I agree that the focus after my husband's stroke was on physical improvements which was critical obviously but no one ever mentioned psychological support at that time or at a later date. He was always positive while in rehab, worked hard to regain capabilities but months later I saw the emotional issues that weren't addressed and really still aren't. While I was the one who asked for and used an anti-depressant for a year so that I could handle our life changes he didn't think he had any problem. When I sought counseling after two years of demands and constant nit-picking he said I had the problem and thought counseling was a good idea. I have a problem and it is him. Blithely unconscious of his nastiness and offended when I point out something, some early intervention at the time of the stroke could have at least made him aware of the possibility of emotional distress.