Browsed by
Category: Special Needs

This category holds information and links on illness and disability that you may find helpful or informative. We have come across each area in our journey

Tips for caregivers of those with autism

Tips for caregivers of those with autism

As a member of ‘Autism Support Network’ I came across this article, written by Tulika Prasad, and felt I should share it. It did resonate with our own situation and in truth brought a tear to my eye as I read, as it was comforting to see that others do experience what we do. You can read her final paragraph in the link, but for my blog, I rewrote it slightly, to reflect our own position. I would also remind readers that although it appears many articles are written for and about ‘Mums’ of special needs children, ‘Dads’ are also experiencing the very same emotions and frustrations and should not be forgotten. Read yourself into any reference where Mum or Dad is written.

Tips for caregivers of those with autism

Think about the day when you got to hold your little bundle of joy … you promised to protect him forever … to love him and be by his side till the end of the world and beyond … you wished for his eternal happiness … and then he was diagnosed with Autism and something changed. As your child adds age but not milestones, you are soon given a new designation – that of a caregiver.

Your child might be 6, 16 or 26 and he might still need the care and attention of a 6 month old.

As your child grows, he gets stronger while you begin to age and find yourself struggling at things that you found easy to tackle just a few years back. Your stamina falls while your stress level rises. You’ve probably missed out on your social life. You probably look ten-years older than you are because you’re not just physically but also emotionally invested in this process. When the caregiver is also the parent, as is the case with most families with a child on the autism spectrum, the stress is manifold since there is always that looming fear of what the future holds for their child after they are gone. There is that desperation to fix the situation rather than wait it out.

Though it’s easy for people to assume that caregivers are a different species altogether, they are not. They lose patience, they get tired, they feel helpless, and more often than not they are very lonely. It’s a perfect recipe for depression. It’s no surprise then that every other day we read stories of caregivers hurting themselves or the cared-for being hurt. Who is to be blamed here? The person, the society … or the circumstances ? Whatever answer you choose, the bottom line is that it’s about time we had a conversation around the caregivers.

While the world decides on what it can do to make life easier for those who spend their life caring for their loved ones, here are a few tips that might help some of us stay afloat.

1. Get some sleep/rest – Sleep deprivation can play tricks with your brain. It’s important to catch up on your sleep whenever and wherever you can. If you’re missing out on sleep at night, drop everything and take some rest when your child is at school. If that is not an option, try sleeping in your car while your child is at a therapist; let the therapist know you need that nap. They’ll understand. Whatever your schedule, be creative and find a way to get that rest. It will do wonders for you.

2. Respite – Where I live, we get limited free respite services from our county. Find out about a similar service from your county, and use it. Respite providers are trained to take care of special needs.Take that time off to shop, get a massage, go to a cafe, meet friends, go to a movie or a date night or simply sit back home and binge on your favorite serials. Don’t feel guilty about having that time for yourself. Just remember to not use this time for completing chores. Use it for yourself. You deserve it.

3. Invest in your health – Before you know it, all that stress is going to take a toll on your health. And though you may not really care about yourself so much given the enormity of challenges you face everyday, if you want to be around for long to take care of your child and also be of use, you need to be healthy. This is an investment you will not regret. This one is for your child as much as it is for you. Get your full physical done, eat healthy, eat well. Exercise. If you cannot go to a gym, which might be the case for a lot of us, try yoga, pilates and many more exercise that you can do at home. Whenever you can, go for a walk, it will help clear your mind and rejuvenate.

4. Find a place to vent – You will need it. If you’re a social media person, find a group where you can safely vent without being judged. If you prefer a more face-to-face interaction, try a support group, or just that one friend you know will not judge. But find a way to let the steam out. It’s cathartic and it’s important.

5. Cry if you feel like – I try to stay away from a lot of depressing thoughts but they tend to creep up every now and then and fog my mind. Those days I feel helpless, lonely and unappreciated. I fear the future, I resent the present and I feel like running away from everything. This is the time those tears come in handy. A good heartful crying really helps in these situations. It’s not a sign of weakness. It’s a sign of being human. Cry if you must.

6. Laugh out loud – Don’t miss an opportunity to laugh. Even in the most depressing of circumstances life gives you reason to smile. Grab that opportunity and turn it into a laughter. The sound of a hearty laughter can dispel the thickest of clouds and bring in some much needed sunshine. Watch a funny show, share a joke, laugh at a fond memory or just look around and you’ll find a reason.

