This study investigates the prevalence and nature of psychiatric morbidity among stroke survivors attending outpatient services at Kenyatta National Hospital, Kenya. Stroke survivors are at an increased risk of developing psychiatric disorders, which can significantly affect their recovery and quality of life. This study aimed to identify common psychiatric conditions, including depression, anxiety, and cognitive impairments, in stroke outpatients. A total of 150 stroke survivors were assessed using standardized psychiatric diagnostic tools, including the Hamilton Depression Rating Scale and the Mini-Mental State Examination (MMSE). The findings revealed a high prevalence of psychiatric morbidity, with depression being the most common disorder, followed by anxiety and cognitive dysfunction. Factors such as the severity of the stroke, age, and level of social support were found to be significant predictors of psychiatric morbidity. The study highlights the need for integrated mental health care in the rehabilitation of stroke survivors, as addressing psychiatric morbidity can enhance recovery outcomes and improve overall well-being. The results underscore the importance of early screening for psychiatric disorders in stroke rehabilitation settings to improve patient management and support services.