[48F] Experiencing worsening memory issues and mood swings

Question

I need a doctor does anyone know any

Patient Description

A 48-year-old female has been experiencing worsening memory problems for about 7 months, including instances of forgetting the placement of items and not being able to recall recent events. These issues have been causing significant distress, leading to feelings of confusion and mood swings. The patient describes the impact of these symptoms on her mental state, using the term 'crazy' to express her frustration and concern. She has a complex medical history, including diagnoses of multiple sclerosis (MS) and a brain tumor by different neurologists in 2017, as well as long-standing severe anxiety and depression since the age of 16. The patient has been on various medications, including Clonazepam (2 mg), Temazepam (30 mg), Celexa (Citalopram), and Lyrica (Pregabalin), but cannot recall the dosages for Celexa and Lyrica. She also mentioned taking Temazepam for insomnia. The patient has an allergy or adverse reaction to aspirin. She expressed a positive response to Clonazepam, stating it makes her feel like a 'brand new person'. The complexity of her symptoms and medical history suggests the need for a comprehensive evaluation by a multidisciplinary team, including a neurologist and psychiatrist, to reassess her diagnoses, optimize her treatment plan, and address her current symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, here are some possibilities:

  • Medication withdrawal: Stopping medications like Clonazepam, Celexa, Lyrica, and Temazepam suddenly can cause withdrawal symptoms, which may include confusion, memory problems, mood swings, and anxiety.

    • Treatment typically involves restarting the medication and then gradually reducing the dose under the supervision of a healthcare provider.
  • Progression of your neurological conditions: Both multiple sclerosis and brain tumors can cause cognitive symptoms, including memory problems and confusion.

    • Treatment would depend on the specifics of your condition and might involve medications, surgery, or other therapies.
  • Depression and anxiety: Both of these conditions can cause cognitive symptoms, including memory problems and confusion, especially if they are not well-controlled.

    • Treatment typically involves a combination of medication and therapy.

What you can do

  1. Seek medical attention: It's important to see a healthcare provider as soon as possible to discuss your symptoms and figure out what's going on. They can help you manage your medication withdrawal if that's what's causing your symptoms, or adjust your treatment plan if your neurological conditions are progressing.

  2. Find a new psychiatrist: Since your previous psychiatrist has retired, finding a new one could be very beneficial. They can help manage your medications and your mental health conditions.

  3. Take care of your mental health: Try to engage in activities that you enjoy and that help you relax. This could be anything from reading a book to taking a walk outside. If you're feeling overwhelmed, it might be helpful to talk to someone you trust about what you're going through.

What you should look out for

  • If your symptoms worsen or if you develop new symptoms, seek medical attention immediately.
  • If you feel suicidal or are thinking about hurting yourself, seek help immediately. You can call a suicide hotline, such as the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or use the Crisis Text Line by texting HOME to 741741.

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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8 mo ago


People Also Ask


Can multiple sclerosis and brain tumors cause memory problems and confusion?

Yes, both multiple sclerosis and brain tumors can cause cognitive symptoms, including memory problems and confusion. These symptoms may result from the impact of the conditions on the brain and nervous system.


What are the potential withdrawal symptoms from medications like Clonazepam and Temazepam?

Withdrawal symptoms from medications like Clonazepam and Temazepam can include confusion, memory problems, mood swings, and increased anxiety. It's important to taper off these medications under medical supervision to minimize withdrawal effects.


How can anxiety and depression affect memory and cognitive function?

Anxiety and depression can significantly impact cognitive function, leading to memory problems and confusion. These symptoms may be exacerbated if the conditions are not well-managed.


What steps should be taken if a patient experiences worsening symptoms or new symptoms?

If a patient experiences worsening symptoms or new symptoms, they should seek medical attention immediately. It's crucial to consult with healthcare providers to reassess the treatment plan and address any potential complications.

2 Comments


Janice#97

8 mo ago

What city are you located? Would you like to see somebody other than your current neurologist and psychiatrist?

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Archie#12

8 mo ago

Where did you previously seek care?

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