EPISODE · Aug 13, 2026 · 24 MIN
7 Reasons He Won't Get Off the Couch | #210
from LIFE Beyond Aphasia · host LIFE Aphasia Academy® Genevieve Richardson
The couch isn't the diagnosis. It's the symptom of what's really happening in his brain after a stroke. If he has no motivation to do anything since his stroke or aphasia, here are the seven real reasons, and almost none of them are refusal. If you're feeling like you're done, but you still love him, it's important to take a step back and see what you're holding. https://aphasiacarepartnercompass.com When Carol gave her husband David three tasks before leaving for the day, he agreed to all of them, and almost none got done. Her first thought was that he'd chosen not to. In this episode, you'll learn the specific tell for seven different things that happen in the brain after a stroke or aphasia: apathy, abulia, executive dysfunction, learned non-use, learned helplessness, post-stroke fatigue, and depression, so you know exactly which one you're looking at in your own house, and which fix actually applies instead of guessing. 0:00 Introduction 0:48 Welcome to Life Beyond Aphasia 0:59 Seven Reasons Overview 1:42 The No More Guessing Framework 2:59 A Belief That Keeps You Stuck 4:32 Understanding the Brain 6:07 Area 1: Apathy 7:10 Area 2: Aboulia 8:28 Area 3: Executive Dysfunction 9:29 Area 4: Learned Non-Use 10:31 Area 5: Learned Helplessness 12:33 Area 6: Post-Stroke Fatigue 14:16 Area 7: Depression 15:45 Reviewing the Seven Areas 18:27 David's Diagnosis 19:36 Your Action Plan 22:53 Next Steps & Upcoming Episodes LIFE Speech Pathology helps care partners of people with aphasia understand what's actually happening in the brain, so you're not guessing at the fix. Grab your free Care Partner Compass to see exactly where you are right now and what to do next, link below. https://aphasiacarepartnercompass.com If executive function challenges are what you're seeing, book a free Connection Call: https://DoLIFESpeech.intakeq.com/booking?serviceId=55abfb8c-515d-4920-adfc-6618adafc1c8 @LIFEBeyondAphasia
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7 Reasons He Won't Get Off the Couch | #210
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