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1 day ago · HABIT Directors Present in Chicago in Living with Mild Cognitive Impairment (MCI)

Chicago 2019

In a rare coming together, all four HABIT Directors met to give a 3 hour lecture to the American Academy of Clinical Neuropsychology at the annual meeting in Chicago, IL on June 6, 2019.  (From left to right: Dr. Glenn Smith, University of Florida; Dr. Dona Locke, Mayo Arizona; Dr. Anne Shandera-Ochsner, Mayo Midwest; and Dr. Melanie Chandler, Mayo Florida.)

The team was invited by the national organization for board-certified neuropsychologists to help give a “hands on” presentation about HABIT, in hopes of spreading the knowledge of this intervention to more providers across the United States and Canada.  Dr. Chandler discussed the state of knowledge in general about behavioral interventions in Mild Cognitive Impairment, setting the stage for why we do the interventions we do in the HABIT Program.  Dr. Shandera next gave a “how to” presentation going over how to do the components of the program in detail, particularly the memory support system calendar training.  Dr. Smith provided our research findings as they impact the patient, and Dr. Locke discussed how the program affects care partners and future HABIT directions.

The presentation had excellent attendance (between 150-200 neuropsychologists in the audience!), and we got great feedback, including several folks interested in referring patients or starting a HABIT program of their own.

Equally important, this gave us all time to sit down together for a few hours afterwards and discuss how to keep growing and improving the HABIT program.  It was a great get together!



Sun, Apr 28 8:16am · Repost: How "de-cluttering" can help you in Living with Mild Cognitive Impairment (MCI)


The staff at HABIT tend to be people who like organization (did you notice?), and this goes beyond calendaring.  Anyone else binge watched Tidying Up with Marie Kondo?

Well, at our most recent HABIT session, we were reminded of how helpful simplifying your space can be when  memory loss occurs. So, we thought we would repost this blog from Dr. Oskarsson last year.  Hope you are inspired to get organized!

-Melanie Chandler

Got stuff?

By Dr. An Oskarsson

Most of us have accumulated a lot of stuff over the years.  Think back to the last time you moved – were you surprised by how much you had?

If you do a search on the internet for keywords like “de-clutter”, “minimalist living”, or “Konmari method”, you will find that there is a recent hot trend in the housekeeping world. People such as Marie Kondo, author of the books “The Life-changing Magic of Tidying Up” and “Spark Joy”, suggest that we all should dedicate some time to organize and simplify our home environment (read: GET RID OF STUFF).  The rationale is that doing so would ultimately reduce our stress and make us happier being surrounded by only the things we need or love.

The Importance of Simplifying

Before I go on to describe a specific method for de-cluttering, let me explain why this is the topic of a blog designed to help those living with MCI blog.

During Mayo Clinic’s HABIT program for people with MCI, we teach participants how to effectively use a day planner to help increase independence and compensate for memory issues.  Participants learn strategies for writing the important information you need and want to remember, how to organize the information (i.e., where to write it down so that you can easily find it), and how to use the planner effectively. As it becomes a habit, participants’ worry less about whether something has been forgotten and gain confidence in their abilities.

It’s a similar concept when applied to our physical surroundings!  While just about everyone can benefit from a simplified and organized home environment, imagine how it could be helpful to persons with cognition and memory problems.  Let’s use the clothes closet as an example.

Example: The Overflowing Closet

Do you really need to hang on to the clothes that don’t fit anymore, or that you haven’t worn in a year?  Do you need 5 similar belts, 10 pairs of jeans, 20 handbags…?  Are you going to be invited to a 70’s party anytime soon? Now suppose you reduced the closet to only the clothes that you actually have worn in the last year and the clothes you love… imagine how much easier it would be to find the items of clothing you are looking for when you need them!  Would it be easier to pick out an outfit to wear, or find that favorite shirt?

I myself have a 6-year-old son who is very opinionated about what he will wear. I finally figured out that the fastest way to get him dressed is to go straight to the laundry basket of clean clothes to pick out his outfit for the day. The clean clothes laundry basket is filled with his favorite items and if he wore it recently, I know it’s something he will accept! I’m not suggesting that you live out of a laundry basket, but I am saying that reducing the amount of un-used and un-loved stuff in your home has its benefits!

A De-Cluttering HOW-TO

Organization experts often suggest a specific method for purging your things, believing that some ways are particularly effective. The following is a basic description of one de-cluttering process that is loosely based on the Konmari method.

STEP 1.  Pick a category of stuff to declutter: Clothes, Books, Papers, Personal care/Bathroom, Kitchen, Miscellaneous Household items (e.g., electronics, DVDs, medicines), Sentimental items.

Continuing with the clothes closet example, let’s suppose you’ve decided to work on your SHOE inventory.

STEP 2.  Lay it all out.  Now you can survey everything and get a good sense of how much you have of each item type.

For your shoes, find a space (e.g., table, floor) where you lay all your pairs of shoes out in front of you. Put your sport shoes next to each other, all your dressy shoes together, your sandals, loafers, boots, and so on. (Now it will be more obvious that you have half a dozen pairs of white tennis shoes!)

STEP 3. Pick up an item one at a time, and ask yourself whether the item is has been recently used. If not, does it bring you joy?  If the answer to either of these questions is yes, KEEP the item and designate a space for it.

