1. have sustained a hemorrhagic stroke;

2. NIH Stroke Scale (NIHSS) aphasia rating of 1 or more (impaired speech);

3. MoCA cognitive screen score of less than 21 (impaired general cognitive ability);

4. neurological diagnoses other than stroke;

5. major psychiatric illness (bipolar disorder, OCD, panic disorder, PTSD, and/or borderline personality disorder);

6. no major depressive symptoms (PHQ-9 \< 20);

7. a score of 6 or less on the CIHI aphasia screen combined items 64 and 66;

8. terminal illness;

9. blindness; and

10. non-English speaking.

Cognitive Oriented Strategy Training Augmented Rehabilitation (COSTAR) Treatment Approach for Stroke