New to living with Mild Cognitive Impairment (MCI)

Posted by Janie @dougjanehaltom, Nov 20, 2020

I have recently been diagnosed with MCI and I'll be attending Mayo Clinic group on this. Each day just seems to bring me challenges. I have days when I get depressed because I feel like I'm being a burden to others. I will be attending MCI seminar at Mayo Clinic in January. I need help and support in this area.

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@dougjanehaltom

Thanks, so much, Chris! I am 70. Does this mean that Iwill just have mild Cognitive impairment or will this go into Alzheimers? I am trying to do everything that I can to avoid getting worse. Is that even possible? I am so thankful for this support group!

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Hi @dougjanehaltom Janie, You asked "Does this mean that I will just have mild Cognitive impairment or will this go into Alzheimers?"

That's a question most people ask when diagnosed with MCI. The Directors of the HABIT program answer that question and other commonly asked question in this blog post:
- Common Questions After Being Diagnosed with Mild Cognitive Impairment (MCI) https://connect.mayoclinic.org/page/living-with-mild-cognitive-impairment-mci/newsfeed-post/what-is-mild-cognitive-impairment-mci-questions-you-may-have-after-being-diagnosed-with-mc/

"MCI is often considered the beginning signs of a progressive disorder, such as early stage Alzheimer’s disease. 30%-50% of patients with MCI progress to a diagnosis of dementia, often with an underlying cause of Alzheimer’s disease in 5 years. However, MCI does not always progress to dementia. Some patients experience improvement and some stay stable over time. It is unfortunately difficult to predict at this time for an individual patient if decline will occur, or how rapidly decline will progress."

New research shows that lifestyle can help slow progression. See here:
- Combination of Healthy Lifestyle Traits may Substantially reduce Alzheimer's https://connect.mayoclinic.org/page/living-with-mild-cognitive-impairment-mci/newsfeed-post/combination-of-healthy-lifestyle-traits-may-substantially-reduce-alzheimers/

You might appreciate following the MCI blog and reading through past posts here: https://connect.mayoclinic.org/page/living-with-mild-cognitive-impairment-mci/

Janie, what are some of your favorite activities?

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@emyliander

Hi Chris, I also am laughing to myself, “I hope you are adapting to the refreshing nature of Spring “. Are you kidding, we just had 8” of snow ! Actually we could see signs of Spring before the snow covered it up and they will be there when the snow melts.

I am an animal lover, having at present to cats and a rescue dog Molly, 3yrs old.
I am originally from England and have a brother in Queensland Australia.

Actually I think this time of isolation makes things a little easier on the memory, because I don’t have to remember to go anywhere. The exception was a chiropractic appointment which I forgot, but they they were able to fit me in later that day.

My husband does help with our daughter, but being female the majority of it falls to me.
Our house sale has been postponed till the beginning of May and we’ll reassess then.
I was thinking yesterday about the running of the household in our new home and setting up an equalizing of responsibilities but we haven’t talked about it yet.

Next on my list of things to do is to find my credit card and bank card and the paperwork that I need to send out for my daughters medical care in NY. I’ve been looking for a week now.
How is this restricted time period for you, is it easier or harder ? What are the main problems your memory causes for you ? Right now, for myself I’d say appointments, when I have them, and loosing things.
What I do for myself is get up around 6am and enjoy an hour or so to myself while everyone is in bed. I’m reading again a book “Don’t Sweat the Small Stuff”
They are up now so it’s time to eat breakfast.

Thank you for writing, enjoy your beautiful State and a quieter time.
Sarah.

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Oh my gosh, my golly, I found you. Happy everything. Most important....how are you feeling? What is new in your household? Are you in a new house? For real? Daughter? Husband? How did you handle the Holidays? What do you hear from Australia? O.K. I will take a break and pour another cup of tea......so I can think about our lives, our loves.....like puppies? And then, of course, there is our
issue.

I'll share my crazy and embarrassing memory issue. You talk about misplacing credit cards. I am on my 3rd American Express card because I lose them. Not really lost just misplaced. I finally found one between two insurance cards. I tend to use American Express as much as possible because we will need miles to go to visit grandchildren as soon as it is safe to do so.

We stayed here in Minnesota bemoaning the loneliness of trying to have a joyous family event. And then we discovered Zoom. There are 12 of us in this blended family and now we all know each other. My daughter and granddaughters zoom every other Sunday. We call it a Bed Party. We have a subject to think about and then we just laugh and catch up. When they used to come up on the mountain, we always had bed parties.

Have you been comfortable with the burden of your daughter and husband falling pretty much in your lap? Actually, Jay and I think we have become much closer. The beginning was a little treacherous but now we sort of enjoy our time together. Sometimes we don't even see each other all day. I am usually downstairs and he stays upstairs.

We have been a little concerned about the Austin, Texas family with an 18-month-old and a 3-year-old. They actually cooked over the fireplace. By yesterday they had "steady" power but no water. Our son-in-law filled 90 buckets with snow from the roof. Then they have to boil the water. It was quite disheartening to see the folks trying to cope with that situation.