7. Celebrate more often – You might not always find the success that fits the usual definition but there will be many small victories that will come your way. Learn to celebrate those rather than dwell on the failures. Your child might have just said “mommy,” or have given you a hug for the very first time. He might have tried a new food you did not expect him to or learnt to finally tie his shoelaces or went an entire day without an accident. Go on, give yourself and him a pat on the back for it. It’s your hard work. Celebrate! Caregivers face a lot of challenges and need a lot of persistence. So, when there is a moment to shine, shine up bright and loud.

8. Let go sometime – As a caregiver, it almost gets ingrained in us to be on a constant watch … to be on our toes and to be right there all the time. However, contrary to what you may expect, giving your child some space, letting them be and allowing them to try being independent even if they fail is not always a bad idea. Let them have mismatched socks once in awhile, or eat with their fingers, or not respond to their name or have that extra bit of sugar or watch a little more of the same, or lineup cars , yet again, . Give yourself a break. Let them figure it out once in awhile. Sit back and watch the act sometimes instead of being in the act.

9. Ignore others – You are on your feet the whole day and that one moment you erred and your child ran away from your side in a grocery store, there will be ten people judging how careless a parent you are. People will judge. No matter what you do or say, they will find an opportunity to do so. 100% acceptance and understanding is a Utopian concept. As long as you know in your heart that you are right and doing the best, forget what others say or think or it’s going to get really expensive for you mental and physical health. Get a thick skin and a clear heart.

As an autism [dad], and of course my wife as an autism mum, we’ve seen more days that are exhausting than days that are laid back. we’re always in a state of hypervigilance and mostly for good reason. We’ve very limited friends and we need a lot of planning for even a slight change in routine. Almost everything we do is a chore because we are in that constant fear of a meltdown, or a seizure, or incontinence. In those few minutes that we may take my eyes off of him we’ve could find him contorted with epileptic convulsions or handling something dangerous that will do him more harm. He can never be left unsupervised. I help him change, bathe, clean, eat, toilet, and practically help him with everything he does. He is not a 6 month old. He is almost 31 years old. With him around there is not a dull moment and a ‘walk’ to the couch seems like a very long journey. We probably [hopefully] have many more years ahead of us that we’ll be doing what we do for him now. Maybe not. When we eventually held him for the first time, we promised to be by his side, always and so we will … and to do that we need to take care of ourselves just as much as I take care of him.

 

Gift

Gift

Making preparations

“The best gift comes from the heart and not the store”

Anonymous

Those of you who have followed our story over the months may recall that we have found, when supporting someone who has Autism, complicated with other disabilities such as our son, change can create terrible anxieties. At this time of year, when Christmas adverts are promoted across TV and radio, and a trip down the high street reveals seasonal window displays, festive lighting, bands and other street artists, and crowds of people, all bringing their own cheer to us, spare a thought for those who find such things just a little too much for their senses and can develop serious anxieties and fears very quickly.

As someone who just loves the magic of this time of year, I have a need to see and experience as much of these things as I can and my wife and I just love it when our son can smile at what we all share together. To achieve this, we need to plan ahead, we have found that the secret is nothing more than a gradual introduction to the season, the events and the biblical meaning behind Christmas.

You may be surprised to hear that we visit garden centres a lot!  They always put on super displays of decorations and lights. Publicity is sent to let us know the date and time of the  “Christmas Opening” with music and wine and other fabulous enticements. For us, we visit weeks earlier, to see the gradual removal of pots and plants to make way for the glittering displays to come. To see the gradual transition allows are son to come to terms with the changes, we can talk about it, we can ‘peek’ behind the security curtains to see what is going on and we find he can accept the ultimate result far easier because it’s not sudden.

Likewise, a trip down the high street early enough to see the changes happening helps the transition to Christmas displays and acceptance without the fear.

