Stroke is a major health and disability issue in Australia. Despite recent advances in acute stroke management, a large number of people continue to live with the ongoing impact of stroke. Many experience difficulty engaging in the activities they need, want, or are expected to engage in – what occupational therapists term occupations. Occupational therapists play a key role in supporting individuals to overcome occupational challenges to live meaningful lives and re-integrate into the community after a stroke. To ensure they deliver theory-driven, evidence-informed and client-focused services, it is critical that occupational therapists understand stroke recovery, not just from a biomedical perspective, but also, and, perhaps more importantly, from an occupational and client perspective. Qualitative research can provide this insight into the individual’s experience of adjustment after stroke, and offer a lens through which to critically review clinical guidelines. Whilst each individual’s adjustment experience is unique, recent qualitative studies have revealed some consistent themes. However, gaps in this evidence, and a need to further expand and verify findings have also been identified. As such, the study reported in this thesis verifies, expands, and challenges these evolving themes. The occupational perspective that was brought to the enquiry, ensured the analytical focus reflected the unique expertise of occupational therapists, including occupational performance, occupational engagement, and occupational identity.