerate you.

It is about discovering whether another person deserves access to your life.

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Why Dating After Stroke Can Feel So Difficult

Your confidence may have changed

Stroke can alter your appearance, movement, speech and independence.

Even when other people barely notice these changes, you may be intensely aware of them.

You may compare yourself with who you were before your stroke and assume that everyone else is making the same comparison.

They usually are not.

Most people meeting you for the first time only know the person standing in front of them now.

You may feel uncomfortable in your body

Weakness, spasticity, changes in sensation, balance difficulties or weight changes can affect body confidence.

You may worry about how your body looks during intimacy or whether it will respond in the way you expect.

These fears can make you avoid dating altogether, even when you want companionship.

You may fear rejection

Rejection is unpleasant for anyone, but after a life-changing medical event, it may feel more personal.

You may believe that rejection proves you are damaged or no longer desirable.

It does not.

Dating involves rejection for almost everyone. Sometimes there is no chemistry. Sometimes lifestyles are incompatible. Sometimes another person is emotionally unavailable.

Not every rejection is about your stroke.

You may have less energy

Stroke fatigue can make long evenings, noisy restaurants and spontaneous plans difficult.

A person who does not understand neurological fatigue may mistakenly believe you are uninterested, distant or unreliable.

Clear communication can prevent many of these misunderstandings.

Your life may have become more complicated

You may have appointments, rehabilitation exercises, medication schedules or transport limitations.

This does not make dating impossible, but it may mean choosing dates that work with your current reality instead of pretending that reality does not exist.

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When Are You Ready to Date After Stroke?

There is no medically defined waiting period for dating.

You may be ready when you feel interested in meeting someone—not when every part of your recovery is complete.

However, dating is more likely to be healthy when:

  • You are looking for connection rather than rescue

  • You can communicate at least some of your needs

  • You can tolerate the possibility that not every date will work out

  • You are not relying on another person to repair your confidence

  • You can recognise disrespectful or manipulative behaviour

  • You are beginning to accept the person you are now

  • You have enough physical and emotional energy to engage with someone

You do not need to feel completely fearless.

You only need enough stability to participate without abandoning your own needs and boundaries.

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Do You Have to Tell Someone You Had a Stroke?

You are not required to disclose your entire medical history immediately.

Your stroke is personal information. You decide when and how to share it.

However, disclosure may be helpful when your stroke affects the date or the development of the relationship.

For example, you may need to explain:

  • Why you walk differently

  • Why you need an accessible venue

  • Why you cannot stay out late

  • Why you occasionally struggle to find words

  • Why you do not drink alcohol

  • Why you cannot drive

  • Why you need to take medication

  • Why you may need assistance with a particular activity

You do not need to turn the conversation into a medical presentation.

A straightforward explanation is often enough:

“I had a stroke a few years ago. I have recovered well, but I still experience fatigue and some weakness.”

You can then decide whether you want to share more.

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When Should You Mention Your Stroke?

There is no single correct time.

Before the first date

Mentioning it before meeting may reduce anxiety, particularly when your disability is visible or affects the arrangements.

It can also filter out people who are immature, prejudiced or uncomfortable with disability.

That may feel painful, but it saves you from wasting time on someone unsuitable.

During the first few dates

You may prefer to let someone meet you as a person before discussing your stroke.

This can be reasonable when your stroke does not significantly affect the date.

However, repeatedly hiding it may increase your anxiety and make the conversation feel more difficult later.

When the relationship becomes serious

Some people wait until they know there is genuine potential.

The risk is that the other person may feel important information was deliberately withheld, especially when the stroke has a substantial effect on your everyday life.

A useful rule is this:

You do not owe a stranger your entire story, but you should not build a serious relationship around concealment.

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How to Talk About Your Stroke Without Apologising

Your stroke is not a confession.

You do not need to present it as a warning or apologise for what happened to you.

Avoid language such as:

  • “I need to tell you what is wrong with me.”

  • “You probably will not want to see me after this.”

  • “I understand if this is too much for you.”

  • “I am damaged now.”

  • “My body does not work properly.”

That language places you beneath the other person before they have earned any authority over your self-worth.

Instead, be factual:

“I had a stroke three years ago. I have made a strong recovery, although I still have some weakness in my left side.”

Or:

“My speech can become slower when I am tired. It is a result of a stroke, so I sometimes need an extra moment.”

