Does Prevagen Actually Help Your Memory?

Does Prevagen Actually Help Your Memory?



The manufacturer of the product claims that it has been clinically tested, but let’s find out whether this supplement is really so effective…


At the age of about 40 our brain starts to fail sometimes, and naturally, many of us consumers start to look for something to support our brain health. Prevagen is a fairly new product in the market that has been advertising aggressively, and promises to improve a person’s memory within 90 days.


If you haven’t been able to recall where you have put your keys or a purse or names of your new acquaintances, the Prevagen ads may have piqued your interest.


Prevagen is manufactured by a relatively unknown US company, Quincy Bioscience, which claims that Prevagen promotes healthy functioning of brain,  a sharper mind, better memory and clearer thinking within 90 days. The Prevagen website is attractive, but fails to offer data on major questions such as the full list of ingredients of the supplement and its possible side effects.


The Prevagen website mentions that the supplement contains only one active ingredient – the apoaequorin protein.  Apoaequorin is said to improve cognitive function that is especially important for older adults.  The company does not state how much much apoaequorin is actually in the product.


According to the Prevagen website, it is believed that apoaequorin can improve the ability to recall information by enhancing calcium homeostasis (which is thought to become dysregulated in the early stages of dementia).  However, it is not known what dosage of apoaequorin could be effective (nor do we know how much of the substance is in Prevagen).  Studies in this area show only a loose association, and I can’t see how it can be assumed that apoaequorin would help if being taken prophylactically by the average person, especially since the effective dosage and product dosage are unknown.


One could hope that


  • if the apoaequorin protein regulates calcium homeostasis,
  • and if it is taken in the right dosage,
  • and if one is in the early stages of dementia, Apoaequorin could positively influence  people with mild impairment;

– but based on the theory of how apoaequorin works, it doesn’t look promising for the treatment of people suffering from mild dysfunction to frank dementia.


The manufacturer gives no information on possible side effects of Prevagen, which is concerning.


The manufacturer also claims that Prevagen is non-allergenic.  This is a bold supposition,  since a lot of people are allergic to seafood, and this product contains a protein derived from jellyfish.  The company claims that the product is safe and is well tolerated by the human body, but there is no proof to back up either the non-allergenic or safety claims.


In January, 2015, a class-action suit was launched against Quincy Bioscience (QB) LLC,  the manufacturer of Prevagen.


The company claims that the product works by re-supplying memory-related proteins that decline as people age.



The Lawsuit Charges:



• The product cannot work as advertised because its only purported active ingredient, apoaequorin (a protein), is completely destroyed by the digestive system and transformed into common amino acids no different than those derived from other common food products.

• The amount of amino acids Prevagen adds to the user’s intake are trivial in comparison to normal dietary intake.

• Claims that clinical tests demonstrate that Prevagen will improve memory and support healthy brain function, sharper mind, and clearer thinking are false. (Note: QB’s “clinical trials” were conducted in-house and did not have independent verification.)

• Studies touted in Prevagen’s marketing campaign “if they exist at all, are, on their face, so seriously flawed that they demonstrate nothing regarding Prevagen.”




Side Effects Reported, Then Ignored



In a warning letter, the FDA accused the company of not reporting to the government “adverse events like seizures, strokes, and worsening symptoms of multiple sclerosis that had been reported to your firm as being associated with the use of Prevagen products.” Reports about the supplement to the company have also included chest pain, tremors, fainting and other serious symptoms, the FDA says.


In fact, the company received more than 1,000 incidents and product complaints about Prevagen between May 2008 and December 1, 2011, and only investigated or reported two events, the letter says.


So, to recap my concerns:


  •   Prevagen isn’t FDA approved.
  • Unfortunately, the website concealed side effects that may occur as a result of the treatment. The supporting studies described on the website were very limited, and are not independently verified.
  • The evidence supporting the supplement is not quantitative and mostly anecdotal.
  • Claims that apoaequorin users experience  improved mental clarity and enhanced memory haven’t been confirmed by the FDA.



Based on my research I do not recommend that my readers purchase or use Prevagen, at least until further research is conducted on the active ingredient and the efficacy of the Prevagen formula.





In my research , I came across a product that I do recommend with confidence.


Building up cognitive reserve is a known factor in preventing or slowing the development of dementia, and I found a product which is particularly effective for doing just that.


To understand the importance of building up your cognitive reserve in the prevention or delaying of dementia, read my report Avoid or Slow Dementia by Building Up Cognitive Reserve.



My Recommendation: Genius Brain Power


Why Genius Brain Power Is Your Ultimate Self Mastery Tool Kit

The highly advanced entrainment technology used in the Genius Brain Power system is far more effective than offerings in much higher priced products, mainly because other companies use a very old type of Brainwave Entrainment that was discovered 150 years ago, called binaural beats.

Those less effective binaural beats send differently pitched frequencies into each ear to get your brain to “do math” and entrain to the difference between the two pitches.  Binaural beats were a great discovery, but many people don’t respond very well to this method of entrainment. 


Genius Brain Power uses a far superior, much more modern brainwave entrainment technology.


Brain Wave Entrainment Increases Intelligence


Utilizing computer generated, rhythmically pulsed beats (known as Isochronic beats), Genius Brain Power easily guides your brain into optimal frequencies for rocketing your IQ, deep relaxation, peak mental efficiency and much more…

The biggest of many advantages Genius Brain Power (GBP) has over binaural beats is that the brain doesn’t adapt to GBP’s rhythmic tones over time and ignore them, like it does with binaurals. This means GBP will continue to give you results for years, so you can keep improving your brain without having to buy more products.

Rhythmic frequencies are the basis of how the brain operates, so your brain is guaranteed to respond to Genius Brain Power’s pulsed brainwave rhythms. 

With these audible, computer generated pulsed tones, the brain is safely, gently and effectively guided to entrain to your most optimal brainwave frequencies.  These tones need to be audible, so you will hear them along with the music in the Genius Brain Power package.


Brainwave entrainment lights up your brain

The main thing you should remember here is that rhythm is one of the most basic functions in the human brain, so everyone’s brain responds to rhythm, including yours.

The brain’s natural response to “follow” or “entrain” to certain types of rhythms, coupled with my years of experience creating brainwave entrainment audio tracks has led to this breakthrough technology that I could only be  called “Genius Brain Power” because no other description really comes close.



You may also be interested in:

The Secret to Protecting Your Eyesight

The MIND Diet for Fighting Dementia

First Signs of Alzheimer’s

Alzheimer’s, Elevated Cortisol and Your Genes

The #1 Alzheimer’s Care Tip

Preserving Alzheimer’s Patients’ Dignity

Stop Alzheimer’s Wandering

Amazon Echo Great Help for Dementia Patients

Dementia-Proof Cooking with Fire Avert

Should You Get a Medical Alert System?

Convincing Your Parent to Transition to Assisted Living

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Jitterbug Touch3 Smartphone Review

The Fat Loss Diet I Recommend

About Me and This Blog

Create Your Own Blog



Avoid or Slow Dementia by Building Cognitive Reserve




Nothing can cure or slow Alzheimer’s disease—but, what if there was a way to stave off its effects on a person’s memory and cognition?






Cognitive Reserve


Scientists have discovered a biological mechanism, called, ‘cognitive reserve,’ that allows the brain to retain its functionality despite the onset of Alzheimer’s and other forms of dementia.

The concept of a cognitive reserve arose from the observations of several independent research studies. Researchers found that certain seniors with normal, or minimally-impaired, mental functioning, actually had physical signs of pronounced Alzheimer’s disease in their brains. It was concluded that something was protecting these seniors from the effects memory-robbing disease.

Gary Small, M.D., professor of psychiatry and director of the UCLA Longevity Center, likens cognitive reserve to, “having an extra mental battery.” He says that a person with a high amount of cognitive reserve can compensate, somewhat, for the brain damage caused by disease and old age.



Hope for a damaged brain


As a person’s brain ages, several things begin to happen that can negatively impact their ability to think and remember, according to Small.

Brain cells begin to die, neurotransmitters don’t work as well as they did when the person was young, tissues shrink, and protein deposits begin to build-up, interfering with communication between cells (Alzheimer’s disease).

One by one, the biological ‘batteries’ powering a person’s thoughts and memories begin to wear out.

And, in the elderly, dementia is often irreversible.

There are instances where a senior may exhibit signs of mental impairment due to drug interactions or low levels of certain nutrients. These can sometimes be remedied by switching a prescription, or tweaking a diet. But, there is often very little that can be done for a senior who starts losing their memory due to ailments, like Alzheimer’s disease, vascular dementia, or Lewy Body dementia.

This is why the concept of cognitive reserve is so promising—its protective effects are thought to be capable of being harnessed by anyone, no matter what the reason for their cognitive impairment.



Building up and tearing down


Collecting diplomas is one of the main ways a person can build solid base of cognitive reserve. According to Small—the amount of education a person has, particularly from the undergraduate level and up—helps fortify them against symptoms of memory loss and confusion.



The Alzheimer's Prevention Program: Keep Your Brain Healthy for the Rest of Your Life by [Small, Gary, Vorgan, Gigi]


But those who decided to forgo getting their master’s need not worry. Education is not the only way to fortify the brain against memory impairment.

Small says learning new things and doing mental exercises to help remember names and faces can also help beef up a person’s cognitive reserve. In his book, “The Alzheimer’s Prevention Program,” Small describes one such exercise: LOOK, SNAP, CONNECT.

Designed to help a person remember and associate names with faces, this exercise instructs people to concentrate on a new acquaintance’s name (LOOK), take a mental snapshot of their name and face (SNAP), and then synthesize the mental pictures to link the acquaintance’s name and face in their mind (CONNECT).


Sue Maxwell, M.S.W., director of Older Adult Services at Lee Memorial Health System, feels that simple lifestyle changes can also help a person’s mind become less susceptible to dementia. “Pretend you’re in a world where there are no paper and pencils—you have to remember things on your own,” she says.

Research has also linked being socially active to having a larger cognitive reserve.

There are certain things experts believe may hinder or deplete a person’s mental power cache.

Chronic stress and a sedentary lifestyle are proven brain-drainers. Scientific evidence indicates that stress may as much as double a person’s risk for developing Alzheimer’s.



A healthier brain at any age


When it comes to cultivating a healthy brain, “It’s never too late, and never too early to start,” Small says.

There are benefits to starting sooner, but evidence indicates that people can still enhance their brain functioning even when given a short period of time. According to Small, dramatic improvements in cognitive ability have been seen in people in their 60s, 70s, and 80s who adopt a program to stave off dementia.

