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How to cope-up with speech changes due to MS?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 49-year-old mother was diagnosed with MS and struggles with unusual linguistic and neurological glitches. She occasionally loses specific categories of words, sometimes nouns disappear, while at other times, verbs become incomprehensible. As a university professor, these language disruptions are severely affecting her ability to communicate academically. Are these cognitive symptoms common in MS?

Please advise.

Answered by Dr. Ali Osman

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concerns.

Cognitive impairment is a well-documented symptom of multiple sclerosis (MS), with its prevalence estimated to range between 40 and 65 percent. The cognitive abilities most commonly affected include episodic memory, working memory (the temporary online maintenance and manipulation of information), and divided attention. Processing speed, language, and executive and visuospatial functions are relatively preserved in most cases.

However, there is considerable variation in the neuropsychological presentation of MS patients. For example, cognitive profiles among patients with relapsing MS entering a trial of Interferon beta-1a revealed that the largest group (34 percent) exhibited isolated cognitive impairments. In contrast, 2 percent demonstrated global cognitive impairment affecting multiple domains. The remaining patients showed circumscribed deficits in two to three cognitive domains.

If you are experiencing cognitive symptoms related to MS, it is important to manage them proactively. Early recognition and targeted interventions can significantly improve quality of life.

Management includes a multidisciplinary team approach:

  1. Seek advice and regular follow-ups with a consultant neurologist to monitor disease progression and optimize treatment.
  2. Consult a physiotherapist to address any physical symptoms or mobility issues that may indirectly affect cognitive function.
  3. Engage with a psychologist or psychotherapist for strategies to manage stress, improve cognitive resilience, and address emotional challenges.

I hope this helps you.

Thank you.

Answered by Dr. Ali Osman
Medically reviewed by iCliniq medical review team
Published At January 14, 2025
Reviewed At December 11, 2025

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

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