You are providing relevant information—not asking permission to exist.

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Choosing the Right Kind of First Date

Your first date does not need to be physically demanding or last several hours.

Choose an environment where you can feel comfortable and communicate properly.

Possible first dates include:

  • A quiet café

  • A short lunch

  • A walk somewhere accessible

  • A museum or gallery with seating

  • A relaxed afternoon drink

  • A video call before meeting

  • A casual activity that can be ended easily if you become tired

Consider:

  • Noise levels

  • Accessible toilets

  • Distance from parking or public transport

  • Availability of seating

  • Uneven ground

  • How long the date is likely to last

  • Whether you can leave independently

A difficult venue is not a test of your recovery.

The purpose of the date is to assess the person, not prove how much discomfort you can tolerate.

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Dating Apps After Stroke

Dating apps can make meeting people easier, particularly when fatigue, mobility problems or transport difficulties limit your social activities.

However, they can also be superficial and emotionally draining.

Should you mention your stroke in your dating profile?

You can, but you do not have to.

Some people mention disability openly because they do not want to spend time explaining it repeatedly.

Others prefer to disclose it privately after establishing basic interest.

Both approaches are valid.

Your profile should not be dominated by your stroke unless stroke advocacy or recovery is a major part of how you want to present yourself.

You are more than your medical history.

Include your interests, personality and the kind of life you enjoy.

Protect yourself online

Be cautious when someone:

  • Becomes intensely affectionate immediately

  • Pressures you for personal or financial information

  • Repeatedly asks about compensation, benefits or property

  • Wants to borrow money

  • Refuses video calls

  • Creates frequent emergencies

  • Pushes for commitment before meeting

  • Treats your vulnerability as an opportunity

  • Ignores your boundaries

Stroke survivors can feel isolated, and dishonest people may exploit that loneliness.

Attention is not the same as genuine care.

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Rebuilding Confidence Before Dating

Confidence does not always return because someone else finds you attractive.

It is stronger when it is rebuilt independently.

Wear clothes that make you feel like yourself

You do not need to hide every physical difference.

Choose clothing that is comfortable, flattering and practical for your body now.

Practise talking about your stroke

Prepare one or two sentences explaining what happened and how it affects you.

Rehearsing the explanation can reduce anxiety and prevent you from oversharing because you feel nervous.

Start gradually

You may begin with messaging, short video calls or brief daytime meetings.

You do not have to begin with an elaborate evening date.

Continue building your own life

Maintain your friendships, rehabilitation, interests, work, goals and routines.

A healthy relationship should add to your life, not become the only thing in it.

Stop treating your pre-stroke self as your competition

You may not move, speak or live exactly as you once did.

That does not mean the current version of you is inferior.

Recovery is not only about returning to who you were. It can also involve building a different but still meaningful life.

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What If You Have Aphasia or Communication Difficulties?

Aphasia can make dating especially frustrating.

You may know exactly what you want to say but struggle to produce the words. Fast conversations, noisy venues and nervousness can make the problem worse.

You can tell your date:

“I understand everything, but sometimes I need longer to find the words.”

Helpful strategies include:

  • Choosing quiet venues

  • Asking the other person not to interrupt

  • Using your phone to type difficult words

  • Taking breaks when fatigued

  • Using gestures, photographs or communication apps

  • Meeting for shorter periods

  • Explaining that aphasia does not affect intelligence

Pay attention to how the person responds.

Someone suitable will give you time.

Someone who mocks you, speaks over you or treats you as less intelligent is showing you exactly who they are.

Believe the evidence.

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What If You Have a Visible Disability?

You may use a walking stick, wheelchair, AFO or other mobility aid.

You may have a weakened hand, facial asymmetry or an altered walking pattern.

A visible disability may attract questions. You decide how much you want to answer.

You should not tolerate:

  • Intrusive questions immediately

  • Being treated like an inspirational story

  • Infantilising language

  • Someone speaking to your companion instead of you

  • Assumptions that you cannot have sex

  • Comments suggesting you should feel grateful for romantic attention

  • Someone behaving as though dating you is an act of charity

You are not fortunate simply because someone without a disability shows interest in you.

The relevant question is whether that person meets your standards.

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Intimacy and Sex After Stroke

A stroke can affect sexual desire, sensation, movement, confidence and physical stamina.