Doctors even recommend that people who already have signs of cognitive impairment should try to stay as mentally active as possible.



Every little bit helps


What constitutes a mentally engaging activity will vary, depending on a person’s level of cognitive impairment.

Small says that any type of stimulation helps, and a caregiver may have to adjust an activity’s level of difficulty to fit a senior’s capability. For example, if your elderly loved one enjoys reading, but can no longer handle adult books due to their dementia, they may need to downgrade to a children’s book.


Here are a few examples of easily-modifiable activities that may be good for seniors with Alzheimer’s:


1. Stick to simple pleasures – Keeping things simple and straightforward is often the best course of action when coming up with activities for people with Alzheimer’s. Going to a local park to feed the birds and fish is an easy task that may be very fun for a person with Alzheimer’s.



You can also take turns reading a favorite book aloud. This can be an easy way to encourage a senior to exercise their mind while giving them the pleasure of reading a beloved book.


2. Listen to music – Research has shown that listening to music can help a person with Alzheimer’s remember events, people, and places from their past. Additionally, music can be a way to get a senior moving through dance or song.



3. Cook and clean – You can turn mundane, daily tasks into activities that a person with Alzheimer’s can help with. Even if they just help with measuring ingredients, having a senior help you cook a family recipe can be a fun way for both of you to spend some time together. An elderly loved one might also be able to help you do things around the house like dusting or folding laundry.



4. Work up a sweat – Exercise provides countess benefits to all seniors, regardless of whether or not they have Alzheimer’s. Workouts can consist of everything from talking a walk around the block to taking a yoga-for-seniors class.


5. Play a game – While you probably don’t want to start a game of Risk with your elderly loved one, it’s possible to make an entertaining, personal game out of things lying around the house. Sorting through old family photos is a good way to help an elderly loved one remember special events and people from their past. You can even turn a routine trip to the grocery store into a scavenger hunt where you and your loved one search for particular items on a list.


Recommended: Match the Shapes For Dementia and Alzheimer’s


  • Designed specifically for people with dementia – age appropriate, not childish. No mention of “dementia” or “Alzheimer’s” on the product or packaging
  • 36 brightly colored tiles draw people’s attention
  • Colored templates help the person be successful
  • Tested with people at various stages of dementia to ensure that it is well-suited, and enjoyed
  • Full instructions detail how to present the activity to ensure that the person feels a sense of satisfaction and accomplishment



6. Volunteer – Devoting time to helping other people can provide immense satisfaction to both you and your elderly loved one. Volunteering can involve something as simple as collecting things like school supplies, toys, canned goods, etc., and taking them to a local shelter or food bank. Seniors who can’t leave the house could help by sorting, wrapping, or taking inventory of collected goods.


These activities will require varying levels of patience on the part of the caregiver. A loved one with Alzheimer’s will not be able to perform tasks perfectly, if at all, and seniors are likely to get frustrated is an activity is too difficult. It will take constant trial and error to create and modify activities to meet an elder’s shifting capabilities.

The existence of cognitive reserve is not yet a well-researched concept and no one is sure of exactly how effective it is at warding off dementia in the elderly. Existing evidence suggests that having an extra cognitive stash is beneficial. But, the advantages can vary from person to person, and generally diminish as their dementia progresses.

Still, Maxwell says that there are proven things people can do to protect their aging brain.

The key, according to Small, is coming up with a plan and sticking to it.

A combination of a healthy brain diet (full of antioxidant-rich fruits and veggies and fish as well as nuts that contain omega-3 fats), exercise, stress management, and mental stimulation will help a caregiver and their elderly loved one preserve their cognitive capacity.


Recommended: Genius Brain Power


Why Genius Brain Power Is Your Ultimate Self Mastery Tool Kit

The highly advanced entrainment technology used in the Genius Brain Power system is far more effective than offerings in much higher priced products, mainly because other companies use a very old type of Brainwave Entrainment that was discovered 150 years ago, called binaural beats.

Those less effective binaural beats send differently pitched frequencies into each ear to get your brain to “do math” and entrain to the difference between the two pitches.  Binaural beats were a great discovery, but many people don’t respond very well to this method of entrainment. 


Genius Brain Power uses a far superior, much more modern brainwave entrainment technology.


Brain Wave Entrainment Increases Intelligence


Utilizing computer generated, rhythmically pulsed beats (known as Isochronic beats), Genius Brain Power easily guides your brain into optimal frequencies for rocketing your IQ, deep relaxation, peak mental efficiency and much more…

The biggest of many advantages Genius Brain Power (GBP) has over binaural beats is that the brain doesn’t adapt to GBP’s rhythmic tones over time and ignore them, like it does with binaurals. This means GBP will continue to give you results for years, so you can keep improving your brain without having to buy more products.

Rhythmic frequencies are the basis of how the brain operates, so your brain is guaranteed to respond to Genius Brain Power’s pulsed brainwave rhythms. 

With these audible, computer generated pulsed tones, the brain is safely, gently and effectively guided to entrain to your most optimal brainwave frequencies.  These tones need to be audible, so you will hear them along with the music in the Genius Brain Power package.


Brainwave entrainment lights up your brain

The main thing you should remember here is that rhythm is one of the most basic functions in the human brain, so everyone’s brain responds to rhythm, including yours.

The brain’s natural response to “follow” or “entrain” to certain types of rhythms, coupled with my years of experience creating brainwave entrainment audio tracks has led to this breakthrough technology that I could only be  called “Genius Brain Power” because no other description really comes close.


You may also be interested in:

The MIND Diet for Fighting Dementia

First Signs of Alzheimer’s

Alzheimer’s, Elevated Cortisol and Your Genes

The #1 Alzheimer’s Care Tip

Preserving Alzheimer’s Patients’ Dignity

Stop Alzheimer’s Wandering

Amazon Echo Great Help for Dementia Patients

Melatonin Helps Sundowning and Other Sleep Disorders

Dementia-Proof Cooking with Fire Avert

Should You Get a Medical Alert System?

Convincing Your Parent to Transition to Assisted Living

Preparing For Your Elderly Parent to Move In

Jitterbug Touch3 Smartphone Review

The Fat Loss Diet I Recommend

About Me and This Blog

Create Your Own Blog


Are You Programmed for Generalized Anxiety Disorder?




Up to 25% of American adults experience intense anxiety sometime in their lives. The prevalence of true anxiety disorders is much lower, although they are still the most common psychiatric conditions in the United States and affect more than 20 million Americans.

If you have developed General Anxiety Disorder (GAD), you may be wondering “why me”?



General Risk Factors for Anxiety Disorders


Gender. With the exception of obsessive-compulsive disorder (OCD), women have twice the risk for most anxiety disorders as men. A number of factors may increase the reported risk in women, including cultural pressures to meet everyone else’s needs except their own, and fewer self-restrictions on reporting anxiety to doctors.


Age. In general, phobias, OCD and separation anxiety show up early in childhood, while social phobia and panic disorder are often diagnosed during the teen years. Studies suggest that 3 – 5% of children and adolescents have some anxiety disorder. Children and adolescents who have an anxiety disorder are at risk of later developing other anxiety disorders, depression, and substance abuse.


Personality Factors. Children’s personalities may indicate higher or lower risk for future anxiety disorders. For example, research suggests that extremely shy children and those likely to be the target of bullies are at higher risk for developing anxiety disorders later in life.


Children who cannot tolerate uncertainty tend to be worriers, a major predictor of generalized anxiety. In fact, such traits may be biologically based and due to a hypersensitive amygdala — the “fear center” in the brain.


Family History and Dynamics. Anxiety disorders tend to run in families. Genetic factors may play a role in some cases, but family dynamics and psychological influences are also often at work. Several studies show a strong correlation between a parent’s fears and those of the offspring. Although an inherited trait may be present, some researchers believe that many children can “learn” fears and phobias, just by observing a parent or loved one’s phobic or fearful reaction to an event.


Social Factors. Several studies have reported a significant increase in anxiety levels in children and college students in the past two decades compared to children in the 1950s. In several studies, anxiety was associated with a lack of social connections and a sense of a more threatening environment. It also appears that more socially alienated populations have higher levels of anxiety.


For example, a study of Mexican adults living in California reported that native-born Mexican Americans were three times more likely to have anxiety disorders (and even more likely to be depressed) as those who had recently immigrated to the U.S. The longer the immigrants lived in the U.S., the greater their risk for psychiatric problems. Traditional Mexican cultural and social ties seemed to protect recently arrived immigrants from mental illness.


Traumatic Events. Traumatic events may trigger anxiety disorders, especially in individuals who are susceptible to them because of psychological, genetic, or biochemical factors. The clearest example is post-traumatic stress disorder. Specific traumatic events in childhood, particularly those that threaten family integrity, such as spousal or child abuse, can also lead to other anxiety and emotional disorders. Some types of specific phobias, for instance of spiders or snakes, may be triggered and perpetuated after a single traumatic exposure.


Medical Conditions. Although no causal relationships have been established, certain medical conditions have been associated with increased risk of panic disorder. They include migraines, obstructive sleep apnea, mitral valve prolapse, irritable bowel syndrome, chronic fatigue syndrome, and premenstrual syndrome.


You can listen to or download to an excellent free “Rapid Relief” audio from Panic Away here.


Specific Risk Factors for Generalized Anxiety (GAD)


GAD affects about 1 – 5% of Americans in the course of their lives and is more common in women than in men. It is the most common anxiety disorder among the elderly. GAD usually begins in childhood and often becomes a chronic ailment, particularly when left untreated. Depression commonly accompanies this anxiety disorder and depression in adolescence may be a strong predictor of GAD in adulthood.



Specific Risk Factors for Panic Disorder


Age and Panic Disorder. Studies indicate that the prevalence of panic disorder among adults is between 1.6 – 2% and is much higher in adolescence, 3.5 – 9%. Panic disorder usually first occurs either in late adolescence or in the mid-30s.


Gender and Panic Disorder. Women have about twice the risk for panic disorder as men. Panic attacks are very common after menopause. In one study, nearly 18% of older women reported panic attacks within a 6-month period, with over half of these attacks being full-blown. They tended to be associated with stressful life events and poor health. The effects of pregnancy on panic disorder appear to be mixed. It seems to improve the condition in some women and worsen it in others.



Specific Risk Factors for Obsessive-Compulsive Disorder (OCD)


Obsessive-compulsive disorder occurs equally in men and women, and it affects about 2 – 3% of people over a lifespan. Most cases of OCD first develop in childhood or adolescence, although the disorder can occur throughout the life span.



