[25F] Experiencing worsening memory loss over several years

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Memory Loss and Cognitive Issues

1. Chronic Stress and Anxiety: Given your history of severe clinical depression, severe anxiety with depression, and CPTSD, chronic stress and anxiety can significantly impact memory and cognitive function. Stress hormones like cortisol can affect the brain areas involved in memory.
2. Neurological Conditions: The family history of dementia and Parkinson's disease raises the possibility of a neurological condition. While you haven't been diagnosed with these, they can sometimes present with memory loss and cognitive issues.
3. Medication Side Effects: Some medications, including those for depression and anxiety, can have side effects that impact memory and cognitive function.

Muscle Twitches and Tremors

1. Essential Tremor or Familial Tremor: Given the family history of Parkinson's disease and your symptoms of tremors and muscle twitches, essential tremor or a related condition could be a possibility.
2. Neurological Disorders: Conditions like Parkinson's disease or other movement disorders could explain the tremors and muscle twitches, especially given the family history.

Coordination and Balance Issues

1. Neurological Conditions: Coordination and balance issues can be related to neurological conditions, which could also be linked to your tremors and memory issues.
2. Medication Side Effects: Some medications can affect coordination and balance.

What you can do

Memory Loss and Cognitive Issues

• Consult a Neurologist: Given the severity and duration of your symptoms, it would be beneficial to consult a neurologist for a comprehensive evaluation. They may recommend cognitive tests, brain imaging, or other diagnostic procedures.
• Manage Stress and Anxiety: Techniques such as mindfulness, meditation, and cognitive-behavioral therapy (CBT) can help manage stress and anxiety, potentially improving memory and cognitive function.
• Healthy Lifestyle: Ensure you get adequate sleep, maintain a balanced diet, and engage in regular physical activity. These can all support cognitive health.
• Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for better management.

Muscle Twitches and Tremors

• Consult a Neurologist: A neurologist can help diagnose the cause of your tremors and muscle twitches. They may recommend tests like electromyography (EMG) or nerve conduction studies.
• Medication Review: Discuss your current medications with your healthcare provider to see if any could be contributing to your symptoms.
• Lifestyle Adjustments: Avoid triggers like stress, heat, and lack of sleep. Practice relaxation techniques and ensure you stay hydrated.

Coordination and Balance Issues

• Physical Therapy: A physical therapist can help you with exercises to improve coordination and balance.
• Safety Measures: Take precautions to prevent falls, such as using handrails and avoiding slippery surfaces.

What you should look out for

Given the complexity and potential seriousness of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Sudden Worsening of Symptoms: If you experience a sudden worsening of memory loss, tremors, or balance issues.
• New Symptoms: If you develop new symptoms like severe headaches, vision changes, or difficulty speaking.
• Safety Concerns: If your coordination and balance issues lead to falls or other safety concerns.

Remember, while I can provide guidance, it's essential to consult with healthcare professionals for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue our conversation.