Cognitive Decline: Signs and Symptoms to Watch For - Psychiatry

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Cognitive decline


Hello Doctor: I feel like something is off with me lately...
A customer purchased items totaling 850 NT dollars, and when they gave me 1000 NT dollars, I should have returned 150 NT dollars.
However, at that moment, I couldn't remember how much money I was supposed to give back.
A few days ago, while cooking, I usually handle the cooking easily, but I couldn't remember which ingredients should be paired with which dishes for three different recipes.
This has never happened to me before.
Today at work, a customer bought items for 4535 NT dollars, and when they handed me 4600 NT dollars, I counted the 600 NT dollars three times.
After the third count, I told the customer that I was short 500 NT dollars, and they looked at me with a puzzled expression.
It felt as if I suddenly didn't recognize numbers.
No matter how much I think about it afterward, I can't understand why I reacted that way.
Is something wrong with me? Thank you for your response, Doctor.

Xia Yu Tian, 40~49 year old female. Ask Date: 2021/07/01

Dr. Wu Enliang reply Psychiatry


Hello, netizen: Have you been experiencing anxiety, worry, and lack of sleep that is affecting your ability to concentrate lately? If these issues persist, it is advisable to seek consultation at a mental health facility.
Dr.
Wu Enliang

Reply Date: 2021/07/01

More Info


It sounds like you are experiencing some concerning cognitive difficulties that could be indicative of cognitive decline. Cognitive decline can manifest in various ways, and it is essential to recognize the signs and symptoms early on to seek appropriate help. Here are some common signs of cognitive decline that you might want to consider:
1. Memory Problems: Difficulty remembering recent events, conversations, or appointments is often one of the first signs. You mentioned forgetting how much change to give back to a customer and struggling to remember the ingredients for your usual meals, which could indicate issues with short-term memory.

2. Difficulty with Problem-Solving or Planning: If you find it challenging to follow a recipe or manage simple calculations, this could be a sign of cognitive decline. The inability to perform tasks that were once routine, such as cooking or handling money, can be alarming.

3. Confusion with Time or Place: Losing track of dates, seasons, or the passage of time can also be a symptom. While you didn't mention this specifically, it's worth noting if you find yourself confused about where you are or how you got there.

4. Challenges in Understanding Visual Images and Spatial Relationships: This can affect your ability to read, judge distance, and determine color or contrast, which might not directly relate to your current experiences but is worth keeping in mind.

5. Changes in Mood and Personality: If you notice shifts in your mood, increased anxiety, or withdrawal from social situations, these can also be signs of cognitive decline. Feeling overwhelmed or confused can lead to frustration and withdrawal.

6. Difficulty with Language: Struggling to find the right words or following conversations can indicate cognitive issues. If you find yourself pausing frequently or losing your train of thought during discussions, this may be a concern.

Given your experiences, it would be wise to consult with a healthcare professional who specializes in cognitive health, such as a neurologist or geriatrician. They can conduct a thorough evaluation, which may include cognitive testing, medical history review, and possibly imaging studies to rule out other conditions.

In addition to seeking professional help, consider the following strategies to support your cognitive health:
- Stay Mentally Active: Engage in activities that challenge your brain, such as puzzles, reading, or learning a new skill.

- Maintain Social Connections: Interacting with friends and family can help keep your mind sharp and reduce feelings of isolation.

- Physical Exercise: Regular physical activity has been shown to improve cognitive function and overall brain health.

- Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and healthy fats can support brain health.

- Sleep Hygiene: Ensure you are getting enough restful sleep, as sleep is crucial for cognitive function.

It’s important to remember that experiencing cognitive difficulties does not necessarily mean you have a severe condition like Alzheimer’s disease or another form of dementia. Stress, anxiety, and other factors can also contribute to cognitive challenges. However, addressing these symptoms early can lead to better outcomes, so do not hesitate to seek help.

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