Specific Risk Factors for Social Phobias


Social anxiety disorder is currently estimated to be the third most common psychiatric disorder in the U.S. Studies have reported a prevalence of 7 – 12% in Western nations.


Age and Phobias. The onset of social anxiety disorder is usually during the early teenage years.


Gender and Phobias. Women are more likely to develop social anxiety disorder than men, although equal numbers of men and women seek treatment for it. Most people seeking treatment have had symptoms for at least 10 years.



Specific Risk Factors for Post-Traumatic Stress Disorder


Traumatic events are the main risk factor for PTSD, but some people can go through such events and not experience PTSD. Studies estimate that 6 – 30% or more of trauma survivors develop PTSD, with children and young people being among those at the high end of the range. Women have the twice the risk of PTSD as men.

After the September 11 attack on the World Trade Towers, about 7.5% of New York City’s population reported PTSD within the month of the event, which declined to 0.6% at 6 months.

Researchers are trying to determine factors that might increase vulnerability to catastrophic events and put people at risk for develop PTSD.


Some studies report the following may be risk factors:


  • Pre-existing emotional disorder. People are at higher risk for PTSD if they have a history of an emotional disorder, particularly depression, before a traumatic event.
  • Drug or alcohol abuse
  • A family history of anxiety
  • A history of physical or sexual abuse, neglect, or abuse within the family
  • An early separation from parents
  • Lack of social support and poverty
  • Sleep disorders. Insomnia and excessive daytime sleepiness even within a month after a traumatic event are important predictors for the development of PTSD. One specific sleep disorder — sleep apnea — may even intensify symptoms of PTSD, including sleeplessness and nightmares. Sleep apnea occurs when tissues in the upper throat (or airway) collapse at intervals during sleep, thereby blocking the passage of air. Sleep apnea has also been associated with a risk for panic disorder.



Medication for GAD


Medication is useful for alleviating the symptoms of generalized anxiety disorder and is often prescribed in conjunction with other therapies. Some types of anxiety drugs can be habit-forming and are usually prescribed on a short-term or as-needed basis.

Different anxiety disorders have different medication regimens. Some are preventive and some are designed to cure the problem.

Antidepressants, particularly the selective serotonin reuptake inhibitors (SSRIs), are widely used to treat and prevent a variety of anxiety disorders. Examples of SSRIs that are commonly used to treat chronic anxiety include Prozac, Zoloft, Celexa, Paxil, and Lexapro.

The antidepressants Effexor and Cymbalta, which act on the brain chemicals serotonin and norephinephrine, and some of the tricyclic antidepressants, like Tofranil, may also help.

Finally, antihistamines (such as hydroxyzine) and beta-blockers (such as propranolol) can help mild cases of anxiety as well as performance anxiety, a type of social anxiety disorder. These medicines need to be taken daily whether you have anxiety on that particular day or not, as prescribed by your health care provider.

If you have acute anxiety (panic attack), you will likely need to take an anti-anxiety medicine as well. The most prominent of anti-anxiety drugs for the purpose of immediate relief are those known as benzodiazepines; among them are Ativan, Valium, Librium, Xanax, and Klonopin.

They have drawbacks: Benzodiazepines sometimes cause drowsiness, irritability, dizziness, memory and attention problems, and physical dependence. Nonetheless, in recent decades they have largely replaced barbiturates because they tend to be safer if taken in large doses.

Another anti-anxiety drug is Buspar. It has fewer side effects than the benzodiazepines and is not associated with dependence. Buspar, however, can have its own side effects and may not always be as effective when a person has taken benzodiazepines in the past.

Psychotherapy, with or without medication, is often considered a fundamental aspect of treatment for generalized anxiety disorder.

Several specific forms of psychotherapy have been described in research studies as helpful for alleviating the symptoms of GAD. Two — psychodynamic psychotherapy and supportive-expressive therapy — focus on anxiety as an outgrowth of feelings about important relationships. Another form of psychotherapy, called cognitive-behavioral therapy, involves learning behavioral relaxation techniques as well as restructuring patterns of thinking that foster anxiety.

Biofeedback is another helpful tool. In a series of sessions with a therapist, you watch your own brain-wave patterns on an electroencephalograph and gradually learns to control the waves. This teaches you to achieve a more relaxed state at will. Practitioners estimate that after about a dozen sessions, you will be able to exert control over mental activity without the help of the therapist or monitoring instrument.



Lifestyle Recommendations


You can listen to or download to an excellent free “Rapid Relief” audio from Panic Away here.

Daily exercise can be another helpful treatment for anxiety symptoms. If you find that exercise works for you, push yourself to go for brisk walks or undertake an active sport that you enjoy. Get your heart rate into the target range for your age for at least 30 minutes each time you exercise.

Since anxiety is often accompanied by shallow breathing, deep breathing exercises can also be helpful. Try the following form of yoga breathing:

  • Lie on your back in a comfortable place.
  • Breathe in slowly through your nose, using your diaphragm to suck air into your lungs while allowing your abdomen to expand. (Put your hand on your abdomen just below the navel to make sure the abdomen is being pushed up and out by the diaphragm.) After the abdomen is expanded, continue to inhale as deeply as possible.
  • When you breathe out, reverse the process: Contract the abdomen while exhaling slowly and completely.
  • Repeat several times.

Progressive relaxation is another helpful technique. It begins by tensing and then relaxing one part of the body, usually beginning with the toes. When this part of the body is relaxed, another part of the body is tensed and relaxed until the entire body is free of tension.

Relaxing visualization can also help. A therapist or meditation trainer suggests relaxing images for a person to hold in mind. Once the image is in place, the person imagines soothing sensations such as pleasant scents and sounds. Eventually people can learn to do this themselves when they anticipate — or find themselves in — stressful situations.


My Recommendation:


You can listen to an excellent free “Rapid Relief” audio from Panic Away here.


  • You can download the audio for free to take it with you wherever you tend to get anxious be it driving, flying, shopping or at work.
  • Learn how to overcome anxious feelings in seconds.
  • Feel immediate relief from anxiety and panic attacks.







You may also be interested in:

Caregivers Need Sleep!

The Drunk Caregiver

Natural Depression Remedies – What Works?

Overcommitted and Burned Out

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The Most Effective Keratosis Pilaris Treatment



As a general life rule, it’s best not to make mountains out of molehills. The exception: keratosis pilaris (KP), a condition that causes patches of fine bumps on the backs of your arms (and sometimes thighs and rear). KP isn’t dangerous, contagious, or painful, but that doesn’t make it any less of a Big Beauty Bummer—especially if you’re in a tank top.


The root cause is genetics. Up to 50 percent of the population, mostly women, are inherently programmed to overproduce keratin, a protein that’s a building block of skin, according to Joshua Zeichner, M.D., the director of cosmetic and clinical research in the department of dermatology at Mount Sinai Hospital, in New York City. That excess keratin ends up getting trapped inside hair follicles and forming hard plugs that become raised and rough to the touch. These inflame the surrounding skin, which then turns red.



Why KP surfaces as patches on particular body parts is a mystery. What doctors do know is that KP often exists in conjunction with certain unrelated skin conditions, such as eczema. Dryness tends to exacerbate KP, which is why you’ll notice it more in the summer, when sun and salt water dehydrate skin, and in the winter, when humidity is low. The condition can also flare up when hormones fluctuate—for example, during pregnancy or your period. Other experts point to obesity as an aggravating factor. Left untreated, KP sometimes improves on its own as you age.


So can you do? If you mix and match a few different strategies typically designed to target a slew of other skin problems you can formulate a  seriously effective way to temper or even tamp out those KP patches, at least for a while. Here’s what to do.



Adopt a Sensitive-Skin Cleansing Routine


KP-ridden skin may feel tough, but you have to treat it like a baby’s when bathing or showering. Hot water can strip away oils, allowing the skin’s moisture to escape, which then leads to dryness. The dead, dry skin cells build up excessively around the follicles, which is further compounded by hair that becomes trapped under the excess keratin. As a result, the patches look even more obvious.

Keep bathwater lukewarm, and limit exposure to 10 minutes or less, says Mary Lupo, a dermatologist in New Orleans. Also remember that soaps and cleansers with harsh lathering agents, like sodium lauryl sulfate, and heavy fragrances can be drying. Stick to gentle cleansers that contain soothing ingredients, such as glycerin, aloe vera, and cucumber extract.

Try Dove Sensitive Skin Unscented Beauty Bar,  or Fresh Soy Cleanser.


Fresh Soy Face Cleanser 1.7 oz


Get rid of the loofah and other mechanical exfoliators. “Their abrasiveness can leave skin more parched and inflamed,” says Meghan O’Brien, a New York City dermatologist.



Neutrogena Body Clear Body Wash for Clean, Clear Skin, 8.5 Ounce(1 Pack)


Steal a Trick From the Acne-Prone

Acne body washes are not just for acne; they’re also great for KP. Why? The active ingredients—most commonly alpha hydroxy acids (including glycolic acid) and beta hydroxy acids (including salicylic acid)—“help to exfoliate the abnormally accumulated keratin,” says Lupo.

Try Neutrogena Body Clear Wash, which contains salicylic acid. Squeeze a dollop of the spot treatment onto a damp, soft washcloth and rub the area gently in the shower.



Curel Ultra Healing Lotion, 20 Ounce



Moisturize As If You Have Dry Skin


A super-rich body cream with lanolin, glycerin, or petroleum jelly, like Curel Ultra Healing Lotion, can help calm KP. Apply it on rough spots right after bathing, when skin is still damp. “This seals in moisture so it penetrates deeper and lasts longer,” says Zeichner.




Call in the Retinol


If you don’t see improvement using hydroxy acids after four to six weeks, add retinol to your routine. Retinol, a form of vitamin A, has been clinically proven both to enhance the unclogging of pores and to stimulate collagen production. “Retinol-based products smooth the skin by gently exfoliating to remove dead skin cells and imperfections,” says Jessica Weiser, M.D., of the New York Dermatology Group, in New York City.


Start with an over-the-counter product, like Body Merry Retinol Cream Moisturizer , and proceed slowly. “After cleansing, apply a pea-size dollop to dry skin only every other day, to give your skin a chance to acclimate.

Once the area shows signs of improvement in texture and tone, use it nightly,” says David Colbert, a New York City dermatologist and the founder of Colbert M.D. Skincare.

You should see results in three to six months. If not, consult a dermatologist, who may prescribe a more potent, prescription-strength retinoid, like Tretinoin or Renova, or a softening and healing agent, like urea, which helps dissolve and soften plugs more intensely.

