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Who is that person? by Janet Lynas, Ph.D., N.H.D.

You look into the mirror and ask, “Who is that person?” It happens to all of us at some point in time. Not only has our physical appearance changed, but so has our identity. Life happens and somewhere along the path of life, we realize we have lost ourselves.

Stages in life

Early in life one begins to wonder, who am I? What is my purpose in life? Who do I want to be? Am I on the right path?

Children look at the world with awe and wonder. Everything is an adventure. Somewhere in the mind of that small child they only see themselves as an extension of their parents. A child has neither the intellect or life experience to look any further than the reality in which they are living. Children truly live in the moment.

Then children come to a point where they develop self-awareness. At this point in development they begin to identify as being the one who will determine who and what they will be in life.

Let’s fast forward to the autumn of life.

What happened?

Throughout our life time our self-image has evolved. Men tend to identify themselves through their professions or jobs. Women tend to see themselves as caregivers to children, elderly parents, to identify through their careers. Both men and women see themselves as a husband or wife, parents to children with whom they are responsible. Or, as a single person who is foraging their way through life making a mark on society on their own terms.

One day we wakeup and look in the mirror and wonder, “Who is that person looking back at me?” My dad who just turned 90 years old sums it up this way, “I’m a young man trapped in an old mans body.”

Some of my friends are going through an identity crisis. One friend lost her only child and then a couple of months later, her husband. Now, she’s no longer a mother or wife. She’s having to redefine who she is. But, how does she do that? It’s not easy.

Other friends are struggling with the impending inevitable loss of a spouse. They see the love of a lifetime fading away and there is nothing they can do to prevent this process from happening. While their focus is on helping their spouse, in the back of their mind is the looming thought, what am I going to do without my spouse?

For others of us, we have gone through divorce and are redefining who we are as a single man or woman. Many have retired and are at a loss about who they are without the job they worked in for so many decades. What do I do with the time I have on my hands now? To be honest, many die from boredom and lack of purpose. Each of us know individuals who work into their 70s and 80s before they retired. Shortly after retirement, they died. Friends and family vow, I will retire early and enjoy life! I will go fishing, I will travel, I will volunteer… Some even decide to move to another country thinking that it will be cheaper and the retirement money will go farther.

However, I challenge you to reconsider those people who chose to work all their life. These individuals live a long and productive life. They find joy in what they are doing. Life is interesting and has a purpose for them. I’m one of those individuals. Retirement is boring for me. I enjoy being around other people who are having interesting lives. Let’s face it, one can travel, but after a while it’s not as fun as it was in the beginning. You can go fishing and sit on the beach, however, after a couple of weeks it loses its luster.

The grass is greener on the other side

We think if I move to another location everything will be better. The grass looks greener and the future brighter. However, remember if the grass is greener, there’s been more manure put on that grass.

We look externally to redefine who we are or who we want to be. I propose instead of looking at the external that we look internally to define who we are now becoming. No one wants to do this because it will mean facing the dark side of the soul. This can be uncomfortable at the least and scary at the most.

Remember, when we look within we are becoming stronger. We are finally learning who we truly are. It has taken 60, 70, 80, 90 years to gain the experience needed before we can define who we are. End of life experiences don’t mean the end of life. It means we have come of age. One knows who they are. It also frees us to expand and become more than we thought we could be. Do you realize that humankind has the ability to live to be well over a hundred years of age? The human body does have that capability. I’ve made the statement before, that the largest growing age group are those over 100.

Evolution

As long as there is life, we have the ability to evolve and expand. Death of the human body is not the death of the individual, it’s a transition to another form of life. We are made up of energy. Energy never dies. It transforms into a higher form of life.

I live a diverse life. Many of my friends are decades younger than I am and we have developed deep connections as friends and colleagues. I find myself always looking inward for the answers I need in my life. My higher-self knows what’s best for me. As a result, life is interesting and abundant.

I love life. I love my life.

“Why are you writing this article?” you ask. I guess because recently I have seen so many of my friends and classmates going through the “dark night of the soul” and they don’t know how to deal with it.

I encourage you to embrace the “dark night of the soul”. I have and I came out on the other end wiser and stronger. It’s not an easy or fast process, but it’s a process that has great rewards on the other side. The only questions you need to ask are, what do I really want and what do I need to know for right now? What do I need to know for this moment in time? Embrace the child within that only wants to live in the moment. After all, right now, this very moment is all we truly have. Remember to live your life moment to moment. Be in that moment and be grateful for that moment. Even moments that are uncomfortable or painful will pass. We gain better understanding and endurance because of these moments.

Live your life to the fullest. Continue to evolve and grow. Even when we think life is over, it’s not. It’s just a new beginning. A new frontier.

Celebrate who you are. Express gratitude for your life. Each of us have abundance in blessings. We are blessed in ways that we will never know. Appreciate and be grateful for every aspect of your life.

