Cognitive Dysfunction


They were all staring at me, every last one of them. My coworkers and I sat around on the table at the meeting, and they were waiting for me to speak. And I was waiting for the words to be filtered down from my brain. But they never came. It was like I had been wiped clean, a blank slate. I knew the information was there, somewhere, why wasn’t it where I needed it to be? I searched my brain again. Nothing. The only thought that eventually came was

‘Isn’t this what nightmares are made of?

 

Approximately half of all people who have MS will have cognitive dysfunction, or possibly more, if it goes unreported. Cognitive dysfunction is felt differently by each individual, what one person finds as a mild impairment, might render another unable to work. Cognitive issues can include trouble with memory and recall, attention, concentration, information processing and word recall among others as well. It is often listed as a “mild” to “moderate” impairment, however it doesn’t feel that way. Lets look closer at some of these specifics.

Short Term Memory and Recall

This is one of the most frequently reported cognitive issues in the MS community. Issues with short term memory often looks like walking into a room and forgetting why you went in there in the first place. Not remembering if you took your morning pills or not (one I struggle with often). Some times you may even repeat stories, or sentences, thinking you haven’t mentioned it, but in reality, you told it several times (another personal struggle).

Recall of information can also be inhibited. There have been several studies that have suggested that individuals with MS are capable of learning and storing of information just fine but have trouble recalling the information when needed (like duh). However, one article I read gave another answer to this issue. This article states that individuals with MS need a longer time to learn the new information from the start. When given adequate time to learn the information, recall of the information is the same as individuals without MS. This suggests that the issue lies in learning, not recall. Perhaps instead of memory and recall being our number one cognitive issue, it is really attention and processing! A new area of study, for sure!

Attention and Concentration

As I noted above, attention is something that people with MS struggle with greatly, probably more than we think as well. Staying on task can be difficult at times for non-MSers, but for us, it is a struggle all the time for sure. Staying on task at work, during conversations or while trying to follow directions (cooking anyone?) can be tough. Add in background noise or multiple conversations going on at once, and forget about it! And multi-tasking? Yikes! That is something of days gone by. I used be able to carry on a conversation while I “mindlessly” did another task. Not anymore.

Slower Speed of Information Processing

This includes all of the symptoms I listed above, but it also means that our brains struggle to take in and prioritize the information that we are receiving. This can show up as issues with processing spoken language, sensory and spatial information or abstract ideas such as social cues. In one study I read about, individuals with MS were able to preform well on cognitive tests, they just did so at much slower speeds as compared to their non-MS peers.

Verbal Fluency- Word Recall

Verbal fluency, or otherwise called issues with word recall, in my opinion, are one of the most frustrating cognitive symptoms. This is defined as the “tip-of-your-tongue” phenomenon. When the word you’re trying to think of is in your vocabulary, but it has escaped you for a moment. It can happen at a moments notice and can bring a sentence to a dead halt. You can even be looking at the object you’re trying to say the name of! And still nothing.

Why does Cognitive Dysfunction Happen?

Cognitive issues are generally caused by damage in the brain. Studies have shown that lesions in the cerebral hemisphere and damage within the gray matter are most significant when measuring cognitive dysfunction. It also seems that cognitive dysfunction is more prevalent in primary progressive MS then relapsing remitting MS, however anyone at any time in their disease can experience cognitive symptoms. Cognitive symptoms can also be temporarily made worse during other times such as during a pseudo-exacerbation, when in the heat, when fatigued or during a depressive state.

Ways to Manage Cognitive Dysfunction

There are many ways to manage cognitive problems. First and foremost, give yourself some grace and compassion. Dealing with MS in general is not easy, then beating yourself up about forgetting something at the store, or forgetting a task around the house, is not going to help. Symptoms thrive on stress, so making sure we are being as kind to ourselves as possible is important.

Second, (I give this advice often) start to be aware of yourself and your symptoms. Learn what specifically makes your cognitive issues better or worse. Maybe working with music on once was doable, but now not so much? Or you were once an auditory learner, but now you need more support? Really take some time and figure it out for yourself, it’s worth it.