As a last resort, you can opt for either an in-office light chemical peel (cost: about $300), which gets rid of excess keratin with low doses of acid, or microderm-abrasion ($150), which gently sands down and smooths the skin via a handheld device. Remember, thought, that all these measures offer only temporary results.


Consider Laser Hair Removal


Yes, really. An intense pulsed light (IPL) laser, typically used to remove hair at the follicles, may improve KP, too. While eviscerating each strand, the laser takes away the pore-blocking keratin along with it. Recurrences of the hair and excess keratin are probable, but chances are you’ll have smoother, less red skin for six months. (Cost: $500 per session; you may need several.)



My Best RecommendationThe Banish My Bumps System 


I really like this system because it does not involve dermatologists or medication, and offers a detailed, step-by-step system which actually teaches you how to clear up keratosis pilaris permanently.  This program goes beyond the tips and tricks you’ve probably heard before, and provides a detailed, step-by-step program for getting KP out of your life for good.  The Banish My Bumps System also has a 60 day money-back guarantee, so you can try it without risk.




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The Fat Loss Diet I Recommend

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The Fat Loss Diet I Recommend





The E-Factor Diet  teaches the hidden factors that prevent people from losing weight.  For me, this has been the diet program that trumps all others.






Instead of recommending simple solutions like “eat better” and “exercise more”, The E-Factor Diet focuses in on the core problems with weight loss programs, and works for both large and small weight loss goals, and for maintenance.  Just simply, it works.


The author is John Rowley, a coach for celebrities and a fat loss expert, and he has a unique understanding of the effects caused by different foods.  By learning and practicing this system, you can take control of your cravings and maximize weight loss.  You will feel satisfied, in-control, and you will see the results from this program.


How Does The E-Factor Diet Work?


The E-Factor Diet program focuses on 4 factors that help you lose weight:


  • Energetic Factor – Foods high in sugar and carbohydrates.
  • Endothermic Factor – Foods that unlock your fat-burning hormones and “eat” up all your fat. These hormones do a lot of their work while you sleep.
  • Enzymatic Factor – Foods that increase your digestive power. Yeast builds up from eating processed foods or taking antibiotics (known as “gut bugs,” which we’ll talk more about in a moment).
  • Enjoyment Factor – Focuses on enjoying every meal you eat. Otherwise, you’ll never stick to it.


The first group of “E-Factor Foods” are called energetic foods. Three of the most common breakfast foods we eat are not in this category, which means we’re shooting our daily energy supply in the foot before we even get off the ground.


If you’ve ever woken up in the morning, had breakfast, and still felt like you needed a few more hours of sleep, then The E-Factor Diet claims this is caused by eating the wrong foods in the morning.


The perfect breakfast foods are classified as “endothermic” foods. An endothermic reaction absorbs heat from its surroundings (as opposed to an exothermic reaction which expels heat into its surroundings).


When it comes to food, eating endothermic foods can kickstart your body’s natural fat burning processes.


Another important lesson in The E-Factor Diet is avoiding histamine. Your body produces histamine naturally. Histamine can cause certain parts of your body to become inflamed and bloated. When you eat certain histamine-producing foods, you can temporarily look larger than you actually are. By cutting these foods out of your diet, you can instantly start looking leaner.


There are also two more food groups that play a critical role in weight loss: enzymatic foods and enjoyment factor foods.


You don’t have to memorize the list of energetic or endothermic foods. Instead, The E-Factor Diet lists them all for you for easy reference.


By carefully balancing all of these different aspects of your diet, you can enjoy proven weight loss results, reduce cravings, and achieve a better body – even if you don’t change your exercise routine.



(Important!) You Will Not Go Hungry


The E-Factor Diet is not one of those diet plans that leave you starving or allow you to eat only a few selected foods. Instead, inside this guide you’ll be taught how to retrain your body to crave only foods that are good for your weight and health. Once you undergo his diet system, you’ll feel more energized, get a trimmer body, and have a better metabolism and hormonal balance.



The E-Factor Diet is a Great Value –

all of these items are included in the program:

The E-Factor Diet


The Weight Loss Handbook – This easy-to-understand book will share to you the principles and blueprint of the E-Factor Diet system.

The Grocery Guide – This is very handy – it will give you a complete list of simple and tasty foods that you need to consume to optimize your weight loss potential.

The Meal-Planning Blueprint – This will show you exactly what foods to eat and the exact times to eat them – no guesswork needed.

The “Cheat Your Way Trim” Guide – This guide will help you indulge in your favorite foods and desserts without the guilt of messing up your diet.



There are also several free bonuses included in the program:


  •  Want to eat out, but don’t want to mess up your diet? The “E-Factor Diet Fast Food Guide” will show you exactly what and what not to eat in, well, fast food chains.
  • The second bonus contains tons of fat-melting smoothie recipes that are easy and quick (around 3 minutes) to prepare.
  • You’ll also get “The E-Factor Diet All-Day Energy Secrets” guide which gives you tips on how you could make your body increase its production of energy-boosting hormones.
  • Another bonus item is an online seminar about joint recovery. Inside this seminar you’ll learn how to guard your joint health over time, as well as the truth behind over-the-counter dietary supplements for joints and organic nutrients designed to ease joint pain.
  • You’ll also be eligible for John’s E-Factor Elite Support Community for a full year, as well as the opportunity to contact John and his team via email for additional support.


My Thoughts


If you’re one of those people who has disappointed with your past weight lost efforts and thinks there’s nothing new under the sun that can help you in that department, this program is for you.  I have found The E-Factor Diet to be an innovative diet system that sheds new light on how the human body processes food and either stores -or releases- fat, and I promise you that The E-Factor Diet will surprise you with simple and proven fat-shedding techniques that you haven’t tried before.


 Your Peace of Mind – The 60 Day Money-Back Guarantee 

This diet is that missing piece to the weight loss puzzle, and it’s a terrific value.  As an added assurance, the E-Factor Diet is sold through a large company called Clickbank, which offers a full 60 day money-back guarantee on all of its products.


You can see a great  video about The E-Factor Diet here.



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Dealing With Caregiver Anxiety



When you work as a caregiver, your life is no longer your own. Your role is to help someone who is suffering through injury or illness try to be as comfortable as possible, responding to their every need and putting the focus entirely on them.

It’s no wonder that caregivingaking takes such a toll on a caretaker’s emotions. It takes a great deal of mental strength to handle not only caring for the patient (who may be someone you care about,) but also dealing with their own emotional struggles. It’s only human for that to cause a great deal of stress.


The Effects of Personal Giving on Stress and Anxiety


Caregiving is about giving of yourself – your time, your energy, and your emotions – to someone who is suffering. The emotional effects can be pronounced. One of the most common consequences is caretaker’s anxiety.



This anxiety may be due to any number of causes:


  • Lack of Self Care – Often it’s easy to get too caught up helping others, and not focusing on your own personal problems. Without your own coping strategies to help you recover from the day’s stresses, you may become prone to anxiety.
  • Concerns Over Ability – When you’re acting as a caregiver, the person’s health and wellness are in your hands. If you make any mistakes – or if the illness worsens on its own – you may experience stress that can lead to anxiety.
  • Verbal Abuse – Some caregivers suffer at the hands of the ones they’re caring for. Everyone being cared for is not kind and considerate. Some provide constant verbal abuse or express frustration and doubt constantly. That can take a toll on your emotional health.
  • Personal Mortality – Being a caregiver also causes people to reflect on their own mortality. As you watch someone fall deeper into a terminal illness, it’s not uncommon to experience fears of your own imagining what can occur in the future.

The above list represents just a small sample of the ways being a caregiver can affect your mental health. If you already have a mild to moderate anxiety problem, being a caregiver may exacerbate it considerably.


How to Cope with Caregiver Anxiety


Anything you can do to feel calm, happy, and relaxed is a worthwhile coping strategy, provided it is both mentally and physically healthy. If you have a strategy that works for you, explore it.

The following are useful places to start when you’re looking for coping strategies:





There’s a war going on between the pharmaceutical drug industry and the herbal supplement industry about who creates the safest and most effective ways to address anxiety and other mental health issues. But therapy is 100% safe and provides as many benefits. It is a long term anxiety reduction solution. Never be afraid to ask for help.

Recommended:  you can download an excellent free “Rapid Relief” audio here.



Support Groups


Most cities have caregiver support groups you can join. Others are going through the same anxiety you’re going through and sharing in the same types of experiences. Surrounding yourself with people who know where you’re coming from can provide support, guidance, and coping strategies. This is a useful way to handle your own anxiety and may give you people beyond the support groups with whom to bond.



Spend Time With Friends


One of the issues many caregivers have is they are so mentally tired after caregiving that they cut themselves off from others. Unfortunately that is one of the worst things you can do. Social support you get from the people you care about is one of the most important and simple treatments available for anxiety. Force yourself to see those you care about. It will keep your mind off things like mortality and focused on important positive feelings and emotions.



Reduce Non-Caregiving Anxiety


In many ways, anxiety is an additive experience – if you have anxiety, and you experience more anxiety elsewhere, it is as though the anxiety has built upon itself, so you’re experiencing twice the anxiety you would normally. By combatting your non-caregiving anxiety (removing yourself from stressful friendships or relationships, employing daily relaxation techniques, etc.) you can reduce the caregiving anxiety.


Keeping Yourself Calm and Collected


Caregiving is clearly not just a type of labor. It is an emotional task that takes a great deal of energy. Yet to be a great caregiver, you also need to focus on your own mental health. The person you are caring for needs you to be happy, content, and on the top of your game. Find coping strategies that work for you and make sure that you’re treating your mental health with the importance it deserves.

About the Author: Ryan Rivera dealt with numerous anxiety issues of his own before recovering and enjoying a happy life with his friends and family. He provides information on anxiety related issues and treatments for anxiety.


Recommended: You can download an excellent free “Rapid Relief” audio here.


  • Take the ‘Rapid Relief’ audio with you wherever you tend to get anxious be it driving, flying, shopping or at work.
  • Learn how to overcome anxious feelings in seconds.
  • Feel immediate relief from anxiety and panic attacks.








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Help for Anxiety in the Elderly



As many as one quarter of all people experience anxiety to an unhealthy extent, and older people can be at particular risk.

Seniors may experience more troublesome anxiety than other age groups for several reasons: they experience more losses, suffer from more pain and chronic conditions, are often on multiple medications that might exacerbate anxiety, and have confounding ailments such as Alzheimer’s disease or depression.



We all experience anxiety from time to time, some of which is normal and even productive. However, when anxiety becomes disruptive and disabling to a person’s life, it’s considered to be an unhealthy psychiatric disorder.