This year on Connect, we invited folks to think about their "Quality of Life" and select something that would improve that detail and demonstrate self-compassion. I gave myself an extra MFR session and a commitment to work on my hip and thumb. Here is a copy if you didn't catch it before the Holidays.
https://connect.mayoclinic.org/discussion/quality-of-life-a-gift-that-just-keeps-on-giving/
Grab a moment when you can and let me know what is happening.
May you have happiness and the causes of happiness.
Chris

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@dorty

Hi,
I am 63 yr old female and have been reading the boards relative to effexor xr withdrawal (highest dose 2015 375 mg), slow taper to May 2018 took last dose of Effexor XR 37.5 mg May 28th 2018, I started to have some balance dizzy issues in April and then by first week in June I had horrible anxiety (not my usual, had to be from the Effexor withdrawal), nausea, jitters, balance, dizzy issues, depth perception problems, was sensitive to light and sound, thought I was losing my mind --long story trying to make this shorter. Over summer through present time I have had gradual relief, still have some balance, dizzy issues, depth perception and mental challenges, which brings me to my latest diagnosis in subject line. (I was and still am taking wellbutrin XL 300 mg/daily for depression). I am not depressed and my anxiety has been reduced greatly (I think in part due to stopping the Effexor quite honestly), not taking any additional medication for anxiety - don't need it! Praise God!

One of the changes I noted as Effexor was tapered was cognitive decline. Having difficulty multi tasking , making financial spreadsheets, challenging to make sense out of complex situations or interrupting the difference between 3 different options for scheduling (as an example--these are all things I have been really good at -- until April/May of this year). Met with neurologist, (primary care ordered brain MRI which was neg), he ordered over 20 labs and they were all within normal limits and he referred me to neuropsych for testing – showed deficits in visual spatial ability, graphomotor reproduction of complex visual figural information, weakness in divided attention in verbal fluency format, block patterns and abstraction ability. "not severe enough to warrant a diagnosis of dementia but not normal, so mild neurocognitive d/o; predominately executive and right hemisphere pattern of deficit present etiology not clear in light of normal MRI. They are thinking perhaps i am having ophthalmologic migranes/seizures (only experience in right field of vision) and this may be part of what is impacting my cognition.

I will have follow up more specific/detailed MRI in May 2019, in mean time I am "to remain concerned but not consumed over these results", call or make appointment if symptoms increase, (balance, dizziness, cognition etc).

Long story shorter I know that wellbutrin is typically not prescribed for people with known seizure d/o; from what i have read and know (i am RN behavioral health) wellbutrin can lower seizure threshold. Can you help me find any research or information that may relate to effexor withdrawal and or wellbutrin potential impact on cognition or correlation with optical seizures impacting brain function. I will have follow up more detailed MRI..not until may 2019, . I have been trying to put most of this puzzle together myself, I had to request initial MRI in June, request referral to neuro, self referred to opthamology and found my prescription was way to strong — leading to some of my depth perception and balance problems — new script/glasses now helping somewhat.

I appreciate any feedback you may have. Thank you, Barb

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Good morning @dorty, I just re-read your story and couldn't help wondering how you are handling the prerequisites for a comfortable life. It has been some time since we connected. We are working on Quality of Life issues that will improve the chances for happiness. Do you have anything that you need but just don't permit yourself to aquire. Now is the time.

Here is the post as it was sent. It is not too late.......in fact we all would be better humans if we took better care of ourselves.
https://connect.mayoclinic.org/discussion/quality-of-life-a-gift-that-just-keeps-on-giving/
May you be free of suffering and the causes of suffering.
Chris

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@jimruanetn

I am “brand new” to this site, but 77 yrs old with MCI w/o Alzheimers, that started noticeably in February 2018. I started retiring from my engineering consulting business and am now about 90% retired. We live in Chattanooga TN and Jekyll Is., GA. I hope to attend the next Habit program, hopefully in Jacksonville.
I have a low heartbeat (bradycardia) and was provided a pacemaker in October. I’m on donepezil/Aricept and memantine, B12/B6 (5000mcg/300mg) twice/day, plus supplements for heart, Calcium, Centrium silver, D3. I brisk walk 20-40 min./da. about 5 days/wk. I do about 10 repetitions of 7 weight-related exercises about 3times/wk.
I use my PC, iPad Pro, and iPhone to cope with MCI on many aspects of my functioning as well as close family members to assist me at times with more challenging issues. I use team members to assist me on challenging work issues.
I can still do Bible studies and quasi lead small group studies.
I am very interested in learning more about how to best function with MCI. Everything I engage in takes much more time and I have great difficulty meeting schedules, commitments, and deadlines, as well as multitasking in day-to-day functioning, plus sticking to plans on a daily basis.
Thanks, Jim.

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Yes! I just complained that everything I do takes more time and includes frustration and anxiety over the tasks. I can’t get a lot done! I probably don’t have a lot of productive hours in a given day so I leave too many things not quite done, put on a list which I may or may not remember to return to. I simply cannot multitask anymore. I also don’t easily meet schedules or commitments. I miss appointments, arrive late. Others with MCI and the same difficulties are fortunate to have a husband or wife or bonded friend or personal assistant to actually say what to do when and to get them out and to commitments on time. Living alone with MCI is a almost more of a challenge than I can handle.

