Difficulty retaining info and short term memory problems, but without the fog? + other questions..

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6
Hi,

Apologies for the long post, and thanks for those that take time to read, much appreciated!

So as mentioned in my introductory post, I've had chronic fatigue syndrome for around 10 years, of unknown origin, wiped out mentally and physically all of the time. I can't engage in any kind of strenuous physically activity, or my body effectively shuts down, as is the case for everyone I expect. This was extremely difficult at the beginning, but I have learnt to accept the reality over the years, after pursuing every avenue I could. I don't really have many days where things are a lot worse than others, but feel like I'm constantly living on my absolute limits, where it is difficult to function, particularly when stress, continuous noise and just generally what occurs normally when life happens. It however remains extremely frustrating, and even more so with two young children and another on the way :)

"Brain Fog":

My main question today concerns 'brain fog', and I have read many things over the years, but have only recently wondered if I have actually been experiencing this as many others seem to be. I have been living with various cognitive difficulties, for about the same time as the CFS has been around, however, for whatever reason I had put these down to an unknown cause, unrelated to CFS.

The way I have seen 'brain fog' described by some are some of the following: heavy feeling in their head, a slowness of thoughts, inability to string thoughts together, difficulty finding words, difficulty speaking with others, confusion, all seemingly fitting with the analogy of being in a thick fog, but in the mind. These are in addition to being unable to focus, retain new information and short term memory problems, people at times forgetting what they did only seconds before, or unable to recall other past memories; all of which seemingly experienced during times of 'brain fog', so in the context of being in a fog, as mentioned above.

For me personally, I have big difficulties with short term memory. Without writing things down, it's almost certain that I will forget what I needed to remember. I need to record all meetings, because if not, there is absolutely no way I can retain or will be able to remember what is being spoken off, even a short time after the meeting has finished. It's often the case that I will do a simple task, such as washing my hair, but immediately after doing so I will have no memory of doing it and so will end up making a decision to do the task again, just in case. I used to read a lot, but can now no longer retain or remember what is written.

However, for me this is a constant state, and has been for many years, with no real fluctuation in the things I have mentioned. I cannot relate to any sense of feeling like I'm in a 'fog', slowness of thought, confusion, inability to string thoughts or words together etc. I do however know someome who used to complain of having brain fog, and at the times he said it was bad he would struggle with slowness of thought, seemed exhausted, struggled to find words, slurring words at times, and fitted exactly the description of 'brain fog' that I have seen users mention on forums. I also know someone else with fibromyalgia, who has fibro fog, and describes things exactly the same way. This person mentioned that when they were in a 'crisis' they wouldn't have any of these symptoms, until the 'fog' descended, and would remain until the 'fog' lifted.

I would be really interested to know if there are others here who have CFS, and who have the problems I have mentioned with short term memory and retaining information, but are not experiencing any 'fog' or the other symptoms mentioned above?

"Thoughts":

My mind is also completely silent vitually all the time, so I don't have thoughts entering my mind unexpectedly, unless I am putting them there. When people talk about racing thoughts or similar, this is as far as possible from my day to day experience, and again has been the case for about 10 years or so. It is actually quite peaceful in that sense, and I would now struggle with the idea of any thoughts just appearing in my mind randomly, uless I actually wanted to think about something and so initiated some. My wife will often mention that she sometimes cannot 'switch off' due to the number of thoughts she has having while lying on the bed at night, such as tasks she needs to do. Again, I haven't experienced anything like this for about 10 years. It's silent when I hit the pillow and sleeping is never a problem. I am however unable to meditate on a topic, as my mind doesn't allow me to do so, no matter how hard I try. It's simply impossible.

Can anyone else relate?

"Emotions":

I also experience what can best be described as as a kind of disconnect, when it comes to feeling, in terms of my interaction with people and the words around me. I still feel of course, but it just seems to be in a more detached, restricted way, compared to how they were before all this started, as that was completely different, and probably normal then. When I say 'detached', I don't mean that in any sense like feeling like I am out of my body or anything even similar, but just that I don't feel like I am connecting with the emotions or moment as fully as I could be, and so emotionally things are dull. I also don't seem to experience the same pleasure in the things I used to, and this has been a constant for years so.

With all of the above mentioned, I feel quite peaceful most of the time, and not depressed or anything like that, but thought that here would be a good place to share everything and to see if anyone else can relate to my experiences? I'm sure I have CFS, but at the same time wondering about the things shared, and whether they are also caused by this condition.

Look forward to reading any comments.

Thanks!
 

Hip

Senior Member
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18,256
I don't feel like I am connecting with the emotions or moment as fully as I could be, and so emotionally things are dull. I also don't seem to experience the same pleasure in the things I used to, and this has been a constant for years so.

Those two conditions you are describing may be emotional flatness (which psychologists call blunted affect) and anhedonia.

Emotional flatness is a known symptom of ME/CFS, and is listed in the Canadian consensus criteria. Other known emotional symptoms of ME/CFS include emotional sensitivity and stress intolerance, which is very common and perhaps almost universal in ME/CFS, and emotional lability.

