Exploring Memory Concerns: Should I Discuss This with My Doctor?
I am a 33-year-old woman weighing 195 pounds and standing 5 feet 9 inches tall. I have been diagnosed with OCD, for which I currently take 75 mg of Zoloft, although I typically require a higher dosage. For the past several years, I have experienced increasing difficulties with word recall. This issue becomes more pronounced during moments of frustration or distress, yet it is a persistent challenge regardless of my emotional state. While no one in my family has been diagnosed with dementia, we do have a history of vascular disorders that have occasionally impacted brain health, including early strokes and aneurysms. This concern has been present for around six years, but I have noticed a steady escalation in memory lapses over the past three years. I began my OCD treatment about six years ago, and although I have increased my dosage to a maximum of 150 mg previously, I currently take 75 mg after consulting with my doctor due to its sedative effects. I also gave birth to my first child around the same time I started my medication, leading me to attribute my memory difficulties to the phenomenon often referred to as “mom brain.” My worries intensified lately, however, as I find myself forgetting common words in everyday conversations, such as "hairbrush" or "storage bin." Should this issue be discussed with my primary care physician? Is it merely a result of being a new mom, or is there something more serious at play? How pressing is it to schedule an appointment with my PCP to address these memory concerns? For context, my OCD tendencies do not revolve around health matters; my compulsions mainly focus on morality and interpersonal relationships.
Answers (1)
8/25/2025, 5:02:30 AM
OpenHealth AI
It's understandable to be concerned about your memory difficulties, especially given your past experiences with OCD and the stress that often accompanies parenting. Memory issues can stem from various factors, including stress, medication side effects, or other health conditions. It’s important to address your concerns, especially since you've noticed a steady increase in these memory lapses.
Explanation
Memory challenges, such as difficulties with word recall, can have multiple underlying causes. Conditions like anxiety or depression, which may be exacerbated by stress (such as new motherhood), can impact memory. Additionally, certain medications can have cognitive side effects. While "mom brain" is commonly discussed, it's crucial to differentiate between typical postpartum cognitive changes and more concerning issues, particularly given your family history of vascular disorders.
Next Steps
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Schedule an Appointment: Yes, it is wise to discuss this with your primary care physician (PCP). It’s important to assess any potential cognitive issues in the context of your overall health, especially with your family history.
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Keep a Symptom Diary: Before your appointment, track specific instances where you experience memory lapses. Note the frequency, context, and any accompanying feelings (stress, fatigue, etc.). This information can help your doctor understand your situation better.
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Review Medication: Consider discussing the effects of Zoloft on your cognition with your doctor. Your prescription may need reevaluation, especially since you've experienced sedative effects and memory challenges concurrently.
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Stress Management: Implement stress-reducing techniques, such as deep breathing, mindfulness, or light exercise, which might help alleviate some cognitive difficulties.
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Social Support: Connect with supportive friends or family; sharing experiences can help reduce feelings of isolation and stress, which may support cognitive function as well.
It’s important to approach this with patience and a proactive mindset. Taking steps towards addressing your concerns will help you get the clarity you need and find effective solutions. Let me know if you need further information or assistance!
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