I have cognitive symptoms of depression. How to manage them?

Question

Hello doctor,

My doctor suggested me to have cognitive testing for my problems with memory and concentration. I also cry for no reason. I was let go from work for making too many mistakes and forgetting tasks. I cannot get over that.

I feel I will not be able to find other work because I have Lupus SLE arthritis and fibromyalgia. I am really depressed and crying constantly.

Currently, I am taking the following medications:

Wellbutrin for anxiety.
Plaquenil for lupus.
Procardia for Raynaud's.
Lialda for colitis.
Lisinopril for high blood pressure.
Alendronate for arthritis.

I have been taking the same medication for the past six years.

Please help me.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

Symptoms such as forgetfulness, lack of focus, poor concentration, memory issues, and others are seen commonly in depression and should be evaluated properly.

You have mentioned that you also cry for no reason, and you are 53 years old. It is not very common to have dementia at this age. Secondly, memory impairment in dementia begins with difficulties with day-to-day tasks.

Mood symptoms such as crying and focus issues are seen commonly in the late stage of dementia. You have a history of depression, and considering this, in my opinion, you should consult a psychiatrist for help. MMSE (mini-mental status examination) will help to rule out cognitive impairment.

If MMSE comes in the normal range, then the most likely cause of your symptoms is pseudodementia, which is due to depression.

Please visit a psychiatrist for a detailed evaluation, and with proper antidepressant treatment, your symptoms will improve.

I hope you find this helpful.

For more queries, feel free to reach out to me anytime.

Thank you.