Some experts suggest that in general anxiety is equally prevalent in all adult age groups but perhaps is less often reported by seniors, and not as accurately diagnosed and treated as in younger people. A large study published in theAmerican Journal of Psychiatry(1998, A. Beekman) found that 10 percent of adults 55 to 85 years of age had elderly anxiety disorders-the same prevalence as for other age groups.


Don’t Dismiss Excessive Worrying Out of Hand


Sally had mid-stage Alzheimer’s disease and was living alone in her own home, near her daughter June, who looked in on her frequently and helped manage the groceries, cooking, transportation, and such. Neither wanted to live with the other, and since Sally still had much intact long-term memory, she was able to manage quite well in her beloved home that she still knew so well.

The mother started complaining that the house next door had been invaded by aliens. Odd lights and noises disturbed her sleep and filled her with a feeling of dread. The daughter, familiar with the neighborhood, asked around, and sure enough, the family across the street had thought there was something odd going on. June contacted the police, who had also had some reports about the house. The police watched it more closely and eventually raided the house and closed down a methamphetamine lab.

Sally had been right! Indeed bad things were happening next door and once the house was closed down, her anxiety abated. So if your loved one seems unduly anxious, don’t be too quick to discount their fears as “all in their head.” Perhaps there is a real reason behind their anxiety.

Major Types of Elderly Anxiety Disorders in Older People


  • Acute Stress Disorder: Anxiety and behavioral disturbances that develop within the first month after exposure to an extreme trauma.
  • Post-traumatic Stress Disorder (PTSD): Symptoms of acute stress disorder that persist for more than one month.
  • Panic Attacks: A sudden, unpredictable, intense, illogical fear and dread.
  • Social Anxiety: A preoccupation with how a person is viewed by others.
  • Generalized Anxiety Disorder (GAD): A pattern of excessive worrying over simple, everyday occurrences and events.
  • Phobias: Irrational fear of situations such as heights, or fear of objects, such as snakes.
  • Obsessive-compulsive Disorder (OCD): A pattern of intrusive thoughts that assault the mind and produce extreme anxiety that can only be mitigated by an action, such as hand washing in a ritualistic way.


The latter two are perhaps less common in older people, because they can and often are successfully treated in youth or middle age. Few long-term studies track elderly anxiety disorders, so there is little information on how these problems vary with age.

It is important to recognize that anxiety disorders are not because of some moral weakness or lack of character, but a genuine biochemical disturbance. There also appears to be a genetic predisposition. A recent study of identical twins found that if one twin had a generalized anxiety disorder, there was a 50 percent chance that the other twin would as well.


Recommended:  you can download an excellent free “Rapid Relief” audio here.


Acute & Post-traumatic Stress Disorder (PTSD)


Rebecca’s mother screamed frantically when the aides in the nursing home tried to give her a shower. Regardless of how kind, gentle, or persuasive the caregiver was, she began yelling and sobbing hysterically when brought to the bright, white, shower room, where the aide attempted to remove her clothes.

The social worker spent an hour talking to the woman and determined that she had been raped in the high school gym shower room as a teenager. The staff changed the bathing routine to a quiet, homey room with a bath tub and soft lights and music. Bathing was no longer a battle.

Acute stress disorder develops within the first month after exposure to an extreme trauma. Symptoms include: repeatedly experiencing the trauma in images, thoughts, dreams, or flashbacks; extreme distress when exposed to cues that remind the person of the trauma; avoidance of reminders of the trauma; a numbing of emotions; and symptoms of agitation, arousal, insomnia, anger, irritability, and inability to concentrate.

When these symptoms persist for longer than a month, the anxiety is diagnosed as PTSD.

Often the elderly did not receive therapy for traumatic events such as rape, abuse, torture, or war. Until a trigger such as the shower situation or dementia-which can disinhibit protective behaviors-these older people have never expressed their emotional pain and horror.

The woman in the dementia care unit screaming may be a Holocaust survivor. The man who panics at the sight of the Asian face of his well-meaning caregiver may have been a prisoner of war. They may be re-experiencing horrifying events in their mind’s eye over and over again. Reasoning with people who have these issues is not effective. Nor is simply demanding that someone toughen up and “get over it.”


Panic Attacks


Margaret, a 74-year old widow, volunteered twice a week at a senior center a half-hour drive from her house, which she found very satisfying. It kept her in touch with friends, gave her a chance to contribute and feel productive, and she enjoyed the hot lunch in a social atmosphere.


One day, while crossing the bridge over a large river between her home and the senior center, she experienced a horrendous feeling of dread. Her heart pounded and her hands began to shake. She thought perhaps she was having a heart attack.

As soon as she got over the bridge she pulled over, sweating and weak. After a few moments, the feeling passed.

She drove herself to an urgent care clinic and the doctor there could find nothing wrong. She met with her primary care physician a few days later-he assured her that she was fine. The next week, driving over the high bridge, she didn’t experience another attack, but felt nervous and worried that it would happen again.

She tracked down the social worker at the senior center and described the experience. The social worker asked, “Do you think that it might have been a panic attack?” After discussing what comprised a panic attack, they agreed that one had occurred.

Margaret drove home, comforted by the diagnosis and the knowledge that not only might it never occur again, but if it did it would quickly pass. She never had another panic attack.

It is normal to feel panic at a terrifying event such as an earthquake or car crash. But people with a panic disorder may experience horrific terror with no discernable trigger or cause. For some minutes they experience intense and overpowering feelings of fear that leave the sufferers helpless. Physical symptoms may include fainting, dizziness, heart palpitations, sweating, and or difficulty breathing.

A panic attack can come once in a person’s lifetime or frequently. Attacks can begin at any age and are twice as common in women. There is a genetic pre-disposition. If one identical twin has this disorder, there is a more than 80 percent chance that the other will.


Here’s how to help someone who is having a panic attack:

  • Be calm and gentle
  • Go together to a safe, quiet place where he or she can sit or lie down
  • Help the person slow down breathing by slowly inhaling and exhaling together
  • Use imagery such as, “We are lying in the warm shade of a beautiful, tropical beach, listening to the gentle murmur of the waves”


Learning relaxation techniques through yoga, meditation, prayer, or bio-feedback can be very helpful in preventing future panic attacks.


Recommended:  you can download an excellent free “Rapid Relief” audio here.



Generalized Anxiety Disorder (GAD)


GAD is common-as many as 5 percent of the population experiences this disorder during their lifetime. There appears to be a genetic component. If one identical twin is diagnosed with GAD, the chances are 50 percent that the other twin will too. However, in non-identical twins, the chance is only 15 percent.

People with GAD tend to be pessimists who expect the worse, and often interpret everyday mishaps as major disasters. Rather than seeing the glass as half full; it must be half empty. Simple setbacks such as a dented fender are exaggerated out of proportion and cause the person far more pain than such minor events would normally merit.

GAD is often a chronic condition, with negative events exacerbating the disease. Perhaps half the people with GAD are clinically depressed and there is a tendency to attempt to self-medicate with overuse of alcohol, over-the-counter and illegal drugs, and prescription medications. Most people with GAD know they shouldn’t worry so much, but are powerless to change their thinking.

Symptoms include tight muscles, back pain, or headaches for which a physician can find no biological cause. People with GAD often feel restless, on edge, and are easily startled. Chronic anxiety can cause the body to feel tired, exhausted, or fatigued, all of which are made worse by the insomnia associated with GAD.

Social Anxiety Disorder


Many of us feel uneasy meeting strangers or speaking in public. But people with social anxiety disorder are so terrified of social situations that they withdraw and refuse many social occasions. This problem may be exacerbated in older people because of hearing impairment, issues with incontinence, or embarrassment over using a walker or wheelchair.

Social anxiety occurs in perhaps 10 to 20 percent of the population and is the third most common psychiatric disorder, after substance abuse and depression. It can cause an increased spiral of isolation and inability to interact socially.



All of these elderly anxiety disorders usually respond well to a combination of talk therapy and medication. While prescription drugs should be used with caution in the elderly, and often at lower doses, there are now some particularly effective medications that a physician can prescribe such as Paxil®, Prozac®, and Zoloft®.

Numerous studies have indicated that for a medication to be most effective, the patient should also be meeting on a regular basis with a skilled counselor, therapist, or social worker. Other treatments effective for some people include meditation, biofeedback, massage, and acupuncture. 


Recommended: You can download an excellent free “Rapid Relief” audio here.


  • Take the ‘Rapid Relief’ audio with you wherever you tend to get anxious be it driving, flying, shopping or at work.
  • Learn how to overcome anxious feelings in seconds.
  • Feel immediate relief from anxiety and panic attacks.








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Mobility Scooter Buying Guide

Mobility Scooter Buying Guide



Invacare Lynx L-4 Microportable Scooter Invacare Lynx L-4 Microportable Scooter: Blue

Investing in a mobility aid such as a mobility scooter is often one of the first steps people take when preparing to age in their own home. Mobility scooters allow seniors to enjoy the freedom and independence of leaving the house on their own accord and complete daily tasks such as doing the groceries, paying the bills, and much more.


However, choosing the correct mobility scooter is not such a simple task. The market is flooded with a variety of makes and models, each of which have different features to cater for different needs.

In this article, I’ll discuss some of the biggest factors that influence a buyer’s decision when choosing a mobility scooter either for personal use, for a loved one, or for a patient, and I’ll also take a brief look at two of the most popular models.



3-Wheel Mobility Scooters vs 4-Wheel Mobility Scooters


The most common mobility scooters on the market currently have either three or four wheels. Both three-wheeled and four-wheeled models come with their own benefits, and choosing between the two is highly dependent on the individual’s needs.

The general consensus is that three-wheeled mobility scooters offer greater maneuverability compared to their four-wheeled counterparts. They also tend to be lighter and more spacious due to the fact that they only have one wheel positioned in front of the user, making them a great solution for people who are tall, prone to leg stiffness, or suffer from aching legs.

Three-wheeled mobility scooters also feature a tighter turning radius, making them ideal for use indoors or in tight spaces. They can also be used in light outdoor conditions, and most three-wheeled scooter models will come with headlights, tail lights, and turn signals for safe use on roads and sidewalks.

However, if you, your loved one, or your patient are looking for a scooter that can be used predominantly outside, then a four-wheeled model may be the best way to go. Four-wheeled mobility scooters are more stable than three-wheeled models, simply due to the fact that they are evenly balanced at the back and front end of the scooter.

They also tend to be more rugged and durable, and have more power and reach higher speeds than three-wheeled models, but they are generally not as maneuverable. Four-wheeled mobility scooters are better suited for outdoor use because they are more stable and can be used on a variety of terrains, and also come equipped with the necessary road safety features such as headlights, tail lights, and turn signals.