Medication, depression, fatigue and fear of another stroke may also affect intimacy.

Common concerns include:

  • Reduced libido

  • Erectile difficulties

  • Vaginal dryness

  • Changes in sensation

  • Muscle weakness

  • Pain or spasticity

  • Difficulty changing positions

  • Fatigue

  • Fear of being seen naked

  • Worry that sex could trigger another stroke

These problems are not shameful.

Communication, pacing and experimentation may help. Pillows, supportive positioning, lubrication and choosing times when energy is highest can make intimacy more comfortable.

Speak with your GP or stroke team when sexual difficulties persist. Medication side effects and treatable health conditions may be contributing.

Do not stop prescribed medication without medical advice.

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Can Sex Cause Another Stroke?

For most medically stable stroke survivors, sexual activity is not considered unusually dangerous.

Sex generally places a similar demand on the body to moderate physical activity.

However, you should seek individual medical advice when you have:

  • Uncontrolled blood pressure

  • Unstable heart disease

  • Chest pain

  • Severe breathlessness

  • A recent major cardiovascular event

  • Specific restrictions from your medical team

Fear can remain even after you have been medically cleared.

Discussing that fear with a healthcare professional may provide reassurance.

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Dating When You Have a Carer

Dating can feel complicated when you rely on a family member, professional carer or personal assistant.

You still have a right to privacy and adult relationships.

Where possible:

  • Arrange private time

  • Agree clear boundaries with carers

  • Decide what information can be shared

  • Plan transport and personal care in advance

  • Avoid allowing family members to control your romantic decisions

  • Speak directly for yourself whenever possible

Needing support does not remove your autonomy.

However, anyone you date should respect the people helping you without trying to take control of your care, finances or decisions.

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Warning Signs in a New Relationship

Loneliness can make it tempting to overlook poor behaviour.

Do not lower your standards because you had a stroke.

Be cautious when someone:

  • Dismisses your fatigue or symptoms

  • Pressures you into activities you cannot manage

  • Becomes angry when you need to rest

  • Tries to control your medication or appointments

  • Makes jokes about your speech, walking or disability

  • Treats you as dependent or incapable

  • Moves into your home quickly

  • Asks for access to your money

  • Encourages you to isolate yourself

  • Uses your stroke during arguments

  • Suggests nobody else would want you

  • Ignores sexual boundaries

  • Presents basic respect as a favour

These are not minor imperfections.

They are evidence that the person may be unsafe or unsuitable.

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Signs of a Healthy Partner

A healthy partner does not need to understand stroke perfectly from the beginning.

They do need to be willing to listen and learn.

Positive signs include someone who:

  • Asks what support is helpful instead of assuming

  • Respects your independence

  • Gives you time to communicate

  • Accepts changes to plans without punishing you

  • Does not treat you as fragile

  • Shows consistent behaviour

  • Respects physical and emotional boundaries

  • Encourages your goals

  • Can discuss intimacy honestly

  • Sees your stroke as one part of your life—not your entire identity

Words matter, but behaviour matters more.

Judge the person by repeated actions over time.

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What If Someone Rejects You Because of Your Stroke?

It will hurt.

But rejection from an incompatible person is not proof that you are unworthy.

Someone may lack the maturity, emotional capacity or willingness to understand disability.

That tells you something about them.

Do not beg for acceptance, provide endless explanations or try to prove that your disability will never inconvenience them.

You are seeking a partner, not applying for permission to be loved.

Let unsuitable people remove themselves early.

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Dating Someone You Knew Before Your Stroke

Dating a person who knew you before your stroke can create a different pressure.

You may worry that they are comparing you with your former self.

They may also struggle to understand changes in your energy, confidence or personality.

Honest conversations are essential.

Ask whether they accept the relationship as it exists now—not whether they are waiting for you to become exactly who you were before.

A relationship cannot survive when one person is permanently grieving a previous version of the other.

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Dating After the End of a Previous Relationship

Some relationships do not survive stroke.

A partner may become a carer, emotional closeness may disappear or the relationship may expose problems that already existed.

Beginning again can feel frightening, particularly when you expected your previous relationship to last.

Do not rush into a new relationship simply to prove that you are still desirable.

