HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

58 Year Old, Slowly Grown Fatigued, Forgetful, Indecisive. What Could Be This?

My husband is 58 years old, 5-ft 10-in tall and weights 185 pounds. He is active. He has taught 4th grade for over 30 years and this past year was especially difficult (troubled kids, families...) Starting about March of this year he has slowly grown more fatigued, forgetful, and indecisive. I don't even "know" this new guy. He went to his doctor and was said to be "fine". He is not fine. Ideas? Recommended tests? Depression?
Thank you for your thoughts.
Patricia Baer
Mon, 22 Jul 2013
Report Abuse
Psychiatrist 's  Response
Hello Patricia.

I have gone through you post. From what i could gather, your husband has been a teacher for last 30 years and was fine until about 4 months back when he started getting more fatigued, forgetful and indecisive.

At this age, after family troubles, he might develop reactive depression, which might manifest as low mood, poor attention and concentration resulting in forgetfulness, a deterioration in sleep and appetite with occasionally expressed sadness. A more sinister development at this age might be some organic lesion of the brain like cerebro-vascular disorders or dementia, though 58 is a little early for dementia, which at the initial stages might present like this.

At the initial stages, these findings might be missed by a physician who is not sufficiently trained in eliciting these disorders, particularly the subtle signs. Therefore i suggest you visit a qualified psychiatrist and get him evaluated, clinically and using both neuroimaging as well as neuropsychological tools, to get to the problem and then follow the management plan as prescribed.

Hope this helps
Regards
Dr A Rao Kavoor
I find this answer helpful
  User's Response
There are definite changes in your husband's behaviour as you perceive in the last one year.

Depression is possible given that he has been having stress of late.
However, you also mention forgetfulness, indecisiveness, fatigue. In addition you say that you "don't know this new guy" - I presume his personality has changed quite a bit in the last one year.

Given these symptoms and his age of 58 years I would additionally consider Dementia (Fronto-temporal Dementia) in his case. It is especially likely if he has a family history of dementia, long standing hypertension or diabetes or hypercholesterolemia or any stroke or cerebrovascular accident.

You may consult a neuropsychiatrist/ psychiatrist for his health.
Hope this helps.
I find this answer helpful
Psychiatrist Dr. Shreyas Pendharkar's  Response
Hi. Can you describe is there any history of concurrent substance use? any recent head injury, accidents involving head trauma etc. Secondly you mention the past year was difficult due to various ''troubles''. So are these troubles still ongoing? Based on your description, depression appears to be closest possibility. But considering age 58 years, I would recommend a thorough physical examination, blood work & screening by a Psychiatrist to rule out depression or warning signs of cognitive impairment/dementia. Regards
I find this answer helpful

Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Long standing hypertension


Loading Online Doctors....
58 Year Old, Slowly Grown Fatigued, Forgetful, Indecisive. What Could Be This?

Hello Patricia. I have gone through you post. From what i could gather, your husband has been a teacher for last 30 years and was fine until about 4 months back when he started getting more fatigued, forgetful and indecisive. At this age, after family troubles, he might develop reactive depression, which might manifest as low mood, poor attention and concentration resulting in forgetfulness, a deterioration in sleep and appetite with occasionally expressed sadness. A more sinister development at this age might be some organic lesion of the brain like cerebro-vascular disorders or dementia, though 58 is a little early for dementia, which at the initial stages might present like this. At the initial stages, these findings might be missed by a physician who is not sufficiently trained in eliciting these disorders, particularly the subtle signs. Therefore i suggest you visit a qualified psychiatrist and get him evaluated, clinically and using both neuroimaging as well as neuropsychological tools, to get to the problem and then follow the management plan as prescribed. Hope this helps Regards Dr A Rao Kavoor