Reading Difficulties in My 50-Year-Old Mother with Depression

Q: Reading Difficulties in My 50-Year-Old Mother with Depression

Hello： Based on your letter, it cannot be ruled out that your mother may be experiencing cognitive decline, although she is relatively younger. <br>It is advisable to consult a psychiatrist or a neurologist to arrange for some examinations, which may be helpful in aiding her reco

Regarding my mother's (50 years old) reading issues?

My mother is 50 years old and has a history of depression (which has recurred).
She says she cannot read books or any lengthy texts, and she only looks at pictures in magazines.
Her work involves accounting, and she generally manages her daily life and work without major issues.
However, I am quite concerned about a symptom she has developed over the past few years—she often reads words incorrectly, for example, reading "福知山" as "知福山," "邊桌" as "桌邊," and when she hears "800," she writes it down as "088." What could be the possible underlying issue causing this? Thank you for your hard work.

Wenling, 10~19 year old female. Ask Date: 2016/09/05

Dr. Li Zhengfeng reply Psychiatry

Hello: Based on your letter, it cannot be ruled out that your mother may be experiencing cognitive decline, although she is relatively younger.
It is advisable to consult a psychiatrist or a neurologist to arrange for some examinations, which may be helpful in aiding her recovery.
Thank you.

Reply Date: 2016/09/05

More Info

Your mother’s reading difficulties and the tendency to mix up words and numbers could be indicative of several underlying issues, particularly given her history of depression. At 50 years old, it is essential to consider both cognitive and emotional factors that may be contributing to her symptoms.

Firstly, the symptoms you describe—difficulty reading, mixing up words, and transposing numbers—could be related to cognitive decline. While it is less common for someone in their 50s to experience significant cognitive impairment, it is not impossible. Conditions such as Mild Cognitive Impairment (MCI) or early stages of dementia can present with similar symptoms. MCI is characterized by noticeable memory problems that are greater than expected for a person's age but not severe enough to interfere significantly with daily life. Dementia, on the other hand, involves a more pronounced decline in cognitive function that affects daily living.

Moreover, her history of depression is particularly relevant. Depression can lead to cognitive difficulties, often referred to as "pseudodementia." In this condition, the cognitive impairments are primarily due to the depressive state rather than a neurodegenerative process. Symptoms may include difficulty concentrating, memory issues, and a general slowing of thought processes. If her depression is not adequately managed, it could exacerbate her cognitive difficulties.

Another factor to consider is the possibility of anxiety, which often coexists with depression. Anxiety can lead to difficulties in focusing and processing information, which might explain her struggles with reading and comprehension. The stress of her current life circumstances, including any ongoing emotional or situational stressors, could further contribute to her cognitive challenges.

Given these considerations, it is crucial for your mother to undergo a comprehensive evaluation by a healthcare professional, ideally a neurologist or a psychiatrist specializing in cognitive disorders. They can conduct cognitive assessments to determine if there is an underlying condition affecting her cognitive function. Additionally, they can evaluate her mental health status to see if her depression or anxiety is contributing to her symptoms.

In the meantime, there are several supportive measures you can take to help your mother. Encouraging her to engage in activities that stimulate her mind, such as puzzles or memory games, can be beneficial. Additionally, ensuring she has a supportive environment where she feels comfortable expressing her feelings and concerns is essential. If she is open to it, discussing her symptoms with a mental health professional could provide her with coping strategies and potentially medication to help manage her depression and any associated cognitive difficulties.

Lastly, it is important to approach this situation with empathy and understanding. Cognitive changes can be distressing, and your mother may feel embarrassed or frustrated by her difficulties. Providing reassurance and support can help her feel more comfortable seeking the help she needs.

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