I often get asked, “what do you mean, fear?” and “How can a changed display create fear?” etc and after nearly 31 years of understanding the effects these things have on our son, I suggest to them, that they imagine waking up in the morning and as they open the front door to go to work, or school or whatever they usually do, and instead of what they usually see, the driveway, the car, the street, is not there …. in their place is a vast ocean, no land in sight and to further image if they turn around to go back indoors and when they turn, their house has vanished and that ocean is there too … endless water, and nothing else. I ask “would you be disorientated and a little fearful as to what has happened?” invariably, they answer yes. This is something like how I have come to understand what our son feels when there is a change to his surroundings and environment. Of course, he doesn’t see the ocean, but flashing lights, decorations, displays which are all a different sight to him have that very same effect, creating disorientation and anxiety.

We take the same approach when we look for a gift for him. Surprises don’t work, in that, as they were unexpected, a sudden panic and anxiety attack takes hold and the enjoyment is not experienced. Worse, the gift is from that moment on associated with something stressful and never really appreciated. So we go out to the stores together, and I have to be very attentive to what he looks at, or talks about, as that will indicate a level of interest. Over several weeks we will return and talk about it some more and how we would use it, where we would keep in in our home and eventually we will make the purchase together. We wrap it up together and put it somewhere safe together and the surprise moves not from what will be unwrapped but more to a countdown of the days until it can be opened again. If you think that a countdown is not exciting, please think again!

In truth, it’s not so much what we buy, but the way we go about it, spending such quality time together, looking, talking, laughing and planning, and avoiding the build up of anxiety that is the real treat here. Our son now talks about what we did last Christmas in a positive way, and that too was all about a gradual supportive approach and he recalls those positive moments with joy. He’s looking forward to the trips to the garden centres, the Nativity displays, the Church services, the wrapping of gifts, the making of Christmas dinners, even the annual Queens speech.

We have done the same for our Christmas decorations at home. In putting them up, we work towards the first day of Advent, but not a date to put up our decorations, but a date by which time we have completed them. Our decorations, and one of our  trees are being put in place, gradually throughout November so that again, any sudden change is avoided. This year, we are taking advantage of the new decking which is a visual point he can see from indoors as well, and a new pot grown tree has been introduced, that he has accepted and will become familiar with year round with anticipation and of solar lights being put on in a couple of weeks. After Christmas, this will be relocated in the garden and tended through the year and re-potted until we bring it back to the deck again next year.

Gifts are lovely to receive, but for some, its the reassuring company, the approach and the support that is the magic of Christmas. We are blessed with a number of friends, some we see, some are on-line, but equally valued and loved and who join us to make each day special for our son.

Thank you all 🙂

Reviewing …

Reviewing …

Raindrops on roses

“Some people walk in the rain, others just get wet”

Roger Miller

I’d like to think that I maintain a positive outlook and it’s true that our son will pick up on the slightest emotion that my wife and I show, consciously or subconsciously. His emotional wellbeing is so dependant upon us, regardless of what he is doing at the time. If we smile, he knows things are calm and safe, if we frown and hold a stern expression, he questions, “is everything alright” ? and we have to quickly and confidently recognise this and change, to exhibit a happy smiley face and demeanour.

He attended a review in the last couple of days. A clinical psychiatrist and speech and language therapist kept him (and it really was a feeling of being ‘kept’) for over an hour and a half, questioning this and questioning that. For me, I thought many of the questions were asked without any regard for his learning disabilities, which just served to increase his anxiety at being there. Looking ever more frequently at me as if asking for help, without uttering a word, I did eventually bring a halt to it as I could see a meltdown happening and he had been there way too long.

True enough, the wild and uncontrollable temper, coupled with severe upset followed and it was all that I could do to get him home and go through our ‘safe’ routines while keeping a smile and calm voice throughout.

The specialists need to know what progress has been made in a relatively short space of time, but for our son, it seemed like it went on forever!

We have been told that he hasn’t developed at all since we were there last and that many fears and anxieties had been amplified. A backward step. Medication changes had been responsible for some input to this as well as a lack of adult care support for those over a certain age with Autism and additional complex needs. In short, if we don’t, nobody will.

We have come out armed with more techniques, ‘Talking Mat’, ‘Room Diary’, ‘Audible and Visual event slideshow’, ‘Short trips’, ‘Happy pictures’ so on and so on …

I’ll not knock any of them as they all have their place, and many we have used successfully but I do get to regret that his autism was not identified at a very young age, but rather struggle through the last 30 plus years and now trying to re-educate his mind to develop coping mechanisms that will last and not forgotten at the slightest change.

