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The primary cognitive functions that are impacted in MS are: speed of information processing, new learning and memory for recent events, attention and concentration, word-finding, and executive functions including organization, planning and prioritizing, and decision-making, The most effective treatment is cognitive remediation, which includes a combination of computer-based exercises for memory and attention and personalized compensatory strategies that allow a person to function optimally in his or her activities. For a small percentage of people, the symptoms can become disabling. With the help of appropriate compensatory strategies and tools, they continue to function well in most of their daily activities. So, for example, if a person who is depressed reports cognitive changes, effective treatment of the depression may help improve the cognitive changes to some degree.įor most people, MS-related cognitive changes remain mild to moderate in severity. They also recommend that people be screened for depression because mood changes can have a significant impact on cognitive function. For this reason, MS experts recommend that people with MS get screened for cognitive changes at the time of diagnosis and every 6 to 12 months thereafter. They are, along with fatigue, the primary reason that people with MS leave the workforce early. These changes can occur as a first symptom of MS or begin later. They are two separate and unrelated diseases that can both occur in the same person, but are not connected.Īt least 65% of people with MS experience some cognitive changes. The word “dementia” covers a lot of territory, but if you are asking whether the mild cognitive impairment from MS increases your likelihood of getting Alzheimer’s disease, the answer is No.

Since the pandemic, consultations of this kind are also being done virtually, so if you don’t have an SLP in your area, you may be able to do the work remotely. If you have difficulty finding an SLP in your area, call a National MS Society MS Navigator® and ask for a referral. These issues are common in MS and an SLP with experience in MS will do a complete evaluation and recommend a management plan for you.

Alexa jean fitness sore to the core review how to#

An SLP will give personalized and specific tips on how to manage both your difficulty with completing your thoughts and your impulsivity. SLPs specialize in helping people with the kinds of difficulties you’re experiencing. I would strongly encourage you to consult with a speech/language pathologist. Does it make sense to you? Is it what you were thinking and wanted to say? Practice is the only way you’re going to regain the confidence to finish your thoughts. Think about what you want to say, organize your thoughts say it aloud from start to finish, and then evaluate what you said.

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Do you have a close friend or family member with whom you could practice putting full thoughts together and then get constructive feedback? Practicing with someone else, or even by yourself, will be very helpful. Regaining confidence in your own opinions is also a priority.

When they fill in the gaps, they are assuming they know what you want to say – and they may be totally incorrect! It’s fine for you to ask people to be patient and give you time to respond on your own. Being slower doesn’t mean that you don’t have good information and valuable opinions to share.

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You can share the National MS Society’s free brochure with them – Managing Cognitive Problems in MS. I would recommend giving them basic information about processing speed and the way that MS can cause it to slow. Why are other people finishing your sentences for you? Are you slower to respond than you used to be? Do they seem to be impatient with you? I don’t know whether you’ve tried explaining your cognitive issues to others, but it’s important for them to understand why it takes you longer to formulate your thoughts and put them into words. Thank you for the great question! Let’s talk about first things first.