Cognitive disorders

Cognitive processes comprise of attention, memory, and concentration. They also include the ability to interpret facts and draw conclusions for action. In the case of multiple sclerosis (MS), cognitive abilities are impaired over time in nearly half of patients.

Some concrete examples

The cognitive functions that are affected the most are information processing speed, attention and memory. But what does this mean in practice? For example, you may have trouble finding the right words to express yourself, you may lose track of a conversation. Perhaps you are accused of being less efficient at work than your colleagues or you often forget to put the washing powder in before starting the washing machine.

Some people with mulitple sclerosis report that their short- or long-term memory has deteriorated and that they feel they are no longer as mentally flexible as they used to. Temporal and spatial orientation or intelligence are generally not affected by cognitive impairment.

Typical cognitive disorders of MS:

  • Reduced attention and/or ability to concentrate
  • Memory problems
  • Difficulty in planning and acting in a targeted manner
  • Slowing down of thinking and information processing

What can be done about MS-related cognitive problems

There are many strategies and tools to compensate for cognitive impairment in MS.

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Time management: plan regular breaks and enough time.

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Attend to strenuous tasks at 'convenient' times.

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Avoid sources of interruption and distraction and try to focus on one thing at a time.

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Use notebooks, calendars, or reminder features such as alarms or smartwatches.

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Exercise, yoga, or meditation can strengthen the mind, improve cognitive function, and reduce stress and fatigue.

Your doctor is in the best position to advise you on a case-by-case basis.

Swiss Multiple Sclerosis Society, https://www.multiplesklerose.ch/fr/ (last accessed 08/07/2024). 

Neurologen und Psychiater im Netz über Multiple Sklerose (MS) https://www.neurologen-und-psychiater-im-netz.org/neurologie/erkrankungen/multiple-sklerose-ms (in German, last accessed 08/07/2024).

Atlas of MS 3rd edition. MS International Federation, https://www.atlasofms.org/map/global/epidemiology/number-of-people-with-ms, (last accessed 08/07/2024).

AMSEL e. V. Deutscher Verband für MS-Betroffene www.amsel.de (in German, last accessed 08/07/2024)

National Institute of Neurological Disorders and Stroke https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Multiple-Sclerosis-Hope-Through-Research#whatisMS (last accessed 08/07/2024).

MS Trust https://mstrust.org.uk/ (last accessed 08/07/2024).