It is through times like this, you need to have a mind-set that you ‘walk in the rain’ and not ‘get wet’ as the successes and achievements, no matter how small and brief are well worth the continual effort that is needed to achieve them and though you may feel alone against the world with the ongoing challenges, your not really, and to quote a line from a movie  … ‘help will always come to those who ask for it’ …

That help invariably comes from your friends 🙂

 

 

 

Not impressed

Not impressed

Always a greeting

For a few days, I have to take part in civil duties. That means I will be away each day. Our son continues to be cared for and watched over by my wife and his Aunt, but I’ll not pretend the absence of myself or my wife for such long periods of time is not easy for him to come to terms with. He lets us know in many ways how much he is ‘not impressed’

We will get through it and he will get through it, and keeping him active is even more important during this time.

He’s not alone in being affected by this as we realise that Lady Bronte has grown accustomed to our routines now as well. Almost anticipating what we will do when and being ready to join in. Always with an ear on the door or the car engine when one of us is out, desperate for that little sign or sound that we are returning.

We don’t leave her alone or caged, even for a short time, and she comes with us everywhere. When we did recently all have to go out, we took advantage of a lovely ‘pet-sitter’ who lives nearby and who took her walking and swimming for the time we were away. socialising with other dogs too, she had a ball.

In the next two to three weeks we are hoping she will be joined by a new feline sister. A 14 year old cat that we are adopting into the family. We have always had cats around the house and Lady Bronte was fabulous with our last cat, who has sadly passed away now and we don’t want to leave it too long before she is reintroduced to one. Before Lady Bronte, we had a golden Labrador (Jasper) who also had a very good relationship both with our son and with the cats we had then.

Our son also learns so much by having animals around. It helps greatly with his understanding relationships as he does bond with the cats and dogs far more easily than people. One of the autistic symptoms relates to his inability to strike relationships and is not too comfortable in other peoples company. With our cats and dogs, he is so much more at ease, and holds many conversations with them, seemingly as if he gets an answer back.

It is important as well, as he sees the need to care for them, exercising them, feeding them, ensuring they have fresh water throughout the day, sensing when they are unwell or want to play. We go shopping at the supermarket and our son takes responsibility for reminding me to buy food and choosing something for them.

During this period I’m away for much of the day, Lady Bronte will play an important role – unbeknown to her – in ensuring our son remains focused on these things until I get home.

Animals are well documented as a form of assistance for many illnesses, disabilities and age and the relationship that is struck up, particularly with those with autism, can been very rewarding. Dogs and Horses in particular seem to have an ability to calm the anxieties of those with autism.

Purple Day

Purple Day

Purple Day – 26th March

A day to raise awareness of epilepsy

Purple Day is the international day for epilepsy and falls on 26th March each year. Purple Day was created in 2008 by Cassidy Megan, a young girl from Canada, who has epilepsy and wanted to get people talking about the condition.

Find out more here

SUDEP

SUDEP

sudep

Sometimes a person with epilepsy dies during or following a seizure for no obvious reason. This Sudden Unexpected Death in Epilepsy (SUDEP) is uncommon and in some cases may be preventable.

About SUDEP

For many people, epilepsy is a condition which can be well-managed and has little or no impact on their life. For others, ongoing seizures mean that epilepsy has a long-term impact on them and their ability to have a ‘normal life’. Like some other medical conditions, epilepsy can be a cause of death in some individuals, although this is not common.

There are more than half a million people with epilepsy in the UK. Around 600 people die each year due to Sudden unexpected death in epilepsy (or SUDEP). Although the percentage of the population who are affected by SUDEP is relatively low, every death due to SUDEP is thought to be potentially avoidable.

SUDEP is a research priority for Epilepsy Society, and researchers have made an important breakthrough in discovering that an individual’s genetic makeup may contribute to the risk of SUDEP.

SUDEP can be a difficult subject to talk about. It can be upsetting or worrying to think about. Knowing a little about SUDEP and the risks around having seizures might help you to work out what risks apply to you and how to reduce them so you can feel more in control.

Definition of SUDEP

The textbook definition of SUDEP is

“the sudden, unexpected, witnessed or unwitnessed, non-traumatic, and non-drowning death in patients with epilepsy with or without evidence for a seizure, and excluding documented status epilepticus, in which postmortem examination does not reveal a structural or toxicological cause for death”

This means that SUDEP is when someone is believed to have died during or after a seizure where no other cause of death can be found.