Third, there are ways to “exercise your brain” and improve your cognitive abilities and these include memory and attention games. There are also other things you can do including improving organizational systems, alarms, planning and taking the time to really learn subjects. Doing the most demanding tasks when you are most awake is also a good idea.

My Experience

I’ve struggled with cognitive issues for many years. Although I would categorize them as “mild”, I still think they have a rather large impact on my life, and my quality of life. The main things I struggle with are memory, recall and word recall. One of my biggest strategies to help myself are lists, I have lists everywhere! At this point, I need to write everything down. If I don’t write it down, it will be gone forever. I’ve found this is frustrating for others a lot of the time too. Someone will tell me something or ask me to do something, and literally 30 seconds later it has evaporated from my brain. Which leaves me feeling terrible! But I know that I can’t take that on. All I can do is apologize and try better next time. Word recall is another symptom that I struggle with on a daily basis. I can be looking at the kitchen table, but for the life of me can’t remember the word table! Frustrating to say the least. But I know that the more I work on my difficulties, the better they’ll get. I think of it as Physical Therapy for my brain.

 

I scanned the room, looking from face to face, none of them sympathetic, until I looked at my boss. She knew my story, she could tell what happened, she was sympathetic. My eyes must have conveyed sheer panic, she seamlessly picked up where I left off, and picked me up where I had fallen.

I’M ALISSA!

I help women who have also been diagnosed with Multiple Sclerosis make specific and personalized diet, lifestyle & subconscious changes so that they can begin to heal their body, reduce disease symptoms, and return to a life they love.hey there,

follow along on Instagram:

Thankfully I haven’t heard any of these in a while.. maybe that means I’m getting my point across 🤷🏻‍♀️

But if you’re new here, I value holistic lifestyle medicine (snake oil 😂) but ALSO conventional medicine, I utilize it all after all. 

Yes, what we do as an individual matters for our health.
But so does the health systems we as individuals operate in.

Tomorrow is my MS-aversary, 16 years of having this disease. my newly diagnosed 24 year old self would be pretty shocked that I’m 40 (like in general lol) and also not in a wheelchair.

Here’s to many more years defying what I initially thought to be true about MS.

Comin with me? Hope so. 

#lissms #multiplesclerosis #thisisms #lifewithms

Thankfully I haven’t heard any of these in a while.. maybe that means I’m getting my point across 🤷🏻‍♀️

But if you’re new here, I value holistic lifestyle medicine (snake oil 😂) but ALSO conventional medicine, I utilize it all after all.

Yes, what we do as an individual matters for our health.
But so does the health systems we as individuals operate in.

Tomorrow is my MS-aversary, 16 years of having this disease. my newly diagnosed 24 year old self would be pretty shocked that I’m 40 (like in general lol) and also not in a wheelchair.

Here’s to many more years defying what I initially thought to be true about MS.

Comin with me? Hope so.

#lissms #multiplesclerosis #thisisms #lifewithms
...

20 4
I’ve tripped a few times in the last few weeks.. nothing crazy, but I noticed.

And I noticed my thoughts… is this a “THING”??

Oh the constant wonderings of an MSer… 
is this a regular life occurrence?
Or is this a new symptom? 😂😂

When was the last time you had this thought process??

#lissms #multiplesclerosis #thisisms #becausems #multiplesclerosiswarrior

I’ve tripped a few times in the last few weeks.. nothing crazy, but I noticed.

And I noticed my thoughts… is this a “THING”??

Oh the constant wonderings of an MSer…
is this a regular life occurrence?
Or is this a new symptom? 😂😂

When was the last time you had this thought process??

#lissms #multiplesclerosis #thisisms #becausems #multiplesclerosiswarrior
...

44 2
When you’re living with MS, it’s not that you don’t want to feel better…

It’s just that life keeps interrupting the plan.
Stress, symptoms, fatigue — they throw you off track.

