Healthy Brain Aging 101

They're often called the "Golden Years," but for many advancing in age, they also represent a real concern about cognitive deficits and lost independence. Sometimes, it's not easy to determine whether we're having a so-called "senior moment" or whether there is genuine cause for worry.

Just as the body experiences normal wear-and-tear, so does the brain. So how do we recognize changes in cognition that are a normal part of aging, versus those that may precede a brain-related disorder like dementia? Some natural forgetfulness or absentmindedness as we age—losing your keys, or not finding that specific word you want—is to be expected. But repetitive forgetful behaviors, costly lost items such as smartphones, or lingering communication deficits may be signs of crossing over into "mild cognitive impairment."

Mild cognitive impairment (MCI) is a condition where people exhibit more pronounced cognitive problems than others of similar age. Symptoms of MCl are not nearly as severe as those of Alzheimer's disease, for example. People with MCI often lead normal, functional lives. Unfortunately, they are also at increased risk of developing Alzheimer's disease or related dementias.

That's why, if you believe you are experiencing MCI, it's important to see a specialist to start monitoring your cognitive health. Often, simple medication or lifestyle adjustments can improve MCI and stop it from developing into a more complex condition like dementia. This is one of the benefits of being evaluated by a neuropsychologist.

A neuropsychology evaluation typically consists of a series of tests on memory, problem-solving, and communication, as well as review of medical history, personal details about family and work, and more. The evaluation will help determine the extent of any deficits, potential sources or causes, and interventions that may work to address them. Whether you're in need of speech therapy, increased aerobic activity, or medication adjustments, the specialist will work with your primary care team to determine the best way to maximize your remaining function.

Aging can be associated with both great hopes and fears about what the future will bring. As neuropsychologists, our goal is to help seniors maintain their healthy brains or to identify problems in thinking abilities early on so that we can make recommendations and promote the best quality of life for patients.

To learn about neuropsychology services at Casa Colina, visit https://www.casacolina.org/programs-services/neuropsychology/