Why does SUDEP happen?

The reasons for SUDEP are not clearly understood. As SUDEP is thought to happen either during or following a seizure, it is possible that it is due to a problem with the person’s heart or breathing during or following the seizure.

The risk factors around SUDEP

Although we don’t know for certain why it happens, there are some situations that are thought to make SUDEP more likely in certain people.

  • As SUDEP is thought to happen during or following a seizure, uncontrolled or poorly controlled seizures are a risk.
  • SUDEP is thought to be more likely in people with frequent seizures, particularly convulsive seizures, than in people with infrequent seizures.

It is worth remembering that the risk of SUDEP varies from one person to another but some of the risks around SUDEP can be reduced.

Reducing risk

As SUDEP is thought to be linked to seizures happening, getting the best seizure control possible is a positive way to reduce risks, including the risk of accident, injury and SUDEP.

Getting the best seizure control possible might include:

  • Take anti-epileptic drugs (AEDs) consistently (every day) and around the same time or times each day. This is sometimes referred to as ‘being adherent’ to medication. If you have difficulties taking your medication (for example, if you find it difficult to remember to take your medication), aids such as pill boxes (drug wallets) might be helpful.
  • Keep a diary of when your seizures happen. This will help to show if there is a pattern to your seizures and whether any situations trigger your seizures (like being tired or stressed). It might also be useful to see how well medication is working to control your seizures. Download ‘Epilepsy Society’ free paper or electronic seizure diaries.
  • If you are still having seizures, having a review of your epilepsy and treatment with a neurologist or epilepsy nurse might be helpful. There may be changes to your treatment that would help to reduce the number of seizures you have.

SUDEP and sleep

SUDEP often happens when the person is asleep. If you have seizures during sleep, having a seizure alarm that alerts someone if you have a seizure, might be helpful. This means that help can be called to check on you at night.

Using safety or ‘anti-suffocation’ pillows, which have holes in them for ventilation means that if you are face down on the pillow during a seizure, you may be able to breathe more easily.

Find out more about alarms and safety aids.

Autism

Autism

Autism (NHS Choices)

Autism spectrum disorder (ASD) is a condition that affects social interaction, communication, interests and behaviour. It includes Asperger syndrome and childhood autism.

The signs of ASD typically start to develop in childhood.

It’s estimated about 1 in every 100 people in the UK has ASD. More boys are diagnosed with it than girls.

There’s no “cure” for ASD, but a range of educational and behavioural support programmes can help people with the condition.

Read about help and support available for people with ASD.

Signs and symptoms

People with ASD tend to have problems with social interaction and communication.

They can find it hard to understand other people’s emotions and feelings, and have difficulty starting conversations or taking part in them properly. Language development may be delayed.

People with ASD are often only interested in certain things, have repetitive behaviours, and like to stick to a set routine. They tend to get upset if these routines are disrupted.

Children and young people with ASD frequently experience a range of cognitive (thinking), learning, emotional and behavioural problems. For example, they may also have attention deficit hyperactivity disorder (ADHD), anxiety, or depression.

About half of those with ASD have some degree of learning difficulty. However, many people are able to be independent with appropriate support.

Read more about the symptoms of ASD.

Epilepsy

Epilepsy

About epilepsy

In the UK, there are over 600,000 people with epilepsy.

Any one of us can have a one-off epileptic seizure. But if you have epilepsy, it means you have had more than one epileptic seizure. And you could have some more in the future.

Around five people in every 100 will have an epileptic seizure at some time in their life. Out of these five people, around four will go on to develop epilepsy

There are many types of epilepsy. Some types of epilepsy start when you are very young, and some in later life. Some types last for a short time and other types can last for the whole of your life.

The causes of epilepsy

In around six out of 10 people, doctors don’t know the cause of their epilepsy. For many of these people, it is just part of how they are made that makes them more likely to have a seizure.

Some people do have a cause for their epilepsy. One cause can be brain damage. There are a number of things that can cause brain damage. These include:

  • a difficult birth
  • a brain infection, such as meningitis
  • a stroke
  • a serious brain injury.

There doesn’t have to be damage to your brain for you to have epilepsy. You could have a medical condition in which it is quite common to also have epilepsy. Some of these conditions are tuberous sclerosis and cerebral palsy. In some people with a learning disability, the cause of their learning disability can also cause their epilepsy.

