Mind & Mood Archive

MCI can be tough to identify, but there may be ways to postpone, and possibly prevent, its impact on memory and thinking.

Everyone has the occasional bout of forgetfulness, whether it's misplacing your keys or blanking out on a name. But if these episodes become frequent or interfere with daily life, you may have mild cognitive impairment, or MCI.

MCI falls somewhere between the usual cognitive decline of normal aging and the more serious signs of dementia and Alzheimer's disease. An estimated 10% to 20% of adults older than 65 have MCI, according to the Alzheimer's Association. But this gray area of brain health is often difficult to detect.

Ask the doctor

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Q. Is there a way to avoid feeling sleepy after a holiday meal?

A. That's an unusual question: my patients usually ask me about foods to help them sleep. But with the holidays coming, the concern often is reversed. You may be with friends and family that you see only infrequently, and you don't want to nod off during the conversation.

Being resilient is a skill you can learn and sharpen, and it's never too late to give it a try.

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The ability to bounce back from stress or adversity is important throughout life, especially in our older years. That's when we face many transitions, such as health problems; job, income, and home changes; the loss of loved ones; and isolation or separation from friends, grown children, and grandchildren. How we adjust to these changes helps determine what life will look like moving forward. "Many people are living longer, and we want to make the most of these years so people can thrive," says Laura Malloy, the Successful Aging program director at the Harvard-affiliated Benson-Henry Institute for Mind Body Medicine.

The benefits of resilience

Coping with stress in a positive way is known as resilience, and it has many health benefits. It's associated with longevity, lower rates of depression, and greater satisfaction with life. "There's a sense of control, and it helps people feel more positive in general," Malloy says.

On call

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Q. I have been seeing a lot about brain training programs to improve memory. Do they really work?

A. Brain training programs promise to preserve cognitive abilities, but so far research has not found they can delay or prevent brain decline.

Research we're watching

A growing number of older adults are misusing opioids, according to a new report by the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services. The 2014 National Survey on Drug Use and Health showed that the percentage of adults ages 50 and older using heroin or misusing prescription opioids jumped from 1.1% to 2% between 2002 and 2014. In contrast, opioid use in adults ages 18 to 25 dropped from 11.5% to 8.1% over the same period.

Drug use can bring particular risks to the health and well-being of older adults because they are more likely than younger people to have other illnesses and often take medications that can interact with opioids, according Center for Substance Abuse Treatment. "These findings highlight the need for prevention programs for all ages as well as to establish improved evidence-based treatment, screening, and appropriate referral services," Dr. Kimberly Johnson, director for the Center for Substance Abuse Treatment, said in a written statement.

The purpose and engagement of a job you love can keep you healthy and connected.

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While many women dream of kicking back and relaxing into retirement, there's increasing evidence that in some cases, it's better for your brain and your health to keep your nose to the grindstone a little longer.

"The research to date is mixed, but it tends toward the positive — that is, for many people, there are health benefits to working longer," says Dr. Nicole Maestas, associate professor of health care policy at Harvard Medical School.

Can getting quality sleep help prevent the disease?

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A good night's sleep does more than rejuvenate you for the next day. It may help protect you against Alzheimer's disease. Research has begun to show an association between poor sleep and a higher risk of accumulating beta-amyloid protein plaque in the brain, one of the hallmarks of the disease.

"Observational studies have found that adults over age 65 with amyloid plaques in their brain have reduced slow-wave sleep, which is thought to play an important role in memory function, even though these people do not yet show signs of Alzheimer's, like memory loss and cognitive decline," says Dr. Brad Dickerson, associate professor of neurology at Harvard Medical School. "It may be that quality sleep could play a role in who may get Alzheimer's."

Exercising, maintaining good health, socializing, and learning new information may help keep you sharper, longer.

Everyone wants to live an active, vibrant life for as long as possible. And that goal depends on robust brain health. While we don't have a guaranteed way to prevent dementia, we do have increasing evidence that engaging in healthy lifestyle habits may help.

For example, a 2015 randomized controlled trial from Finland suggested that older adults with a number of healthy habits — such as eating a healthy diet, exercising regularly, and socializing — improved or maintained thinking skills and reduced the risk of cognitive decline.

Scientists used to think that brain connections developed at a rapid pace in the first few years of life, until you reached your mental peak in your early 20s. Your cognitive abilities would level off at around middle age, and then start to gradually decline. We now know this is not true. Instead, scientists now see the brain as continuously changing and developing across the entire life span. There is no period in life when the brain and its functions just hold steady. Some cognitive functions become weaker with age, while others actually improve.

Some brain areas, including the hippocampus, shrink in size. The myelin sheath that surrounds and protects nerve fibers wears down, which can slow the speed of communication between neurons. Some of the receptors on the surface of neurons that enable them to communicate with one another may not function as well as they once did. These changes can affect your ability to encode new information into your memory and retrieve information that's already in storage.

Sometimes pain has a purpose — it can alert us that we've sprained an ankle, for example. But for many people, pain can linger for weeks or even months, causing needless suffering and interfering with quality of life.

If your pain has overstayed its welcome, you should know that you have more treatment options today than ever before. Here, we've listed eight techniques to control and reduce your pain that don't require an invasive procedure — or even taking a pill.