Internet-based CBT After Stroke Pilot

Inclusion Criteria:

- Age ≥18 years of age

- Acute ischemic stroke within the past 3 months

- Regular access to the internet, sufficient to allow a minimum of interactions with the
internet daily, either through a personal smartphone or web-based internet browser.

- Subject is willing and able to participate in internet-based cognitive behavioral
therapy

- Can participate in the program in English

- Willingness and ability to sign informed consent by the patient

- Symptoms of mild to moderately depressed mood, defined as a score of 5-19 on the
Patient Health Questionnaire-9 at the time of study enrollment.

Exclusion Criteria:

- Severely depressed patients, defined by a score of 20+ on the Patient Health
Questionnare-9 are excluded

- Patients with an active bipolar disorder diagnosis are excluded

- Patients with personality disorder diagnoses are excluded

- Patients with active suicidality or past suicide attempts are excluded

- History of schizophrenia or schizoaffective disorder

- Active participation in face-to-face psychotherapy prior to stroke

- Patients with a history of dementia are excluded

- Patients with aphasia, defined as a score of 1 or greater on NIH Stroke Scale Item 9
are excluded.

- Patients without regular internet access through a computer, tablet or smartphone are
excluded.

- Subjects requiring long-term inpatient nursing care are excluded. For patients
enrolled as inpatients, individuals being discharged to both home and acute rehab are
eligible. Individuals being discharged to a skilled nursing facility or hospice are
excluded.

- Expected life expectancy less than 6 months or other inability to comply with study
follow-up.

- Pregnant women and prisoners are excluded