That’s where support, structure, and accountability change everything.

That’s exactly what my membership is for.
✔️ Evidence-based strategies for MS
✔️ Real community and support
✔️ Gentle consistency that actually works

Only the waitlist is getting access as a Founding Member.

Comment WAITLIST and I’ll send you the link to add your name 

#lissms #MultipleSclerosis #MSwarrior #MSsupport #ChronicIllnessHealing #MScommunity #HolisticHealing #NervousSystemHealing

When you’re living with MS, it’s not that you don’t want to feel better…

It’s just that life keeps interrupting the plan.
Stress, symptoms, fatigue — they throw you off track.

That’s where support, structure, and accountability change everything.

That’s exactly what my membership is for.
✔️ Evidence-based strategies for MS
✔️ Real community and support
✔️ Gentle consistency that actually works

Only the waitlist is getting access as a Founding Member.

Comment WAITLIST and I’ll send you the link to add your name

#lissms #MultipleSclerosis #MSwarrior #MSsupport #ChronicIllnessHealing #MScommunity #HolisticHealing #NervousSystemHealing
...

11 2
But seriously.. this isn’t too far off 😂

Life handed me a lemon that was a MS diagnosis at 24. 
Life handed me a lemon that was multiple relapses and MS progression by 30.

Then I snatched those lemons, made some healing lemonade, and feel night and day different than I did 10 years ago when my symptoms were at their worst. 

I could do it, my clients are doing it, I know you can too.

That’s why I’m so passionate about doing what I do. I know it’s possible for you to feel better in your body and be able to do the things you want to do. 

Like go for a walk or hike with your spouse, say yes to a spontaneous night out with friends or get up and down off the floor playing with your kids. 

That’s why I want to invite you to the waitlist for what I have coming.

Think, somewhere to go online, where you can: connect with others who have MS, get questions about MS answered, get tools that can help your symptoms, support & accountability to help with actually doing those things.

Comment WAITLIST below and ill send you the link to join the list 

#lissms #multiplesclerosis #multiplesclerosiswarrior #becausems #thisisms #communityheals #mscommunity

But seriously.. this isn’t too far off 😂

Life handed me a lemon that was a MS diagnosis at 24.
Life handed me a lemon that was multiple relapses and MS progression by 30.

Then I snatched those lemons, made some healing lemonade, and feel night and day different than I did 10 years ago when my symptoms were at their worst.

I could do it, my clients are doing it, I know you can too.

That’s why I’m so passionate about doing what I do. I know it’s possible for you to feel better in your body and be able to do the things you want to do.

Like go for a walk or hike with your spouse, say yes to a spontaneous night out with friends or get up and down off the floor playing with your kids.

That’s why I want to invite you to the waitlist for what I have coming.

Think, somewhere to go online, where you can: connect with others who have MS, get questions about MS answered, get tools that can help your symptoms, support & accountability to help with actually doing those things.

Comment WAITLIST below and ill send you the link to join the list

#lissms #multiplesclerosis #multiplesclerosiswarrior #becausems #thisisms #communityheals #mscommunity
...

15 2
I have a saying about dealing with MS (and any other autoimmune/chronic illnesses) that inevitably comes up in my work with clients:
“You don’t get it, until you get it”

Meaning, you don’t understand living life with MS (or any of the above), until you live in a body that has it.

Which is why living with MS can be so tough and lonely, because its hard to find people that truly understand what you mean when you say you’re exhausted, or brain foggy or “fine”.

This is also why I believe that having a community of others who get it is invaluable.

I’ve seen countless times over where someone new to one of my groups is able to feel fully seen and heard for the first time, and that is priceless for them and their healing.

They walk away feeling validated, understood and at home, which are hard to come by at the doctors office 😂🙄

You’re not too much
You’re not alone
You’re not lazy
You’re just talking to the wrong people.

If you wanna talk to the right people, I’m creating something for you..