Mobility Scooter Sizes: Compact, Mid and Full Size


Another major (and obvious) difference among mobility scooters is their size. Choosing the right size for a user depends primarily on how and where they plan to use the scooter, as well as their individual needs. There are three main sizes currently available on the market:


Compact mobility scooters are super lightweight and are great for users who require a scooter that can be transported easily. Most compact models can be folded without the need for extra tools, and can easily be lifted onto a bus, car, or other mode of transport.

As they tend to only come in three-wheeled models, compact mobility scooters have a tight turning radius, but are not rugged enough to handle curbs or rough terrain, meaning they are not really suited to be used outdoors. They also tend to have smaller batteries, meaning they will have a shorter travel range and less power than mid-size or full-size scooters.

Compact scooters are perfectly suited for travel, and for use in apartments, condos, houses, or any other indoor environment that features tight spaces.


Mid-size scooters are generally available in both three and four-wheeled models, and are still smaller than full-size scooters, making them a great choice for all-round use. Unlike compact scooters, they CANNOT be folded, but they are still light enough to be lifted into a minivan, SUV, or truck.

Mid-size scooters are not as maneuverable as compact scooters and are not ideal for use in an apartment or condo. However, they still have a small enough turning radius to be used in shopping malls, grocery stores, etc. They are also rugged enough for light outdoor use, and can tackle small curbs and slightly rugged terrain.

As they are larger than compact models, mid-size mobility scooters also tend to have larger batteries, meaning they have a larger travel range. While the weight capacity of mid-size scooters varies, they tend to peak at about 250lbs.


Full-size mobility scooters tend to reach the highest speeds and travel the largest distances on a single charge. They also support more weight, and bigger motors and tires mean that these scooters can be used on rough terrain.

Due to their size, they are not suited for indoor use, and they also lack the maneuverability to be used in areas that have tight corners or spaces. They may not fit into some SUVs or minivans, and tend to be very heavy. However, they are perfect for outside use in parks and acreages, and for patients who want the freedom to make long trips and do not require a scooter to move around once they’ve reached their destination.



Questions to Ask Yourself:


Now that we’ve discussed the main differences between the main types of mobility scooters currently on the market, here are a list of questions you may want to ask yourself in order to help you decide which scooter is right for you:


  • Do I need a scooter to move around my home or small areas like shops and malls, or do I need it to make longer trips to the supermarket, to visit friends/family, etc?
  • Do I need a scooter that can be easily transported in a car, van, SUV, or even public transport?
  • Do I plan to use the scooter indoors or outdoors?
  • Will I need a scooter that has enough power to go uphill?
  • What kind of equipment will I need to take with me when I use my scooter?



Mobility Scooter Reviews and Recommendations



Titan Folding Three-Wheel Lightweight Electric Mobility Scooter Tzora Titan 3


The Tzora Titan 3 Wheel Mobility Scooter impressed me with its folding capabilities, because using a device that can be easily stored and transported is fundamental when it comes to achieving the highest comfort.





The Tzora Titan 3 Wheel Mobility Scooter, a product with a great portability that is recommended for people who want to attend local events, but also for those who like to travel by plane. Using this unit will help you continue to do the activities that you like, as it is great for indoor and outdoor use, and it comes with an entire list of reliable features.

Besides sporting a sleek and modern appearance, the Tzora Titan 3 Wheel features a lightweight design, ensuring easy maneuverability, and allowing it to be transferred easily into a car, a train or an airplane.

Facilities and Comfort

The Tzora Titan 3 Wheel Mobility Scooter sets itself apart from other important brands with its incredibly comfortable features. Given that it incorporates a Memory Foam seat that is 22″ wide, you don’t have to worry about experiencing discomfort.

The unit’s engineering features a four point seat structure, which ensures a better stability than a unit that comes with a center seat post. Due to its center of gravity, a center seat post can easily become unsafe on inclines, and the unit can become quickly unstable, so the Tzora Titan’s four-point design improves stability on inclines by 45%.

This unit comes with extra safety features, as it integrates a full light package: left and right turn signals, front headlight and running lights, rear tail lights and reverse tail lights.

This 3-wheel scooter has large rear tires, which means that it ensures excellent traction and smooth rides, even when it is used on an uneven surface with hills or ramps.


Technical Specifications

The weight capacity featured by the Tzora Titan 3 Wheel Mobility Scooter is  300 lbs, while the scooter’s overall weight is 141 lbs. This ultra lightweight product measures 55″ Length x 24″ Width x 38″ Height, and it integrates a 39″ turning radius. It runs on 12V – 26Ah batteries, and it can range up to 19 miles.

The battery light indicator will keep you informed about the battery life, making it easier for you to monitor your device and ensure that it won’t run out of power when you most need it. The maximum speed offered by the Tzora Titan is 8 mph, so comparing with similar products that you can find on the market, this unit will not allow you to lose any time on the road, as its main goal is to help you enjoy life without wasting any minute.


Ease of Use

Given that it comes with a folding frame and a folding delta tiller, the Tzora Titan 3 Wheel Mobility Scooter features a great portability, especially since its heaviest component weighs just 49 lbs.  It can fit in any car’s trunk, and it can be transported from one place to another easily.

Its batteries packs, which are located in the back section, can be simply removed by lifting them up, as there are no cables or wires for you to disconnect, because the terminals connect automatically, so you won’t be required to make special adjustments.

Very maneuverable, the Tzora Titan enables you to maintain an active and spontaneous life, as it can be disassembled and folded in just a few minutes, without involving any physical efforts. This unit can separate into multiple pieces that can be easily stored, so no matter how small your place is, you can be sure that you can keep this unit out of your sight when not in use.


Price and Warranty

The Tzora Titan 3 Wheel Mobility Scooter is listed at Amazon here.  It comes with a 16 months manufacturer’s warranty. 

If you want to maintain your scooter in the best conditions, you have to use a tarp when keeping it outdoors, which will prevent moisture and particulate matter from getting into the internal mechanics.

A surprising demise of the two batteries can be more than inconvenient, as it can leave the user in a really precarious situation. So, to prevent this type of problem, and you must make sure that you protect the batteries from extreme temperatures, and you must avoid overcharging them, as that might cause them serious damage.



Buzzaround Lite 3 Wheel Scooters Seat Size: 18" W x 16" D

The Buzzaround brand is well known for producing efficient and durable mobility scooters. The BuzzAround Lite 3 Wheel Mobility Scooter is one of their latest models.

Unlike its predecessors, the Lite model features numerous improvements which allow you to dissemble it for easy storage, to remove its battery for a comfortable recharge and much more. Furthermore, this scooter has the highest torque of any scooter in its category.



However, it lacks some sophisticated convenience features and its range its pretty week. Nevertheless, lets take a closer look at it and see if it can turn out to be a value purchase for anyone.


Facilities and Comfort

Most mobility scooters are very easy to drive on a clear lane but have difficulties going uphill or handling themselves on problematic terrain. However, this is not the case of the BuzzAround Lite 3 Wheel Mobility Scooter which can easily climb inclined areas and can comfortably take turns even on grass of gravel. The scooter can be used both indoors and outdoors.

Its compact 3-wheel design allows the user to drive the scooter even through narrow spaces. For the user’s convenience, the scooter also features an average sized front basket which can be used for carrying traveling necessities such as a purse, a bottle of water and much more.

As far as comfort goes, this scooter features an improved, more comfortable seat with upgraded armrests which can be flipped-up for easy transfer. The scooter also features an auto grade carpet on the floor and a modern finish. The overall body has a combination of Vermillion red, Sahara arctic blue shades. The black seat is 15″ wide and 14″ deep.


Technical Specifications

This scooter comes with an off-board battery charger, quick release batteries, an electronic speed control and a programmable controller. The scooter has a 250 pounds maximum weight capacity and a 4 mph maximum speed. It is powered by a Sealed Transaxle, motor 24 VDC and features a rear-wheel drive.

The main problem with this scooter is the fact that it only has an 8 mile range. In all fairness, there are a few scooters on the market, such as the Pheonix HD 4 Wheels Mobility Scooter, which can range up to 15 miles with a single battery. Furthermore, the Pheonix HD 4 Wheels Mobility Scooter also allows the user’s to add a second battery which allows the scooter’s range to reach 30 miles.

The Pheonix HD is also in the same price range as BuzzAround Lite 3 Wheel Mobility Scooter. This being said, I am not impressed with the Lite scooter’s 8 mile range.


Ease of Use

Mobility scooters are designed in order to help people with mobility problems be independent. However, most scooters can be very challenging for this type of people. Since you can’t actually use them for large distances, you need to store them in your car truck until you reach your destination.

Most of them are very inflexible and can only fit in large trunks. However, the BuzzAround Lite 3 Wheel Mobility Scooter can easily be dissembled in order to fit in any car. The dissemble process is very simple. All you have to do is pop off the seat, pull of the battery and take the frame apart. In these three simple steps, you will dissemble the scooter in 5 lightweight pieces that can easily be carried even by elderly people. The heaviest part weights only 32 pounds.

Safety Features

For optimal safety, this scooter is equipped with electro-mechanical brakes and 8″ Foam filled non-pneumatic tires. Despite having an unsatisfactory range, I have to admire this scooter for its excellent maneuvering capacity. It features a 31″ turning radius, a 62.75″ pivot turn, a 39″ three point turn and a 28″ corridor turn. Its 2″ ground clearances offers it a very good stability.

In order to be as safe to use as possible, the scooter also comes with a control panel which allows the user to handle back-lighting, a good speed gauge which offers throttling control and a horn.


Price and Warranty

The price of the BuzzAround Lite 3 Wheel Mobility Scooter is $849. The scooter’s price includes the batteries and a the charger.

As a product made in the U.S.A, the Lite scooter abides by high levels of quality and durability. It also comes with a One Year In-Home Service Contract warranty. The electronic parts are covered by a 2 year warranty and the frame is covered for a lifetime. Furthermore, most of its distributors offer free shipping on this scooter.



The Shoprider Sunrunner 4 Wheel Mobility Scooter comes equipped with many features and facilities. However, it integrates a turning radius that won’t allow you to make tight turns, and it can’t be broken into pieces for easy transporting.







The Shoprider Sunrunner 4 Wheel Mobility Scooter is a powerful device that can help disabled people become more active and independent.  It is recommended for both indoor and outdoor use, and it ensures comfortable rides that will get users as far as they have to go.

