
Pivoting only slightly, I want to talk about various challenges we face with cognitive decline including stigmas and fears. I’m terrified of cognitive decline including dementia and Alzheimer’s as this is something that has affected both sides of my family and is now affecting my father as well. Having lived with anxiety, depression, ADD, and OCD most of my life, I feel mental illness is one of the cruelest diseases out there because we have a fully functioning and capable system but our OS is out of whack. The signals are simply not connecting and witnessing those we love, those who had every bit of intelligence and thrived in this world suddenly not be able to connect their thoughts and actions or even their words and actions is heartbreaking. The same can be said with a functioning mind and a non-functioning body like Parkinson’s or ALS. I will never understand such a sick fate. We can say that these diseases should make us aware of the present and to appreciate what we have but I want to talk about how the lives we live now very much impact what happens to our brains down the road.
First and foremost, there is absolutely a genetic component to these diseases so there is, unfortunately, a roll of the dice that we can’t account for in some cases. No matter what we do, some of us will simply be dealt the hand of cognitive struggles and decline. But, as I’m older, and now I’ve witnessed multiple family members experience this decline, I’m aware of the patterns and contributing factors we need to consider to mitigate the illness. I watched my father undergo his preliminary verbal testing and was shocked. It had less to do with the things he couldn’t remember but I could see the fear in him as he realized how far this has already progressed. I could see that he fully understood what he was trying to say but he COULD NOT RESPOND. At least not in the way he wanted to and he apologized every time. Right off the bat, strength and intelligence have nothing to do with this disease—it is indiscriminate. But the habits we have determine what we face. The doctor mentioned the impact of high cholesterol and diabetes on the vascular flow and how that can lead to cases of vascular dementia. So we can’t sit here and pretend that the society we live in that pushes for partying hard and working harder and suppressing emotions helps with things like mental function. We may know about stress and the impact that has on the body but long term abuse whether it’s stress related or what we put in our bodies absolutely can destroy us from the inside out.
Diseases of mental decline are a journey no matter how we look at them. It forces us to look back because our present is unstable and the future is unknown and for both parties, the past becomes the rock because it is known. When times get hard we tend to look back at the past as if it was somehow better than where we’re at now. We fail to realize that we are where we are because of all the things we’ve done up to this point, the good and the bad. The things we could have chosen better or done differently or even the things we would have done more of and the time we could have spent with a different focus, those regrets can become rampant when we get locked in the mind by different forms of decline. It shows us the fragility and power of the mind. It doesn’t take much to interrupt what we would consider normal function and once that happens, our entire reality shifts. All of this is to say that we need to be mindful of the mind and all things that impact it. We need to care for ourselves and those around us and cherish the present with them as much as we can because the truth is we never know when something will shift. But it doesn’t have to equate to the rug getting pulled out from under us if we take everything step by step. The mind may be fragile but the spirit is resilient and we are meant to help carry each other through. That doesn’t mean it’s easy, it just means that this journey isn’t as straightforward as we thought and we can’t take any of it for granted because, real or not, the mind will show us what we think we have. Embrace the now.








