Memory Decline: When to Seek Psychiatric Help - Psychiatry

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Memory is becoming increasingly poor?


I have been experiencing memory problems for quite some time, and it seems to have worsened recently.
This week, as school starts, I am looking at my schedule but cannot remember whether the teacher for a particular class is male or female.
My mind often confuses one teacher with another, and when people ask me what I had for lunch or dinner yesterday, my mind goes blank.
My language skills are also deteriorating; I often struggle to find the words to express what I want to say.
I know the meaning of the word I want to use, but I forget what it is called.
Additionally, I frequently lose my train of thought while speaking.
I often mix up vocabulary, for example, I meant to say "narration" but ended up saying "plain." There are many instances like this, and I don't understand why this is happening.
It is becoming increasingly severe, and I would like to know if I need to get checked.

Niming, 20~29 year old female. Ask Date: 2020/03/07

Dr. Wu Enliang reply Psychiatry


Hello, online user: It is true that some psychosomatic disorders may present such symptoms in their early stages.
It is advisable to seek further evaluation at a mental health facility.
Dr.
Wu Enliang

Reply Date: 2020/03/07

More Info


It sounds like you are experiencing significant cognitive difficulties, including memory problems and language issues, which can be quite distressing. Given the symptoms you've described—forgetting details about your classes, mixing up names and words, and struggling to recall vocabulary—it's important to take these concerns seriously. Memory decline and cognitive issues can stem from various causes, and seeking professional help is a prudent step.

Firstly, it’s essential to understand that memory and cognitive function can be affected by a range of factors, including stress, anxiety, depression, sleep disturbances, and even nutritional deficiencies. In your case, if you have been under significant stress or experiencing emotional difficulties, these could be contributing to your cognitive decline. Stress and anxiety can lead to difficulties in concentration and memory, often referred to as "brain fog." Additionally, if you are not getting enough sleep or if your diet lacks essential nutrients, this can also impact your cognitive abilities.

Considering your symptoms have been persistent and are worsening, it would be wise to consult a healthcare professional, particularly a psychiatrist or a neurologist. They can conduct a thorough evaluation, which may include cognitive testing, a review of your medical history, and possibly brain imaging studies if deemed necessary. This assessment will help determine whether your symptoms are related to a specific condition, such as anxiety, depression, or even a neurological disorder.

In the meantime, there are several strategies you can employ to help manage your symptoms. Here are a few recommendations:
1. Maintain a Healthy Lifestyle: Ensure you are eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Omega-3 fatty acids, found in fish and flaxseeds, are particularly beneficial for brain health. Staying hydrated is also crucial.

2. Prioritize Sleep: Aim for 7-9 hours of quality sleep each night. Poor sleep can significantly affect cognitive function. Establish a regular sleep routine, and create a restful environment to improve your sleep quality.

3. Manage Stress: Engage in stress-reducing activities such as mindfulness meditation, yoga, or deep-breathing exercises. Regular physical activity can also help alleviate stress and improve overall cognitive function.

4. Stay Mentally Active: Engage in activities that stimulate your brain, such as puzzles, reading, or learning a new skill. This can help improve your cognitive abilities and memory.

5. Keep a Journal: Writing down your thoughts, daily activities, and important information can help reinforce your memory and provide a reference for things you might forget.

6. Limit Multitasking: Focus on one task at a time to improve concentration and memory retention. Multitasking can lead to cognitive overload and make it harder to remember information.

7. Seek Support: Talk to friends or family about your experiences. They can provide support and may help you remember details or offer insights into your situation.

If your symptoms continue or worsen despite these strategies, it’s crucial to follow up with a healthcare professional. They can provide tailored advice and treatment options based on your specific needs. Remember, seeking help is a sign of strength, and addressing these issues early can lead to better outcomes.

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