According to many customers reviews, this machine has a sturdy construction, which ensures great durability, and it also has a long range for delivering the best support and assistance.


Facilities and Comfort

When it comes to purchasing a reliable mobility scooter, it is important to consider the comfort that it can offer you. Giving that you are going to spend a considerable amount of time in your scooter, you must opt for a seat that can eliminate pressure and offer sufficient support for your back. The Shoprider Sunrunner 4 Wheel Mobility Scooter incorporates a deluxe padded chair that can slide and swivel for getting off and on the scooter easier. It also allows you to adjust the height to provide enough room for your knees, and the best part is that it comes with a high ground clearance.

At 3 inches, it can easily be used on uneven sidewalks and surfaces, and it enables you to travel across non-paved terrains without worrying about unseen obstacles, or damaging the unit’s motor. Furthermore, the tiller and the  flip-back armrests can be adjusted to our personal preference.

This scooter comes with a spacious basket for meeting all your storage needs, and it has many safety features that can help you avoid dangers and unpleasant situations. Therefore, a headlight and a rear view mirror are included to improve your visibility.


Technical Specifications

The Shoprider Sunrunner is a motorized scooter that has a 300 pounds weight capacity, and a 5 mph top speed. Although it might not be very fast, it can help you move quick on areas that are meant for walking, so that you won’t waste any time while trying to get to your destination. In other words, you can get across a crosswalk faster than regular people, and you won’t have to worry about not catching the elevator before the doors close.

Another benefit that you can obtain by purchasing this device is that it delivers an impressive range, as it can travel 25 miles per charge. Therefore, you will not be exposed to the risk of being stranded every time you take your scooter outdoors, but you will be able to relax and enjoy your rides instead.

The 50 inches turning radius and the four-wheel design prevents the scooter from making tight turns, which might block out your options, however, its construction provides more stability than devices that can make quick turns, and its 10-inch pneumatic wheels can deliver the smoothest rides. Furthermore, the 22-inch base width helps you get your scooter easier into small indoor spaces.


Ease of Use

The Shoprider Sunrunner 4 Wheel Mobility Scooter can deal with inclines very easily. Unlike units that can travel up only a 6-degree slope, this machine can climb an 8-degree grade. Although it might seem like a small difference, it allows you to have access in places where you couldn’t get before.

Considering its compact folding seat, you can store your scooter quite easily. This product measures 49 x 22 x 38 inches, and it weighs 180 pounds, but given the fact that it can’t break down into pieces, you will have to remove the middle seats of your car in order to transport it.


Price and Warranty

The Shoprider Sunrunner  price can be viewed on Amazon here, and it is backed up by a one-year warranty for the frame, drive train and electronic elements. Furthermore, the company offers a six-month warranty for the battery, which is typical for these type of products. So, you will get enough coverage to convince yourself that you made a good choice.


Invacare Lynx L-4 Scooter Red



Despite the fact that it comes with a low distance range, the Invacare Lynx L4 4-Wheel Mobility Scooter can surprise you with other effective features. The thing that we liked the most about this unit is that it can be adjusted to anyone’s needs.





Facilities and Comfort

The Invacare Lynx L4 4-Wheel Mobility Scooter was designed to help individuals suffering from mobility ailments by offering them the chance to travel to their favorite places without needing the assistance of another person. This practical machine can facilitate a customizable and comfortable ride, as it comes with features that increase its overall performance.

The fact that its armrests and the seat’s height can be adapted to your needs represents a great bonus. Based on the fact that you will spend a considerable amount of time using it, you should have the possibility to make all the adjustments you need to feel more comfortable when driving.

Another convenient feature is that unlike other units which integrate only three wheels, this product comes with 4 wheels, providing more stability and easier control on inclines.

However, although it can handle surfaces with humps and bumps easily, the distance from the base to the floor measures only 4.5″, which means that it might encounter problems into going over high obstacles. Still, for those who have difficulties lifting their legs, a low scooter is the best solution for their problem.


Technical Specifications

The manufacturers of the have tried to create a device that provides all the features required to offer a smooth ride. This product can give you the functionality of the L-3 model power scooter with the performance and strong look of a 4-wheel unit. Its 360-degree rotating chair can give a whole different perspective to users with different levels of mobility, while its 300 lbs capacity makes it perfect for individuals of different sizes.

Still, comparing this device with other handicap scooters, we can notice that this unit is constrained by a 7 miles range. While most scooters can claim a battery charge of 20 miles, the Invacare Lynx L4 has a low distance range, which can negatively impact your independence. Still, if you plan to use this product only indoors, or if you don’t like long travels, you might find it very effective.  

If you decide to use it for long driving, you can opt for extra batteries and you can obtain a better range by using an off-board or on-board charging system.

The Lynx L4 4-Wheel travels at a maximum speed of 5 miles per hour, so you can be confident that you will reach your destination right on time. It measures 39.8 x 20 x 36 inches, and it weighs 112 lbs, which means that it can be easily maneuvered, and the seat has 18″, so it can fit users of all kind. Its 51″ turning radius and its flat-free wheels ensure a great driving experience, while its 8″ incline capability provides a safe ride.


Ease of Use

The Lynx L4 4-Wheel is a lightweight product, and can be easily disassembled into 5 pieces, and stored anywhere you want in the house. When you have to transport the unit, you can break it down into elements that can fit in a car, so its design offers you great transporting possibilities that don’t require the use of special scooter lifts or scooter carriers. All you have to do is follow 4 simple steps to disassemble and reassemble the unit, and you are good to go.


Price and Warranty

Although other devices feature a better drive range, it is one of the more affordable mobility scooters (see the price at Amazon here).  It is available in blue and red, and it comes with a 1 year warranty on the electronics, frame and trans-axle, meaning that you will have plenty of time to convince yourself that you made a good choice.



Breeze S 4-Wheel Luxury Electric Mobility Heavy Duty Scooter with Batteries


The Breeze S 4-Wheel Luxury Heavy Duty Scooter comes with a modern, comfortable seating, and it combines a nice design with functionality in a great way. This heavy duty  scooter is larger than other units available, with a weight capacity of 350 lbs, but it is also very fast, and allowing you to do all the activities that make you happy without wasting any time or worrying about battery life.



The Breeze S 4-Wheel is among the safest devices available, featuring the most advanced safety system in the world.  It offers exceptional comfort and easy control and enhanced style. The manufacturer, Afikim Electric Vehicles, has taken every small detail into consideration with the to ensure driver safety and comfort, including state-of-the-art electronic controls, advanced shock absorbers, reinforced chassis and fully adjustable orthopedic seats.  

Combining the capacity to offer stability for varying terrains with the ability to make tight turns, you will obtain a machine that can facilitate better travel times and more comfortable rides.


Notable Features Include:

  • Advanced electronic system that includes programmable drive controller and LCD display.
  • Ergonomically designed tiller is adjustable to meet the drivers’ exact requirements.
  • Full round suspension and shock absorbers delivering levels of stability never seen before.
  • Powerful LED front & rear lights which dim at standstill to save battery, indicators and audible horn
  • Fully active suspension, with true shock absorbers for added comfort


Technical Specifications

Besides integrating a large suspension system, the Breeze S 4-Wheel includes an incredible 360-degree swiveling chair, which has a 350 lbs weight capacity and a 18″ seat width. Furthermore, the unit’s overall length is 52″, while its overall width is 26″, and it weighs 269 lbs. The 67″ turning radius on the unit impacts its mobility in a great way, but the most impressive thing is that the machine can work at an incredible speed of 9,3 MPH, enabling you to move very fast, especially since it features a 25-mile battery range. Another great advantage that you can get by purchasing this unit is that it comes with an energy-saving option, which is used for turning off the brake light after 5 seconds of idling, preserving the battery.


Price and Warranty

Despite its  price tag, you will get an incredible value, which is reflected in its safety properties, power and reliability. You can view the price at Amazon here.  The Breeze S 4-Wheel Luxury Heavy Duty Scooter is backed up by a standard 2 years warranty, which means that you will have plenty of time to test its functionality.



Spitfire 1420 EX Travel 4-Wheel Scooter

Whether you’re interested in a unit that offers more safety features or one that offers more stylish, adjustable features, you can’t go wrong with the Spitfire EX 1420 4-Wheel Mobility Scooter.







Facilities and Comfort

While most people are disappointed with the fact that some units don’t provide enough room for the feet, with the Spitfire EX 1420 4-Wheel you have nothing to worry about, because it offers additional space, allowing taller users to feel comfortable, as well.

This machine comes with customizable features, as it integrates flip-up padded armrests with reflectors. You can also adjust the angle and height of the armrests, which is a great comfort feature.

Due to its practical size, this compact scooter can be used both indoors and outdoors.


Technical Specifications

The Spitfire EX 1420’s sturdy components ensure a great durability, while the 180° swivel seat allows you to obtain superior mobility. 

Furthermore, with this device, you have the possibility to increase battery millage, as it gives you the chance you to choose between two different types of batteries, enabling you to have a say in the way that your unit operates. So, depending on your preferences, you can opt for the 12AH battery, which offers a distance of 9 miles, or you can use the 21AH battery, which offers a range of 15 miles.

Another great advantage that you can get by purchasing this model is that it incorporates an adjustable tiller, allowing you to put the controls right where you want them.

With a maximum incline of 12 degrees and a 48” turning radius, you can be confident that you will enjoy a great functionality, which will give you the possibility to do the things that you love the most without needing any assistance.

This unit’s overall dimensions are 35” H x 20” W x 40” D, while its seat measures 17” W x 16” D. Furthermore, it has a 300 lbs capacity, and it features a maximum speed of 5 mph.


Ease of Use

The Spitfire EX 1420 4-Wheel Mobility Scooter can split into five pieces, which makes it easier to be transported from one place to another. Moreover, giving that its heaviest component weighs only 28 lbs, it can be disassembled and put back together in just a few minutes without using any special tools, ensuring easy storage.


This lightweight scooter is very simple to maneuver because it can get through any aisle, and its large, front-mounted basket allows riders to go shopping and carry anything they want in the most comfortable conditions. Also, the fact that the chair swivel in any direction is very helpful, so you will get a unique combination of utility and comfort.


Price and Warranty

he Spitfire EX 1420 4-Wheel Mobility Scooter is considered one of the most affordable units on the market, (see the price at Amazon here), but you won’t have to give up any comfort or features for the price.   

The main structure of the scooter, which is the frame, comes with a lifetime warranty, while the electronic components are backed up by a 14-month warranty. There is also a six month warranty on the batteries.


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Get the Right Testing for Dementia

Get the Right Testing for Dementia




Many doctors use a common screening test called the Mini Mental Status Exam (MMSE) to check for possible cognitive issues.