Think, somewhere to go online, where you can: connect with others who have MS, get questions about MS answered, get tools that can help your symptoms, support & accountability to help with actually doing those things.. 

BUT- only the waitlist is going to hear about it. So- if you want to be notified and involved in creating whats coming, comment WAITLIST and you’re in 

#lissms #multiplesclerosis #multiplesclerosiscommunity #thisisms #becausems #multiplesclerosissupport

I have a saying about dealing with MS (and any other autoimmune/chronic illnesses) that inevitably comes up in my work with clients:
“You don’t get it, until you get it”

Meaning, you don’t understand living life with MS (or any of the above), until you live in a body that has it.

Which is why living with MS can be so tough and lonely, because its hard to find people that truly understand what you mean when you say you’re exhausted, or brain foggy or “fine”.

This is also why I believe that having a community of others who get it is invaluable.

I’ve seen countless times over where someone new to one of my groups is able to feel fully seen and heard for the first time, and that is priceless for them and their healing.

They walk away feeling validated, understood and at home, which are hard to come by at the doctors office 😂🙄

You’re not too much
You’re not alone
You’re not lazy
You’re just talking to the wrong people.

If you wanna talk to the right people, I’m creating something for you..

Think, somewhere to go online, where you can: connect with others who have MS, get questions about MS answered, get tools that can help your symptoms, support & accountability to help with actually doing those things..

BUT- only the waitlist is going to hear about it. So- if you want to be notified and involved in creating whats coming, comment WAITLIST and you’re in

#lissms #multiplesclerosis #multiplesclerosiscommunity #thisisms #becausems #multiplesclerosissupport
...

12 3
As I type this post, we’re on the way to 100 degrees today and we’re in the middle of a heat wave.
🥵 is an understatement lol.

If you’re an MSer.. you know an increase in temperature can cause our already compromised neurons to work even less effectively than normal.

There’s a few things I have found helpful for managing the heat: 

BE PROACTIVE: Instead of waiting until you’re about to melt, use cooling strategies before you really need them.

CREATE AN OASIS: If you don’t have central AC in your house, make (at least) one room in your house a cool oasis to hide in. 

ACCESSORIZE: Get alllll the cooling products. @koldtec @releafpack and a cooling vest are a must! 

HYDRATE: Drink plenty of water and add electrolytes! Trace Minerals is my fav, but there is Buoy, LMNT or Liquid IV too! 

But most of all, make sure to advocate for yourself and your comfort. 

You deserve comfort as well as any other person.
Please don’t let anxiety and fear of “ruining” a summer day keep you from asking/stating what you need.

What are your top ways to stay cool?? Tell us below! 

PS!!
I’m deep in the trenches creating a one stop shop for anything and everything MS healing. A place where you can plug into and get ideas for recipes, workouts, stress management and living life with MS.
As well as support and understanding from people who get what it means to live with an autoimmune disease.

Only the waitlist will get an invite- comment WAITLIST below and I’ll add you!!

#lissms #multiplesclerosis #thisisms #becausems #heatintolerance #healingmultiplesclerosis

As I type this post, we’re on the way to 100 degrees today and we’re in the middle of a heat wave.
🥵 is an understatement lol.

If you’re an MSer.. you know an increase in temperature can cause our already compromised neurons to work even less effectively than normal.

There’s a few things I have found helpful for managing the heat:

BE PROACTIVE: Instead of waiting until you’re about to melt, use cooling strategies before you really need them.

CREATE AN OASIS: If you don’t have central AC in your house, make (at least) one room in your house a cool oasis to hide in.

ACCESSORIZE: Get alllll the cooling products. @koldtec @releafpack and a cooling vest are a must!

HYDRATE: Drink plenty of water and add electrolytes! Trace Minerals is my fav, but there is Buoy, LMNT or Liquid IV too!

But most of all, make sure to advocate for yourself and your comfort.

You deserve comfort as well as any other person.
Please don’t let anxiety and fear of “ruining” a summer day keep you from asking/stating what you need.