Anhedonia, which is the loss or reduction of the brain's ability to derive pleasure or a feeling of reward from previously enjoyable activities, often comes alongside with blunted affect, but anhedonia is not a listed ME/CFS symptom, and does not appear common in ME/CFS.

Blunted affect and anhedonia are very hard to treat, as there are almost no treatments available for them; but I listed some supplement that I found can mildly improve these conditions in this post.
 
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6
Thanks for the reply @Hip - I will have a look through some of your past posts. I came across anhedonia and blunted affect fairly recently while browsing this forum, but wasn't sure that my symptoms fitted. I'll look into more though.

Regarding thoughts.. day to day, I don't have any thoughts in my mind, negative or otherwise unless I initiate them, and it's very peaceful, with and no sense of fog whatsoever. Can you relate?

I still feel some emotion when with people or watching an emotional film, and other situations, and these can be fairly strong sometimes, but things are fairly flat compared to what they could be across the board most of the time, kind of like being semi detached from things I suppose.

I experience some pleasure in different activities that I enjoy, as well as accomplishment when I complete a challenging task etc. thinking of examples, I would feel excited when watching my football team play, and the emotions involved in that, as well as love when one of my children, grief and strong emotion when losing someone close (my dog in the last case), empathy with others difficult situations and emotions that come with that. in general though, I don't feel as intensely like I used to, and as mentioned above, it's a bit like being slightly detached from things, and also don't find as much pleasure in the same things that I used to.
 

Hip

Senior Member
Messages
18,256
I came across anhedonia and blunted affect fairly recently while browsing this forum, but wasn't sure that my symptoms fitted.

There is also depersonalization, in which a similar emotional blunting appears, so you might want to investigate this. And there is a related condition called derealization. These conditions do sometimes appear in ME/CFS, and I seen quite a few patients complain about them on this forum.

Depersonalization also involves a sense of detachment or disconnection from one's own thoughts and emotions, and as you mentioned such detachment earlier, it's worth considering depersonalization.

There is a treatment for depersonalization involving the drug naltrexone, which I've posted about on this forum.



Regarding thoughts.. day to day, I don't have any thoughts in my mind, negative or otherwise unless I initiate them, and it's very peaceful, with and no sense of fog whatsoever. Can you relate?

I can understand your description, though I don't have this situation myself. Thoughts and ideas are always popping into my mind. I am not sure if this condition has a medical name, as it may be a normal mental state that some people live with; although it's obviously not normal for you, as presumably you previously had more spontaneous thoughts popping into your head.



I am however unable to meditate on a topic, as my mind doesn't allow me to do so, no matter how hard I try. It's simply impossible.

Do you mean you cannot focus in an organized analytical way on a particular subject?
 
Messages
6
There is also depersonalization, in which a similar emotional blunting appears, so you might want to investigate this. And there is a related condition called derealization. These conditions do sometimes appear in ME/CFS, and I seen quite a few patients complain about them on this forum.

Depersonalization also involves a sense of detachment or disconnection from one's own thoughts and emotions, and as you mentioned such detachment earlier, it's worth considering depersonalization.

There is a treatment for depersonalization involving the drug naltrexone, which I've posted about on this forum.
Thanks, will look into both of these.

I can understand your description, though I don't have this situation myself. Thoughts and ideas are always popping into my mind. I am not sure if this condition has a medical name, as it may be a normal mental state that some people live with; although it's obviously not normal for you, as presumably you previously had more spontaneous thoughts popping into your head.
Yeah, previous to this 10 year period it would be normal for thoughts of all kinds to spontaneously pop into my head. It seems like a lifetime ago. In terms of spontaneous thoughts, it has been silence for such a long time. I haven't yet found anyone experiencing the same, but as you say, it may be a normal mental state for some.

Do you mean you cannot focus in an organized analytical way on a particular subject?
Yes, that's correct. I am able to put thoughts into my head, but cannot focus on those thoughts. They are gone as quickly as they appear. Using a real life example.. maybe I read an interesting news article, I might want to try and ponder on / think about the subject in my mind. This focusing in on anything is impossible. It is like the capability is no longer there, but this never used to be the case.

I would be interested to know:

  1. If anyone else has experienced an extended period when their mind would be completely silent (so no spontaneous thoughts popping into the head) ?
  2. Has anyone experienced what I also described above, where they are unable to focus in on any subject, but when the mind is completely clear, so not related to any kind of 'fog'?
  3. Has anyone experienced any short term memory problems or been unable to process new information (cognitive symptoms very common to ME/CFS), but without any 'brain fog'? (so no confusion, slowness of thought, difficulty finding words etc etc)
 

ahmo

Senior Member
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4,805
Location
Northcoast NSW, Australia
@sdb1 I have very poor working memory ( I usually say I have none, which isn't really accurate), poor concentration. I feel like my brain is analog, as if I could feel its gears meshing. I only read novels, no non-fiction. I read news online, but it feelslike a slog. I lose track of thoughts halfway through a sentence, in my own mind. I try to interact w/ others as little as possible. I wish I had spontaneously empty mind. Mine just runs on and on...I used to consider myself a meditator. At least once I changed diet and supps, I got much of my vocabulary back. Good luck.
 
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