The Mini Mental Status Exam is a first step, but it’s not good enough.


If you’re worried that your older adult is showing more than the forgetfulness of normal aging and that it might be signs of Alzheimer’s or dementia, the first step is to get a full physical and mental exam from their primary doctor.


How the Mini Mental Status Exam works

The MMSE is a common way of testing for dementia. It’s popular because it only takes 5 – 10 minutes and doesn’t require any equipment or special training for doctors or nurses.

The test has 30 questions, each worth 1 point. These questions test memory, orientation, and math skills.


The MMSE usually includes questions that measure:


  • Sense of date and time
  • Sense of location
  • Ability to remember a short list of common objects and later, repeat it back
  • Attention and ability to do basic math, like counting backward from 100 by increments of 7
  • Ability to name a couple of common objects
  • Complex cognitive function, like asking someone to draw a clock



The grading scale is:

25 or more points = no problem

21-24 points = mild cognitive impairment

10-20 points = moderate cognitive impairment

0-9 points = severe cognitive impairment


If someone gets a score in the 0 to 20 range, it can indicate cognitive issues. It doesn’t mean that they have dementia. It does mean that more extensive physical and cognitive testing should be done.

The MMSE can’t be used alone to diagnose dementia; it is a useful general screening tool, but can’t be used to diagnose dementia because there are many factors that could affect the test results.


Complicating factors include:


  • Physical injuries
  • Physical conditions like sleep apnea, which can cause memory or other cognitive problems
  • Conditions like depression
  • Trouble with math, especially for those with limited education
  • Trouble with language, especially for non-native English speakers, those who don’t speak any English, and people with limited education
  • Having a form of dementia that isn’t significantly affecting memory



Some dementia symptoms the MMSE would miss include:


  • Freely giving out bank account information to strangers
  • Suddenly spending money like crazy when they’re always been frugal
  • Making crazy investment decisions when they’ve always been conservative investors


A diagnosis can’t be made based on MMSE results alone

Non-geriatrics doctors often aren’t experienced in diagnosing Alzheimer’s or dementia. They might not know about the recommended testing and could jump to conclusions based on the MMSE results.

As a caregiver, it’s important to know that it’s simply not possible get an accurate diagnosis for your senior in just one office visit. A basic physical exam and MMSE screening doesn’t give enough information to declare a case of Alzheimer’s and prescribe medications like Namenda or Aricept.

Jumping to conclusions could cause your older adult to get the wrong treatment, which would clearly be bad for their health.


For example:


  • Your senior’s dementia-like symptoms could be caused by a treatable medical condition like heart disease, vitamin deficiency, or kidney failure.
  • Their symptoms could be caused by a medication side effect or drug interaction.
  • They could have signs of depression or another psychiatric issue.


Even if your older adult does have a form of dementia, how would the doctor know whether they have vascular dementia or Alzheimer’s or another type? Different types of dementia can require different treatment.

The MMSE is a useful tool because it’s quick, simple, and can be used by any doctor without special training. But it has significant limitations and cannot be used alone to make a diagnosis of Alzheimer’s or dementia.

In order to get an accurate and specific diagnosis, your older adult would need additional testing and evaluation to rule out other medical conditions, medication side effects, or psychiatric issues that could be causing dementia-like symptoms.


A More Sensitive Screening Test for Dementia

If you suspect your older adult could be showing signs of dementia and not just having some “senior moments,” the first step is to visit their primary doctor for a full check-up and the Mini Mental Status Exam (MMSE).  It possible cognitive issues are discovered, your loved one should go on to have the Montreal Cognitive Assessment (MoCA), which is a better, but not as commonly used screening test.


How the Montreal Cognitive Assessment (MoCA) Works

The Montreal Cognitive Assessment (MoCA) is a one page, 30 point test that takes about 10 minutes and doesn’t require the doctor to have any special training.


The MoCA usually tests these cognitive areas:


  • Ability to process and understand visual information about where objects are
  • Executive functions – ability to manage cognitive processes
  • Language
  • Short-term memory recall
  • Attention
  • Concentration
  • Working memory
  • Awareness of time and place



How are the MoCA and MMSE different?


The MoCA looks similar to the MMSE, but the MoCA tests a variety of different cognitive functions and the MMSE focuses mostly on memory and recall.

The MoCA is generally better at detecting mild impairment and early Alzheimer’s disease because it’s a more sensitive test and is more difficult. So, if a doctor sees a patient who is questioning their mental functioning, they might give the MoCA. But if a patient comes in and is clearly cognitively impaired, a very sensitive test wouldn’t be as necessary since the issues are more obvious.


The MoCA has also been shown to be a better screening tool for conditions like:


  • Parkinson’s disease
  • Vascular dementia
  • Traumatic brain injury (often from falls)
  • Huntington’s disease
  • Brain tumors
  • Multiple sclerosis



How are the MoCA and MMSE similar?


Even though these are good screening tools for cognitive impairments, neither test was designed to diagnose cognitive conditions.

They also can’t be used to distinguish between conditions. For example, you couldn’t use either test to diagnose someone with Alzheimer’s versus frontotemporal dementia. After the initial screening with one or both tests, referral to a specialist may be warranted and more testing would be needed.



Alzheimer’s Disease is Difficult to Diagnose


It’s best when a team of professionals — including a neurologist, neuropsychologist, geriatrician, and possibly others — works together to arrive at an accurate diagnosis.

A total diagnostic workup includes a medical history, imaging procedures, and neuropsychological testing, as well as other procedures depending on the individual’s presentation.

When a neuropsychologist or other professional in the field of psychology or psychiatry sees a person exhibiting symptoms of Alzheimer’s, a set of criteria is often used to help make an accurate diagnosis.


Criteria For an Alzheimer’s Diagnosis

The Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition), also known as the DSM-IV, outlines a detailed set of criteria for the diagnosis of Alzheimer’s.

First, multiple cognitive deficits must be present, one of which must be memory impairment.


In addition to problems with memory, one or more of the following must be displayed:


  • Apraxia — difficulty executing motor activities, even though movement, senses, and the ability to understand what is being asked are still intact
  • Agnosia — an impaired ability to recognize or identify objects, even though sensory abilities are intact
  • Problems with executive functioning, such as planning tasks, organizing projects, or carrying out goals in the proper sequence


In order to meet the criteria for Alzheimer’s disease, the deficits must affect one’s ability to hold a job or volunteer position, fulfill domestic responsibilities, and/or maintain social relationships.

The deficits must also represent a significant decline from the person’s previous level of functioning.

Alzheimer’s disease involves a gradual onset and progressive worsening of symptoms. In order to receive a diagnosis of Alzheimer’s, the deficits can’t be due to another medical condition, such as Parkinson’s disease, thyroid problems, or alcoholism. Similarly, the symptoms can’t occur exclusively during an episode of delirium, or be better explained by a psychological disorder such as depression or schizophrenia.


Recommended: Understand Alzheimer’s – A First-Time Caregiver’s Plan to Understand and Prepare for Alzheimer’s & Dementia

#1 Amazon Bestseller


A diagnosis of Alzheimer’s disease can be frightening and overwhelming-and not just for the patient. Becoming the primary caregiver for a newly diagnosed loved one can be one of the most challenging-and one of the most rewarding-experiences possible.

In Understand Alzheimer’s: A First-Time Caregiver’s Plan to Understand & Prepare for Alzheimer’s & Dementia, you’ll find a wealth of practical and useful information to help you and your loved one deal with a diagnosis of Alzheimer’s disease. Understand Alzheimer’s is a guide to providing compassionate care for a spouse, parent, sibling, or friend, from the early stages of Alzheimer’s disease until the end of life. 
Understand Alzheimer’s is a comprehensive and thoughtful guide to caring for a loved one with Alzheimer’s, with:


  • An in-depth explanation of the seven stages of Alzheimer’s disease and what the diagnosis means
  • Checklists for how to prepare your loved one’s surroundings for safety and ease of activities
  • Compassionate advice for managing your stress and finding the balance to keep you from feeling depressed, lonely, and isolated
  • A list of resources with information for supporting those with Alzheimer’s disease, and organizations that can help build a caregiving network
  • A guide to Alzheimer’s treatment options and a checklist for dealing with medical professionals
  • Helpful suggestions for managing the changes in your loved one’s behavior 

Living with Alzheimer’s disease presents daily challenges for both the caregiver and patient. Understand Alzheimer’s is a practical guide that helps you and your loved one cope with Alzheimer’s while maintaining the best quality of life possible for both of you.




An important note about urinary tract infections and dementia


When a senior starts acting confused or disoriented, it’s not always a sign of Alzheimer’s – especially if the change is sudden. Alzheimer’s and other dementias usually take several years to become noticeable and start with small changes.


Common medical conditions can cause seniors to suddenly show dementia-like symptoms or cause existing dementia symptoms to worsen significantly. One of the most common is a urinary tract infection (UTI).


Seniors are the most likely group of people to have a UTI. They’re also the group that’s least likely to have the usual symptoms like pain during urination, fever, or a frequent urge to go.

Instead, many caregivers find out their older adults have a UTI because there’s a sudden change in behavior. Someone who suddenly can’t do something they could a week ago might have a UTI. Falls, recent incontinence, or loss of appetite can also be signs of an infection.

If someone already has Alzheimer’s or dementia, they may also show sudden, unexplained behavior changes when they have a UTI.

Even though dementia is a progressive disease and symptoms do change over time, it’s a good idea to check for an infection when sudden changes happen. A UTI can make someone with dementia more agitated, difficult, confused, or less responsive than usual.

The UTI infection puts a lot of stress on your older adult’s immune system, which causes the changes in behavior, sometimes called delirium. Symptoms can include agitation, restlessness, difficulty concentrating, hallucinations, delusions, becoming unusually sleepy, or withdrawn.


UTIs can be detected with a simple urine sample. To save a trip, you should always have some home test kits on hand.  These kits give accurate results, and can arm you with information before you see the doctor.  This will save valuable time and allow treatment to begin sooner.


AZO Urinary Tract Infection Test Strips, 3-Count Box



Recommended: AZO Urinary Tract Infection Test Strips


If it’s a simple UTI and is caught early, taking antibiotics usually clears up the infection. Once the infection is gone, those scary behavior changes will start to disappear too.







If you think you or or loved one may be showing signs of Alzheimer’s Disease, you first step will be you family doctor, who will determine if further investigation is required.

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Create Your Own Blog


If you would like to explore the idea of writing your own blog, you can read more about how I learned to write, launch and improve my blog here.