What are your top ways to stay cool?? Tell us below!

PS!!
I’m deep in the trenches creating a one stop shop for anything and everything MS healing. A place where you can plug into and get ideas for recipes, workouts, stress management and living life with MS.
As well as support and understanding from people who get what it means to live with an autoimmune disease.

Only the waitlist will get an invite- comment WAITLIST below and I’ll add you!!

#lissms #multiplesclerosis #thisisms #becausems #heatintolerance #healingmultiplesclerosis
...

16 8
What she also didn’t know?
The MS diagnosis would be the best thing to happen to her

Ok maybe not best lol, but I now can see what a gift it was.

You see, the MS diagnosis I got eventually gave me a reckoning moment with my health.

Change something, or else this is gonna go downhill fast.
This being my body, my ability to move, to live doing the things I want to do.

And man did it help.

I went from “aggressive MS” to not even thinking about MS on some days.

This process I went through? That’s exactly what I help others with now.

I currently have 2 Individual Client spots open!! (1 might be gone soon though..)

We can work on..
✨How you’re feeling mentally & emotionally about your MS diagnosis.
✨Strategies to mitigate your symptoms, that include nutrition, movement and cognitive/emotional methods
✨Anything else your body needs 

Interested in what this would look like for you?
Comment 🧡🧡 below and I’ll send you details!!

#lissms #multiplesclerosis #nervoussystemregulation #thisisms #becausems #multiplesclerosiswarrior #multiplesclerosissupport

What she also didn’t know?
The MS diagnosis would be the best thing to happen to her

Ok maybe not best lol, but I now can see what a gift it was.

You see, the MS diagnosis I got eventually gave me a reckoning moment with my health.

Change something, or else this is gonna go downhill fast.
This being my body, my ability to move, to live doing the things I want to do.

And man did it help.

I went from “aggressive MS” to not even thinking about MS on some days.

This process I went through? That’s exactly what I help others with now.

I currently have 2 Individual Client spots open!! (1 might be gone soon though..)

We can work on..
✨How you’re feeling mentally & emotionally about your MS diagnosis.
✨Strategies to mitigate your symptoms, that include nutrition, movement and cognitive/emotional methods
✨Anything else your body needs

Interested in what this would look like for you?
Comment 🧡🧡 below and I’ll send you details!!

#lissms #multiplesclerosis #nervoussystemregulation #thisisms #becausems #multiplesclerosiswarrior #multiplesclerosissupport
...

25 2
First..
Save this reel so you can come back to it and send it to a bestie so they can feel better too!!

Now.. how do you feel after taking that breath?

A little more calm, centered and focused?
Probably.

How we breathe is such a huge piece of the nervous system regulation puzzle, this well def help in your efforts.

Give it a try a few times a day, and let me know what you notice!!

If we haven’t met yet, Hi! 👋🏼👋🏼 I’m Alissa.

I’m a Holistic Practitioner & Therapist specializing in MS. 
I use all the tools I’ve comprised over my 10+ year career (and 15+ years with MS) to help my clients decrease their symptoms, improve their overall health and get back to living life on their terms, not MS’ terms.

I currently have 2 Individual Coaching spots open!! (if you live in MA I take some insurance!!)
Comment 🧡 below to learn more!!

#lissms #multiplesclerosis #nervoussystemregulation #becausems #thisisms #multiplesclerosiswarrior #healingmultiplesclerosis

First..
Save this reel so you can come back to it and send it to a bestie so they can feel better too!!

Now.. how do you feel after taking that breath?

A little more calm, centered and focused?
Probably.

How we breathe is such a huge piece of the nervous system regulation puzzle, this well def help in your efforts.

Give it a try a few times a day, and let me know what you notice!!

If we haven’t met yet, Hi! 👋🏼👋🏼 I’m Alissa.

I’m a Holistic Practitioner & Therapist specializing in MS.
I use all the tools I’ve comprised over my 10+ year career (and 15+ years with MS) to help my clients decrease their symptoms, improve their overall health and get back to living life on their terms, not MS’ terms.