Your life is just that, yours. It’s up to you to make your life what you want it to be. Never, forget, YOU ARE WHAT YOU THINK. What you think, you manifest into your reality.

So, be careful what you allow your mind to dwell on.

I Don’t Remember by Janet Lynas, Ph.D., N.H.D.

Dementia is as feared as cancer. The general consensus is that dementia is an old-age process and it terrifies people. However, working in the mental heath outpatient department at the Fayetteville, Arkansas VA, we were seeing early onset dementia. Most of this early onset dementia was seen in veterans who used marijuana on a regular bases.

What are other causes of dementia?

Many commonly prescribed medications can cause dementia. The commonly known memory interfering and dangerous medications are those with anticholinergic properties. Medications that block the effect of acetylcholine. Acetyclcholine is an important brain chemical and neurotransmitter that becomes less plentiful in the aging brain. Acetylcholine is essential for brain health and function.

These medications have an impact on brain cells. By blocking the receptor molecules in the brain these medications can help people experience relief from symptoms such as insomnia, irritable bowel syndrome, and many other medical conditions. Among the clinically significant anticholinergic medications are medications such as tolterodine, which is often used to treat urinary incontinence. In addition, some antidepressants like the tricyclics such as amitriptyline, antipsychotics, cardiac medications, antispasmodics, antivertigo medications, and antiparkinsonian medications have anticholinergic effects.

Anxiety and Insomnia Medications

Benzodiazepines are a class of medications that are used to treat anxiety or insomnia. These medications are another group that has been linked with cognitive difficulties. While these medications can give significant relief to individuals suffering from debilitating anxiety, their use has a sedation and mental slowing side-effect are concerning. A recent study has suggested that prolonged use of benzodiazepines might be a risk factor for dementia. Primary care doctors continue to prescribe anti-anxiety medications such as lorazepam (Ativan) and alprazolam (Xanax) or sleeping pills such as temazepam (Restoril) and consider them very beneficial when used properly. The psychiatrist I have worked with do not prescribe benzodiazepines because of the serious side-effects.

Corticosteroids

Corticosteroids can be life-saving for people having sever allergic reactions when prescribed accordingly. However, they have the capacity to induce delirium, mood changes, or even psychotic symptoms. Prednisone has been identified in cases of clinical symptoms that mimic different mental disorders including cognitive changes. I was given Prednisone once and I literally felt homicidal. I had only taken three of the pills when this symptom onset. I warned my teenagers to stay away from me until the pills wore off. Teenagers tend to push a parents buttons on a good day.

Pain Medications

Pain medications, especially opioids, can be life changing when used properly. Their disastrous effects on short-term memory have been studied and recognized. Pain relief is necessary for an individual to be able to function. The proper use of pain relievers is important so people can function. However, negative cognitive effects are reversible after the medications are stopped. Opioids were never intended for long-term use. Doctors started using them in this off-label prescribed treatment which has caused the devastating problem we now see. Opioids were one of the biggest problems I had to deal with as a nurse trying to educate my patients. It’s the most abused category of drugs.

Chemotherapy Drugs

Cognitive changes associated with anticancer chemotherapeutic agents is well-documented. “Chemo brain” is now a commonly known term that describes the affects chemotherapy has on patients. The side-effects include being unable to focus or lack of attention, working memory, and executive function. Unfortunately these side-effects sometimes leaves lasting changes.

Statins

The cholesterol-lowering statins have been suspected of creating mental slowing and memory problems in some people for a while now. The research in this area is divided in opinion. Smaller case studies have reported people are experiencing the medications interfering with cognition. Other larger and well-designed studies have not confirmed this effect. So, the jury is still out on whether this is a side-effect or not.

Recently, more doctors are acknowledging that the true benefits of this classification of drugs is in question. Newer studies are showing that the Statins are not very effective, especially considering the severity of the side-effects.

The Impact of Aging

We need to be aware that the effects of aging with drug action and metabolism are of the upmost importance. The liver and kidneys are less efficient in detoxing drug effects as we age. The aging brain has less protective cognitive resources. More importantly, the practice of multiple prescribed medications for older adults offer many opportunities for drug interactions. All medications have adverse reactions. The harmful effects of medications are exacerbated when the medications are not taken as prescribed. Then when alcohol is thrown into the mix it’s a disaster happening. Even a small amount of alcohol use can add serious adverse side-effects of medications.

So, the fact that your can’t remember, might not be dementia. There are safer drugs and alternative therapies that are effective.

Don’t forget about over the counter drugs!

Common medications such as Benadryl which is commonly used not only for allergies, but as a sleep aid can affect your memory.

Never stop or change any medication regimen without talking with your doctor first. Never add over the counter drugs without talking with your pharmacist first.