When epilepsy begins in later life, it’s more usual for doctors to find a cause. For example, you may be recovering from a stroke . Or, you may have had an accident or illness at some time in your life that left some scarring on your brain.

About epileptic seizures

Electrical activity is happening in our brain all the time. A seizure happens when there is a sudden burst of intense electrical activity in the brain. In this information this intense electrical activity is called ‘epileptic activity’.

Seizure types

There are many different types of seizure. They can be classed by where in the brain the epileptic activity starts.

Focal (partial) seizures

In these seizures, the epileptic activity starts in just a part of your brain. You may stay alert in this type of seizure. Or you may not know what is going on around you. Parts of your body may move and you can’t stop it. Or you may have unusual sensations or feelings. Sometimes, other people may not be aware that you are having a seizure.

Focal seizures can be very brief or last for minutes. Sometimes, epileptic activity starts as a focal seizure, spreads to the rest of your brain and becomes a generalised seizure.

Generalised seizures

These seizures involve epileptic activity in both halves of your brain. You lose consciousness during this type of seizure, although sometimes it can be so brief that no one notices. Sometimes it can last for many minutes. The muscles in your body may stiffen and/or jerk. You may fall down.

Things that trigger seizures

Some things make seizures more likely for some people with epilepsy. These are often referred to as ‘triggers’. Triggers are things like stress, not sleeping well and drinking too much alcohol. Some people say they have more seizures if they miss meals. Not taking your epilepsy medicine is another common trigger. A very small number of people with epilepsy have seizures triggered by lights that flash or flicker.

Avoiding triggers lowers the risk of having a seizure.

Hydrocephalus

Hydrocephalus

Hydrocephalus (NHS UK)
Symptoms of hydrocephalus
Hydrocephalus (fluid on the brain) causes slightly different symptoms depending on the type of hydrocephalus and the age of the person affected.
Congenital hydrocephalus
Babies born with hydrocephalus (congenital) often have distinctive physical characteristics. Physical signs in a baby include:

• an unusually large head
• their scalp may be thin and shiny with easily visible veins
• a bulging or tense fontanelle (the soft spot on the top of their head)
• their eyes may appear to be looking down; this is known as the ‘setting-sun sign’ because the eyes resemble the sun setting below the horizon
• the muscles in your baby’s lower limbs may appear stiff and be prone to muscle spasms

As well as these physical signs, congenital hydrocephalus can also cause symptoms such as:

• poor feeding
• irritability
• being sick
• drowsiness

Acquired hydrocephalus
Hydrocephalus that develops in adults or children (acquired) can cause headaches. The headache may be worse in the morning after waking up because the fluid in your brain doesn’t drain so well while you’re lying down and may have built up overnight. Sitting up for a while may improve your headache. However, as the condition progresses, the headaches may become continuous.

Other symptoms of acquired hydrocephalus include:

• neck pain
• feeling sick
• being sick (which may be worse in the morning)
• drowsiness, which can progress to a coma
• changes in your mental state, such as confusion
• blurred vision or double vision
• difficulty walking
• not being able to control your bladder (urinary incontinence) and, in some cases, your bowel (bowel incontinence)

Normal pressure hydrocephalus
Unlike the other two types of hydrocephalus, the symptoms of hydrocephalus that develop in older people (normal pressure hydrocephalus or NPH) usually develop slowly, over the course of many months or years.

NPH has three sets of distinctive symptoms. It affects your:

• mobility (how you walk)
• urinary system
• mental abilities
These are discussed below.

How you walk
The first noticeable symptom of NPH is a change in how you walk (your gait). You may find it increasingly difficult to take the first step when you want to start walking. Some people have described it as feeling as though they’re frozen to the spot. You may also shuffle rather than take proper steps.
As the condition progresses, you may become increasingly unsteady on your feet and be more likely to fall, particularly when turning.

Urinary symptoms
The change in the way that you walk is often followed by bouts of urinary incontinence, which may include symptoms such as:

• a frequent need to urinate
• an urgent need to urinate
• loss of bladder control

Mental abilities
The normal thinking process also starts to slow down. This can take the form of:

• being slow to respond to questions
• reacting slowly to situations
• being slow to process information

These symptoms may indicate that you have mild dementia. They should start to improve when NPH is treated.