Pick up a pair of tennis shoes – when was the last time you wore them? If it’s been a while, why is that? Will you be wearing it them anytime soon?   Perhaps they are your favorite most comfortable pair (KEEP), perhaps they are a too small, or utterly hideous (DON’T KEEP). Maybe you’re keeping them because you never really used them and they look brand new – but should you keep things that make you feel guilty (DON’T KEEP)!?

STEP 4. If it’s not a keeper, thank the item for its service and then decide to THROW AWAY or GIVE AWAY.

With the pair of tennis shoes still in your hands, you can think “I really enjoyed wearing you in the 1990’s. ” Now put them in the trash pile or the donation/give-to-a-friend pile.


  • If you are having a hard time discarding things, try focusing on whether you can come up with reasons to keep something (rather than reasons to discard it). While it may be true that there is “nothing wrong with it”, if you cannot think of a good reason to hang on to it (e.g., this was a present from my beloved aunt, I need it for upcoming special occasions), it’s time to let go.
  • Don’t try to do too much all at once, or you risk getting overwhelmed! Break the project into smaller tasks, and pick a category or subcategory of items that you feel is do-able in the time you’ve allotted for it. For example, in our closet scenario, you might work through the following categories in separate sessions over the course of a week if you have time, or a month if you are very busy:
    • Tops & Bottoms
    • Dresses/Suits, Jackets
    • Handbags, Belts, Scarves
    • Shoes, Hats, Gloves
    • Socks & Underwear

The Bottom Line

The reason we keep utensils in the utensil drawer in the kitchen and our underwear in the underwear drawer in the bedroom is the same reason we put our doctor’s appointments in our day planner and our to-do’s on our to-do list – so we can form a habit of looking in the right place for important things and being sure to get those things BACK into the right place so we can find them later.  Furthermore, making the effort to reduce how much stuff we have in each designated place – to only the things we really need and love – makes it easier to find what we’re looking for when we need it. We at the HABIT team feel that persons with MCI may especially benefit from an organized and simplified home environment.

So, why don’t you schedule some time in your planner to start de-cluttering? Give it a try and let us know how it goes and more importantly, how you FEEL!


Tue, Apr 16 11:36am · Repost: Common Questions after a Diagnosis of Mild Cognitive Impairment in Living with Mild Cognitive Impairment (MCI)

Question Cards


We had a lot of good discussion after Dr. Shandera’s recent post on the difference between MCI and dementia.  So, we thought it would be a good time to repost an old blog written by Dr. Locke about some common questions that we hear after giving a diagnosis of MCI. Click below to read the post, and let us know what you think!

Common Questions After Being Diagnosed with MCI

Tue, Mar 5 2:53pm · Repost: Coping with Memory Loss in Social Situations in Living with Mild Cognitive Impairment (MCI)

Today we thought we’d highlight a post from over a year ago, as it is a popular topic every time we host a HABIT session.

Thanks again, Dr. Shandera, for this great post!

Coping with Memory Loss in Social Situations

Group Smiling Over Dinner

Mon, Mar 4 8:00am · Getting Tough on False Claims About Supplements in Living with Mild Cognitive Impairment (MCI)

Thanks @liv4now . I absolutely agree that more research is needed and more $$ to do it, so that we can have definitive answers on these potential treatments!

Tue, Feb 26 1:53pm · Getting Tough on False Claims About Supplements in Living with Mild Cognitive Impairment (MCI)


On February 11, 2017 the FDA issued warning and advisory letters on 17 different companies claiming dietary supplements or unapproved new drugs helped treat or even cure Alzheimer’s disease.  Read the full press announcement here.

It seems as long as there has been an ailment, there has been someone there willing to sell you something for it. When there is no strong medical treatment or no cure for a disease, the allure of buying (and potential profit to be gained from selling) only seems to worsen.

Snake Oil Salesman

We’ve posted before about evaluating research.  While we currently do not know the ultimate usefulness of any of the supplements and dietary aids whose company’s have been reprimanded in these FDA warnings, we’d like to help our readers educate themselves further about the latest supplement or product for sale that may help their memory loss.

First, look for research on the supplement or product outside what the company advertises, emails, or prints themselves.  Sometimes big claims get based on little to no scientific backing.  There may be a claim that “research shows” or “scientists have proven”, but you find no scientist outside the one they hired at the company (or no one at all) has actually proven anything.  Google the product and go to sites other than the seller’s site.  Try searchable websites for research studies such as Google Scholar or PubMed to read research articles first hand.

Second, see if the supplement you are considering or already taking is a subject of an FDA warning. If you explore the FDA link above, you will find they have search engines to help you look and see if a supplement or device you are interested in has been given a warning or an advisory letter has been posted.

Finally, if you want to know the latest in new medicines, supplements, or treatments for memory loss, go to a trusted site such as the MCI page on http://www.mayoclinic.org.  Also, search the Alzheimer’s Association’s website. They regularly post about advances in research and the latest findings on alternative treatments.

Caveat emptor holds true in many aspects of life, and definitely when it comes to the latest craze in supplements to treat memory loss.


Dec 24, 2018 · Happy Holidays in Living with Mild Cognitive Impairment (MCI)

Hot Chocolate Snow Man

Happy Holidays to our HABIT Family and all those living with Mild Cognitive Impairment!

We will be back with more MCI related news and posts in the New Year!

Warm wishes,

The HABIT Team