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@heidiruth

Yes! I just complained that everything I do takes more time and includes frustration and anxiety over the tasks. I can’t get a lot done! I probably don’t have a lot of productive hours in a given day so I leave too many things not quite done, put on a list which I may or may not remember to return to. I simply cannot multitask anymore. I also don’t easily meet schedules or commitments. I miss appointments, arrive late. Others with MCI and the same difficulties are fortunate to have a husband or wife or bonded friend or personal assistant to actually say what to do when and to get them out and to commitments on time. Living alone with MCI is a almost more of a challenge than I can handle.

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Today I think every last one of us past 50 has some sort of MCI…it is not a death sentence. Rather it is a blessing in that we should slow down and prioritize what is really important in our lives…gratefully, Marianne

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@irinig

Today I think every last one of us past 50 has some sort of MCI…it is not a death sentence. Rather it is a blessing in that we should slow down and prioritize what is really important in our lives…gratefully, Marianne

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I agree, but it is hard to accept that I cannot do as much as I used to, resulting in my world getting smaller. I cannot read news sites that I am (was) subscribed to, f'rinstance, if I read an article and say to myself. "Is this information this anything I can take an action and affect?" If no, I cancel. A smaller world, but this rationale is something I can more easily accept.

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@rfherald

I agree, but it is hard to accept that I cannot do as much as I used to, resulting in my world getting smaller. I cannot read news sites that I am (was) subscribed to, f'rinstance, if I read an article and say to myself. "Is this information this anything I can take an action and affect?" If no, I cancel. A smaller world, but this rationale is something I can more easily accept.

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Right, we come into this world alone and leave it also alone. The trick is to enjoy every last bit of the middle, whatever it may be…

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Was diagnosed with MCI about a month ago. Am 61 and, while some of it makes better sense now (the increased anxiety, forgetting/losing things, inability to multi-task, slow to get big projects done). Honestly, I'm scared as hell. Wife has been great (her Dad died of Alzheimer's). My Mom (85) just confirmed with Dementia. I'm going through periods of anger, frustration, depression, sadness, fear, etc. I know that there's not a magic answer, however....

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@bono

Was diagnosed with MCI about a month ago. Am 61 and, while some of it makes better sense now (the increased anxiety, forgetting/losing things, inability to multi-task, slow to get big projects done). Honestly, I'm scared as hell. Wife has been great (her Dad died of Alzheimer's). My Mom (85) just confirmed with Dementia. I'm going through periods of anger, frustration, depression, sadness, fear, etc. I know that there's not a magic answer, however....

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Welcome to Connect @bono. I sure do need you. You have just the right words to describe my major MCI symptoms, especially the inability to multi-task and/or get big projects done. Do you use any form of messaging to yourself? I have tried sending myself messages, leaving notes on the mirror, or setting alarms to give me plenty of time to make it to my therapy appointments. My Dad went from NCI to dementia to Alzheimer's over a 10-year period.

I used to drive up to give my Mom a break. My Dad would be singing in the bathtub while he played with his bath toys. Someone had to be there or he would do things like turn off all the pilot lights on the stove.

What medications are you using? Which one or ones are the most helpful? I have had the most success with Buspirone for anxiety.

May you be safe, protected and free from inner and outer harm.
Chris

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@bono

Was diagnosed with MCI about a month ago. Am 61 and, while some of it makes better sense now (the increased anxiety, forgetting/losing things, inability to multi-task, slow to get big projects done). Honestly, I'm scared as hell. Wife has been great (her Dad died of Alzheimer's). My Mom (85) just confirmed with Dementia. I'm going through periods of anger, frustration, depression, sadness, fear, etc. I know that there's not a magic answer, however....

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I think I posted suggestions on this string months ago. My main one is that you don't have any cognition to lose, so don't waste any. On clutter in the house or at work (if you're still working), on alcohol, on over-stimulation, on stress. The last is hard, but focus on sensory processing, not merely conceptual processing. Give your right brain a workout, esp if your left brain is balky. Go rest and relax, not fight or flee (parasympathetic, not sympathetic nervous system)--tho ultimately you need both to work together, just with the parasympathetic in the lead.

You know by now that MCI describes cognition that fits somewhere, anywhere, between dementia and that which is appropriate for your (advanced) age. When I first got the label 2 or 3 yrs ago--I forget when!--I thought it was another neuro euphemism, like "borderline" without specifying that I was on the border between average and inferior, not average and superior. But I now realize that the failure to specify degrees of cognitive impairment from mild to moderate to severe is due to the inability to measure cognition more precisely. So there's often room for some patient optimism when it comes to MCI, which, as I hope you know, does not invariably progress to dementia.

And as implied in the preceding paragraph, try to keep a sense of humor thru the process. It helps me re-energize after an incident of inattentiveness or failed memory.

Peace.

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