Hi, @scottrl. Darn sleep! I imagine you are already doing all the things I know to do…..good sleep hygiene (like mentioned, above), check for sleep apnea, physical therapy, staying active, keep talking with my doctor….all the things.

I went to the home page, searched for “sleep after stroke” and found some discussions you may want to check out if you haven’t already.
Discussion about sleep following stroke: https://connect.mayoclinic.org/search/