Memory Loss and Mental Fog in Young Adults

Forgetfulness and absent-mindedness?

Doctor, I am asking on behalf of my girlfriend.
She is 23 years old and has recently been experiencing forgetfulness.
For example, when she wakes up and sees me, her mind feels blank, and it takes her a while to remember who I am.
The day before yesterday, when she went to work, she forgot that she had worked there, and her memory gradually returned.
Yesterday, while watching TV, she blanked out halfway through and almost forgot what she was doing.
She previously visited a psychiatrist because she had mood swings and tremors, which were similar to seizures.
The doctor prescribed her Escitalopram, Clonazepam, and Aripiprazole.
The doctor mentioned that these medications could have side effects, including drowsiness, which has caused her to sleep for an entire day.
After taking the medication, my mother advised me not to let her continue taking it.
I am unsure if this is related to the medication or if there is a problem with her brain, and I am very worried.

Yang Xiansheng, 20~29 year old female. Ask Date: 2018/02/06

Dr. Qiu Junda reply Psychiatry

Hello.
The information provided makes it difficult to clearly assess your girlfriend's situation.
However, it is indeed important to consider whether the psychiatric medication (side effects) you mentioned is related to her symptoms (such as forgetfulness and feeling spaced out).
It would be advisable to clarify whether these issues have gradually developed after starting the medication.
Consulting with the prescribing physician for a proper evaluation would also be a prudent step.

Reply Date: 2018/02/06

More Info

Memory loss and mental fog in young adults can be concerning, especially when it interferes with daily life and functioning. Your girlfriend's symptoms, such as forgetting recent events, having blank moments, and experiencing difficulty concentrating, could be attributed to several factors, including medication side effects, stress, anxiety, or underlying mental health conditions.

Firstly, it's essential to consider the role of the medications she is taking. Escitalopram, Clonazepam, and Aripiprazole are all psychiatric medications that can have side effects, including sedation, cognitive dulling, and memory issues. Escitalopram, an SSRI (selective serotonin reuptake inhibitor), is commonly prescribed for depression and anxiety but can cause fatigue and sleepiness in some individuals. Clonazepam, a benzodiazepine, is often used for anxiety and can lead to sedation and cognitive impairment, especially with long-term use. Aripiprazole, an atypical antipsychotic, can also contribute to cognitive side effects. If she is experiencing excessive sleepiness or cognitive fog, it might be worth discussing these concerns with her prescribing physician. They may consider adjusting her medication regimen or exploring alternative treatments that may have fewer cognitive side effects.

Additionally, the symptoms you describe could also be related to anxiety or stress. Young adults often face significant pressures, whether from work, relationships, or personal expectations. Anxiety can manifest in various ways, including difficulty concentrating, forgetfulness, and mental fatigue. If she has a history of anxiety or mood disorders, it is crucial to address these underlying issues. Cognitive-behavioral therapy (CBT) or other forms of psychotherapy can be beneficial in managing anxiety and improving cognitive function.

Sleep quality is another critical factor that can affect memory and concentration. If she is sleeping excessively or experiencing disrupted sleep patterns, this could contribute to her cognitive difficulties. Encouraging healthy sleep hygiene practices, such as maintaining a regular sleep schedule, creating a restful sleep environment, and limiting screen time before bed, may help improve her overall cognitive function.

Furthermore, lifestyle factors such as diet, exercise, and social engagement play a significant role in cognitive health. A balanced diet rich in omega-3 fatty acids, antioxidants, and vitamins can support brain health. Regular physical activity has been shown to improve mood and cognitive function, while social interactions can help stimulate the brain and reduce feelings of isolation.

In summary, your girlfriend's memory loss and mental fog could be influenced by her medications, anxiety, sleep quality, and lifestyle factors. It is essential to have an open dialogue with her healthcare provider to assess her current treatment plan and explore potential adjustments. Additionally, incorporating stress management techniques, improving sleep hygiene, and maintaining a healthy lifestyle can contribute to better cognitive function. Encouraging her to seek support from mental health professionals, such as therapists or counselors, can also provide her with tools to cope with her symptoms effectively.

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