Emotional Recovery Post-Stroke

The purpose of this study is to evaluate whether adding an emotional wellness component to occupational therapy (OT) and/or speech therapy (ST) telerehabilitation improves overall emotional well-being and activity participation for people with stroke.

Inclusion Criteria: * Self-reported stroke-related deficits in emotional wellness such as anxiety, sleep disturbance, dread, fear, loss of hope, sadness. * Have experienced ischemic or hemorrhagic stroke at least 30 days prior * Stroke-related aphasia and/or upper extremity hemiparesis * Aged 21 years or older * English as primary language * Have corrected vision to be able to read text on a screen * Able to participate fully in the study's tele-rehabilitation (Aim 1) and/or virtual group programing (Aim 2) with personally owned device (i.e., phone, tablet, or laptop) and personal Wi-Fi connection or cellular service * Cognitive, language, and motor capacity to participate fully in the study's assessment session as per the judgment of the licensed, experienced stroke tele-rehabilitation occupational or speech therapist Exclusion Criteria: * Unable to follow 1-2 step instructions given by the study team member during the informed consent procedures. * Pain that interferes with ability to participate in the study's upper extremity movement tasks. * Have impaired decision making capacity as determined by the U-ARE protocol for assessing capacity to provide informed consent.