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Living with Multiple Sclerosis

The Living with Multiple Sclerosis blog has now been retired. We appreciate all the wisdom and support that Peg Shepherd, RN has brought to the WebMD community throughout the years. You can get great information at the MS Health Center. To talk about MS with other members, visit the MS Support Group message board.

Friday, June 09, 2006

Cognitive Impairment: Coping Strategies
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Discovering that you have some degree of cognitive impairment can be a shock. For many of us, it affects our self-concept and feelings of self-worth. It is, however, just another aspect of the MonSter and, like getting a cane to help with walking, there are ways to compensate for some of the cognitive impairments most common with MS.

The first point is -- try not to lose your sense of humor! Not being able to remember what that thing-a-majig is called is not the end of the world. And laughter is healthy and healing. Never be afraid to laugh at yourself. If you laugh, others will find the cognitive changes less alarming and, therefore, feel more comfortable around you. And that's a good thing.

Make lists. Write down appointments, grocery lists, 'to-do' lists, even things like the names of people in your support group (or class or quilting group or ... ) or whatever else will give the needed 'boost' to your memory.

Use your brain as much as possible so that it stays active and flexible. Do crossword puzzles or other types of word puzzles (if you enjoy them). Get in the habit of carrying a 'memory book' (small notebook) and pen or pencil with you at all times. That way you always have the ability to make a note of something you need or want to remember.

Ask a trusted family or friend to help you by listening to your thoughts about solving a problem and to give you feedback on whether your thinking is reasonable and/or make suggestions on other ways you might think about the problem.

Many neuropsychologists also do training for people with cognitive problems. This is usually covered by insurance or Medicare. Don't be shy about asking for a referral. But before you do ... make sure you are ready and willing to work at it. The psychologist may well give you 'homework' assignments and doing them is a major part of helping yourself.

Above all... don't give up.

Related Topics: Depression and MS, Occupational Therapy

Technorati Tags: Cognitive Impairment, Thinking Problems, Multiple Sclerosis, MS, Occupational Therapy

Posted by: Peg Shepherd, RN at 1:57 PM

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