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AbstractPurposeMaterials and methodsResultsConclusions\nIMPLICATIONS FOR REHABILITATIONWhile stroke is becoming increasingly prevalent in young people (<65 years), diagnosis, treatment, rehabilitation, and management continue to reflect the needs of older people. This study aimed to characterise and appreciate the healthcare experiences of young stroke survivors, whose needs and trajectories differ from those of older people.Qualitative in-depth semi-structured interviews were conducted with 11 stroke survivors aged 18–49 using virtual conferencing software. The data were analysed using interpretative phenomenological analysis.Four main themes were identified that reflect the experiences and needs of young stroke survivors and are (1) The health system overlooks the experiences and needs of young stroke survivors; (2) Support is fragmented rather than holistic; (3) Feelings of helplessness at a time agency is required; and (4) Positive attitudes despite challenges.The experiences of young stroke survivors are distinct. Health services that consider the unique trajectories of young stroke survivors will better facilitate rehabilitation and support for this population.Stroke in young peopleStroke is becoming increasingly prevalent in young people (<65 years), and their experience as stroke survivors is distinct.Stroke units and rehabilitation centres are critical for stroke survivor rehabilitation, but the focus of care often caters to older patients, leaving young stroke survivors feeling alienated when their stroke is treated as an anomaly.Alienation and additional emotional concerns, coupled with memory and communication difficulties, compromised survivors’ sense of agency.To effectively support the rehabilitation of young stroke survivors, health services must consider their unique trajectory and develop tailored patient centred holistic rehabilitation programs.Stroke is becoming increasingly prevalent in young people (<65 years), and their experience as stroke survivors is distinct.Stroke units and rehabilitation centres are critical for stroke survivor rehabilitation, but the focus of care often caters to older patients, leaving young stroke survivors feeling alienated when their stroke is treated as an anomaly.Alienation and additional emotional concerns, coupled with memory and communication difficulties, compromised survivors’ sense of agency.To effectively support the rehabilitation of young stroke survivors, health services must consider their unique trajectory and develop tailored patient centred holistic rehabilitation programs. [ABSTRACT FROM AUTHOR]