Take time to understand:

  • What went wrong previously

  • What behaviour you will no longer tolerate

  • What kind of relationship you now want

  • Which boundaries need to be stronger

  • Whether you are emotionally available

  • Whether you are seeking companionship or escape

A new relationship will not automatically repair the damage caused by an old one.

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Tips for Family and Carers

Family members may become protective after a stroke.

Their concern may be genuine, but the stroke survivor remains an adult with the right to make personal decisions.

Family and carers should:

  • Avoid interrogating potential partners

  • Respect privacy

  • Discuss safety without becoming controlling

  • Support transport or communication when requested

  • Avoid assuming the survivor cannot consent

  • Take concerns seriously when there is evidence of exploitation

  • Encourage independence rather than dependency

Protection should not become imprisonment.

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When Should You Seek Professional Support?

Consider speaking with your GP, stroke team, psychologist or counsellor when:

  • Fear of rejection prevents you from meeting anyone

  • You feel worthless or undesirable

  • You are experiencing persistent depression

  • You cannot accept changes to your body

  • Previous relationship trauma is affecting new relationships

  • Sexual difficulties are causing distress

  • You feel pressured or controlled by a partner

  • You suspect financial or emotional exploitation

  • You are unsure whether changes in sexual behaviour may be related to your stroke

Relationship concerns are a valid part of stroke recovery.

You do not have to wait for a crisis before asking for support.

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My Perspective

After a stroke, it is easy to believe that you must become fully recovered before you can return to life.

But life does not pause politely while recovery takes place.

You may still have weakness. Your hand may not move exactly as it once did. You may become tired more easily or occasionally struggle to find a word.

That does not mean you are no longer capable of love, attraction or intimacy.

The most important shift is to stop approaching dating as though another person is being asked to accept a burden.

You have also survived something that tested your resilience, patience and identity.

You have standards, choices and value.

Dating after stroke is not only about whether somebody wants you.

It is also about whether you want them.

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Frequently Asked Questions

Can stroke survivors have relationships?

Yes. Stroke survivors can have loving, intimate and long-term relationships. Some adjustments may be needed when stroke has affected mobility, communication, fatigue or sexual function.

Should I put my stroke on my dating profile?

You can, but you are not required to. Some people prefer early disclosure, while others discuss it privately after establishing initial contact.

Will people reject me because I had a stroke?

Some may, but not every rejection will be related to your stroke. Someone who cannot accept your circumstances is not the right match for you.

How do I explain aphasia on a date?

Explain that aphasia affects communication rather than intelligence. Ask the person to give you time to find words and choose a quiet environment.

Is it safe to have sex after a stroke?

Sex is generally safe for medically stable stroke survivors. Ask your doctor for individual advice when you have cardiovascular concerns or have been given activity restrictions.

Can a stroke affect sexual desire?

Yes. Brain changes, fatigue, depression, medication and relationship stress can increase or reduce sexual desire.

What should I do if my date treats me like a patient?

Correct the behaviour directly. Explain that you want to be treated as an equal partner. When the behaviour continues, reconsider whether the person is suitable.

Am I obligated to disclose my disability?

You control your personal information. However, honest disclosure becomes increasingly important when the condition affects plans, intimacy or the development of a serious relationship.

Can I date while I am still recovering?

Yes. Recovery does not need to be complete. However, make sure dating is not interfering with rehabilitation or being used to escape serious emotional distress.

What if I need help during a date?

Plan ahead. Choose an accessible location, arrange transport and tell the person about any practical assistance you may need.

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Key Takeaways

  • Having a stroke does not make you unlovable or undesirable.

  • You do not need to be fully recovered before dating.

  • You control when and how you disclose your stroke.

  • Explain your needs without apologising for them.

  • Choose accessible, low-pressure dates that work with your energy.

  • Watch behaviour rather than relying on flattering words.

  • Do not lower your standards because you have a disability.

  • Seek medical advice for persistent sexual problems or safety concerns.

  • A good partner will respect both your independence and your limitations.

  • Dating is not only about being chosen. You are also choosing.

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Related Articles

Friendships After Stroke

Learn why friendships can change after a stroke and how to recognise which relationships are worth rebuilding.

Relationships After Stroke

Understand how stroke can affect communication, intimacy, responsibilities and emotional connection between partners.

Sex After Stroke

Explore common changes in sexual function, confidence and intimacy following a stroke.

