Friday, August 8, 2014

To Know or Not To Know: Why Get a Diagnosis for Dementia or Memory Impairment?

If you don’t read past this first sentence, the best advice I can give you is to get a diagnosis as early as possible.  In my years of experience as a clinician, I can relay countless stories of people who did not want to know whether they or their loved ones had Alzheimer’s disease or something like it.  “What good is it?  You can’t cure it anyway.”  Justifiable fear and denial successfully detract people from taking any steps towards diagnosing and/or treating the problem.  I am always saddened to see the many situations in which families are quickly hurled into disaster mode: desperate attempts to get legal documents in place and help for their loved one and themselves.  Here are some of the top
reasons why you should get a diagnosis early:
1)      Experimental treatments for Alzheimer’s disease are increasingly aimed at patients in early phases of memory loss.  Prolonging a diagnosis may translate into lost opportunities for potential treatment interventions.
2)      Some forms of memory impairment are treatable and need to be caught early to minimize long-term effects. Other forms may be indicative of a medical or psychological issue in need of intervention.
3)      Delaying diagnosis will not delay the progression of symptoms.  In fact, as symptoms progress more quickly, patients and families have less and less time to properly plan and get the help and support they need. Rather than managing symptoms and situations in a proactive way, families are forced to react to crisis situations that quickly drain resources and are emotionally exhausting.
4)      Information is power: a diagnosis does not change what is happening. But it provides an opportunity to make active choices.
 
If you are concerned about memory or cognitive impairment, address the issue as soon as possible.  At The Cognitive and Research Center of New Jersey, we are committed to helping you every step of the way.  Contact us today!

Thursday, July 31, 2014

Can Nutritional Supplements Ward Off Symptoms of Alzheimer’s Disease and Memory Loss?

This is a big question, with a big market.  While some more recent studies have shown that healthy diet and exercise can help reduce cognitive symptoms of old age and dementia, no one nutrient has proved itself as the magic bullet.  It is important to recognize that there is a difference between a single nutrient that works, and a diet or lifestyle that works.  The research thus far points in the direction of diet, exercise, and lifestyle.  All the “common sense” things: eat healthy, exercise, keep active and interactive.  We do not yet have compelling data to suggest that any one nutrient or supplement is effective.  Beware of labels and claims you may read on or about holistic remedies.  These are not subject to the scrutiny of the FDA.  This also does not mean you should not take them. Always consult with your doctor first.  And, if you are interested in nutraceuticals for the treatment of memory loss, research is underway.  Contact The Cognitive and Research Center of New Jersey to find out more.
 

Sunday, July 27, 2014

From the desk of Michelle Papka, Ph.D.

Director of The Cognitive and Research Center of New Jersey

Patients and family members often ask me what they can do to help preserve their memory and cognitive functioning.  Most think of crossword puzzles and, now, computer programs as the sure fixes.  What I always say is that it is important to keep the mind active and engaged, but there is no precise prescription for doing so.  I encourage people to do what is interesting, enjoyable, and doable for them, whether it be planting a garden, attending a book group, making a recipe, or even, yes, a puzzle of some sort.

In addition, do not underestimate the power of conversation and reminiscing, even if the words or memories are not exact.  Reminiscent therapy, a type of therapy in which patients are helped to talk about personal memories from the past, usually with the aid of visual and verbal prompts, has been shown to be more effective than cognitive rehabilitation in helping to preserve cognitive functioning in patients with dementia.  So, next time you're looking for an activity, consider taking out a photo album, milling through the attic or boxed up forget-me-nots, and enjoying the many benefits of active reminiscing.