EXECUTIVE FUNCTIONING: How Chemotherapy Changes the Way You Think, Part 2

by

Idelle Davidson

Many people who have been through chemotherapy report problems with EXECUTIVE FUNCTIONING.  Of course they don't call it that, they just say their brains have turned to sludge.

Executive functioning is high-level thought found in a part of the brain called the frontal cortex (just behind the forehead).

INTRODUCTION: How Chemotherapy Changes the Way You Think, Part 1

by

Idelle Davidson

Have you heard of "cognitive domains?" That's a term mental health experts use to explain which areas of the brain do what. People who have gone through chemotherapy often take a hit in these areas.  Look at the domain categories below. Do any describe what you may be calling chemo brain or post-chemo brain or brain fog?  What you may be suffering is actually a deficit in your executive functioning.  A mouthful, I know.  Okay, let's go back to chemo brain...

Can't Find Your Words? Say: "Chemo Brain!"

By Idelle Davidson

You know it's just on the tip of your tongue.  It's a word that has a "ka" sound in the beginning and a "tah" sound somewhere at the end.  And you can almost see it, but then darn, it's gone.  Perhaps later, when you're rushing to slap dinner on the table, that stupid word, so maddeningly elusive just hours before will pop right into your head, as if it were all just a silly misunderstanding between you and your brain.

I'm guessing that if you've had chemo and have experienced the fog that often follows, then you know what I'm talking about, right?  It's not that you can't comprehend language, it's that you can't retrieve it.  It's like the arcade game with the crane where you try to scoop up the two-penny plastic key chain and then five-dollars-worth-of-quarters later, it's stuck in the chute.

In a 2006 study of the psychosocial side effects experienced by 26 women undergoing chemotherapy for breast cancer, language (including fluency, verbal repetition, reading, and writing to dictation) was the most severely affected cognitive process, followed by memory. (Source: F. Downie, Psycho-Oncology 15 -2006: 921-930).  That's not entirely surprising considering that chemotherapy not only may affect language but the speed in which we process information.

One of the people I interviewed for "Your Brain After Chemo" had this to say: "It is painful when people look at me with confusion while I am trying to talk.  I know that I'm not making sense, and I don't know how else to talk.  When it happens I die a million deaths and feel very dumb."    

Have you experienced word retrieval problems during or following chemotherapy?  Have you found ways to compensate?  If so, what works for you?