Emotional Changes After Stroke

Learn how changes in the brain can affect mood, behaviour, confidence and relationships.

Rebuilding Confidence After Stroke

Practical ways to regain trust in your body, identity and ability to participate in life again.

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Final Thoughts

Dating after stroke can feel exposing because it asks you to be seen at a time when you may still be learning to accept yourself.

But your stroke did not erase your personality, humour, intelligence, sexuality or capacity to connect with another person.

You are not required to hide what happened.

You are also not required to make your stroke the centre of every relationship.

Be honest. Protect your boundaries. Choose people according to their behaviour, and do not mistake attention for respect.

The goal is not to find someone willing to overlook your stroke.

It is to find someone capable of seeing your whole life—and adding something worthwhile to it.

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Stroke Survivor and Author
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What you’ll learn

Why sitting balance can be affected after a stroke

Common problems people notice day to day

Simple rehabilitation approaches that may help

When changes in balance need medical attention

Why sitting balance matters

Sitting balance is often one of the foundations for standing, walking and everyday activities. After a stroke, some people find it difficult to sit upright without support, lean to one side, or feel unsteady when reaching.

The good news

Sitting balance often improves with rehabilitation, practice and time. Even small improvements can support confidence and independence.

Why can balance change after a stroke?

A stroke may affect several systems that help you stay upright, including strength, coordination, sensation, body awareness and balance control.

Strength

Trunk muscles may become weaker or slower to respond.

Coordination

Movements may feel less automatic or less controlled.

Sensation

You may have less feedback about where your body is in space.

Confidence

Fear of falling can make movement feel harder.

Common sitting problems after a stroke

  • Leaning to one side

  • Difficulty sitting upright without support

  • Feeling unstable when reaching

  • Falling or drifting backwards

  • Increased fatigue during longer periods of sitting

Some people may also experience pusher syndrome, where they actively push towards their weaker side. This should be assessed by a rehabilitation professional.

What May Help

Physiotherapy and occupational therapy often work on trunk control, weight shifting, posture, coordination and everyday activities.

Examples of exercises

  • Sitting unsupported for short periods

  • Gentle reaching tasks

  • Weight shifting from side to side

  • Trunk strengthening

  • Practising on different safe surfaces when appropriate

Keep it individual

Exercises should be matched to your own abilities and professional advice.

More detail: posture and positioning

Helpful strategies may include keeping both feet supported, maintaining an upright posture, and using supportive cushions when recommended.

More detail: fatigue and balance

Balance can become worse when you are tired. Regular rest periods and shorter practice sessions may help.

More detail: tips for family and carers

Encourage safe practice, avoid unexpected pulling or pushing, and help maintain good posture while celebrating small improvements.

When should you seek medical advice?

Arrange an appointment with a healthcare professional if sitting balance is worsening, falls are occurring, new weakness develops, or balance problems are significantly affecting daily activities.

Seek urgent medical attention for sudden new weakness, new speech difficulties, sudden confusion or sudden vision changes.

Key takeaways

Sitting balance is commonly affected after stroke.

Weakness, sensation and body awareness can all contribute.

Good sitting balance supports everyday activity and later mobility.

Recovery can continue over months and years.

Frequently asked questions

Is poor sitting balance common after a stroke?

Yes. Many stroke survivors experience difficulty with sitting balance, particularly during earlier stages of recovery.

Will my sitting balance improve?

Many people improve through rehabilitation, ongoing recovery and repeated practice.

Can exercises help?

Targeted exercises can help improve trunk control, balance and confidence when they are appropriate for the individual.

About Alisia

Alisia Gayle is a stroke survivor who achieved 96% neurological recovery following an ischaemic stroke.

After years of rehabilitation, she now shares practical, evidence-informed resources to help stroke survivors, carers and families better understand recovery and rebuild their lives with confidence.

Alisia is also the author of Brain Damage: My Journey to 96% Recovery, where she shares her personal stroke recovery story and the lessons she learned throughout her rehabilitation.

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Medical disclaimer

This article is intended for educational purposes only and should not replace professional medical advice, diagnosis or treatment.

Always seek advice from your doctor, physiotherapist or rehabilitation team regarding symptoms, concerns or changes in your condition.

Alisia Gayle is a stroke survivor, author, and advocate whose life was transformed in a single, ordinary day.

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