I currently have 2 Individual Coaching spots open!! (if you live in MA I take some insurance!!)
Comment 🧡 below to learn more!!

#lissms #multiplesclerosis #nervoussystemregulation #becausems #thisisms #multiplesclerosiswarrior #healingmultiplesclerosis
...

10 0
5 Habits to Help MS Symptoms 

In no particular order:
• Food/ our diet
• Movement 
• Breathing 
• Tracking/Review
• Joy! Fun! Presence!

Want my free Eating for MS Guide? Comment FOOD and I’ll send it to you!

Want my 3 minute morning routine that helps your brain, body and mind?
Comment MOVE and I’ll send it to you!

Let me know if you like these lives and want to hear about more topics!

5 Habits to Help MS Symptoms

In no particular order:
• Food/ our diet
• Movement
• Breathing
• Tracking/Review
• Joy! Fun! Presence!

Want my free Eating for MS Guide? Comment FOOD and I’ll send it to you!

Want my 3 minute morning routine that helps your brain, body and mind?
Comment MOVE and I’ll send it to you!

Let me know if you like these lives and want to hear about more topics!
...

11 6
5 Underrated Supplements to help MS symptoms 

In no particular order:
• ALA- Alpha Lipoic Acid
• NAC N-Acetylcystine
• Lions Mane Mushroom
• NADH/NAD+
• Pre/Probiotics

Have you tried any of these before??
What has been your experience?

5 Underrated Supplements to help MS symptoms

In no particular order:
• ALA- Alpha Lipoic Acid
• NAC N-Acetylcystine
• Lions Mane Mushroom
• NADH/NAD+
• Pre/Probiotics

Have you tried any of these before??
What has been your experience?
...

10 0
5 things to keep in mind about nutrition and MS

1. Addition before subtraction 
2. Eat your fruits, veggies and fats
3. Think about how you’re eating vs what you’re eating
4. Hydrate!!
5. Consider elimination if needed

More questions on food for MS?
Grab your Eating for MS Guide in my bio!!

5 things to keep in mind about nutrition and MS

1. Addition before subtraction
2. Eat your fruits, veggies and fats
3. Think about how you’re eating vs what you’re eating
4. Hydrate!!
5. Consider elimination if needed

More questions on food for MS?
Grab your Eating for MS Guide in my bio!!
...

12 1
Just a guess…

Did I nail it? Almost? I bet.

I’ve seen the same patterns over and over within my clients (and tbh myself)

Growing up hyper independent..
Possibly not getting your needs met as a kid..
Feeling like you’re in control of it all girl boss style.. 
But unable to say no when asked to do anything.. 

You think you’re just being helpful, or kind, or smart..

In reality you’re keeping yourself stuck and sick.

Babe lemme tell you, there is a way out.

Embodied Resilience gives you that path out from under your unhelpful patterns (that always saying yes thing) and your over stressed life

Comment OUT below and I’ll send you details on the group.. we start next week!!

#lissms #multiplesclerosis #nervoussystemregulation #multiplesclerosiswarrior #nervoussystemhealing #thisisms #becausems #msawarenessmonth

Just a guess…

Did I nail it? Almost? I bet.

I’ve seen the same patterns over and over within my clients (and tbh myself)

Growing up hyper independent..
Possibly not getting your needs met as a kid..
Feeling like you’re in control of it all girl boss style..
But unable to say no when asked to do anything..

You think you’re just being helpful, or kind, or smart..

In reality you’re keeping yourself stuck and sick.

Babe lemme tell you, there is a way out.

Embodied Resilience gives you that path out from under your unhelpful patterns (that always saying yes thing) and your over stressed life

Comment OUT below and I’ll send you details on the group.. we start next week!!

#lissms #multiplesclerosis #nervoussystemregulation #multiplesclerosiswarrior #nervoussystemhealing #thisisms #becausems #msawarenessmonth
...

23 2

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