What Exactly is “Chemo Brain?”

You’ve probably heard people with cancer refer to “chemo brain,” a cognitive change people experience when facing cancer and undergoing certain treatments. While the exact mechanism that causes these mental changes remains unclear, the phenomenon is nonetheless very real. In this blog post, we define chemo brain and discuss possible treatments and coping mechanisms that can make day-to-day living a little easier.

What is Chemo Brain?

Chemo brain is described as a decrease in mental sharpness and information processing that makes it difficult to remember things, concentrate, learn new things, etc. A few behavioral signs of chemo brain include:

  • Forgetting things they usually don’t forget

  • Trouble remembering details like names, dates, and sometimes larger events

  • Trouble multi-tasking

  • Taking longer to complete certain tasks

It’s important to note that chemo brain is most commonly associated with chemotherapy, but it also occurs in patients who undergo other treatments like hormone therapy, radiation, and surgery. It can start during or after treatment, or without any treatment at all.

Treatments for Chemo Brain

There are things patients can do to improve their mental functioning after developing signs of chemo brain. Cognitive rehabilitation programs usually involve practicing specific cognitive exercises and learning techniques that have the potential to help. Mindfulness and meditation are used to increase focus and awareness, which can then lead to better memory retention. Finally, mild to moderate physical exercise, like gardening or walking, can improve mental alertness and decision-making.

Ways to Manage Chemo Brain in Day-to-Day Life

Chemo brain can interfere with many aspects of a patient’s daily life. Here are a few ways to adapt and cope with the condition.

  • Use detailed planners, notebooks, notes, or organization apps on your phone. Write down important information, phone numbers, and appointments.

  • Do the most difficult tasks at the time of day when you feel your best.

  • Get enough sleep and rest.

  • Follow routines and make consistent schedules.

  • Focus on one thing at a time.

  • Ask for help when you need it, and discuss what you’re feeling with your care team.

  • Keep track of your memory problems, when they happen, and other factors that may be correlated to them.

  • Try to stay positive; don’t focus too much on the symptoms you’re experiencing.

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