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Foggy Brain? The Psychological Issues That Contribute

Reviewed by Dr Sheri Jacobson

foggy brainBy: Boudewijn Berends

by Andrea M. Darcy

Tried every health recommendation and ‘brain supplement’ on the market to get rid of your foggy head, without result?

It’s time to consider what psychological issues might be the real cause of your brain fog.

Brain fog symptoms

Brain fog is not a clinical diagnosis in and of itself (although it is a symptom of many mental health issues that are indeed diagnosable).

Those who suffer describe the following brain fog symptoms:

  • my head is full of sand/cotton wool/fog
  • I feel spacey and mentally confused
  • I can’t think clearly
  • it’s as if I am about to grab a thought but can’t find its tail
  • focussing on one thing can feel hard
  • doing things that require mental clarity seem difficult
  • my short-term memory feels faulty
  • conversations seem suddenly taxing
  • I’m just not mentally ‘myself’.

Psychological causes for brain fog

foggy headBy: Ashlee Martin

It is of course advisable to first check your health is fine. A GP can check for any medical illnesses that can cause brain fog,including thyroid issues and chronic fatigue. They can also ensure it’s not something such as your medication, vitamin deficiencies, or bad eating habits.

But if your health is good, then look into the following psychological reasons for brain fog.

Post-traumatic stress disorder and emotional shock

Just think of the last time you had bad news and how muddle headed you felt afterwards – people with PTSD or emotional shock can feel like that constantly. While emotional shock resolves after several weeks, PTSD can last a very long time if not treated.

Am I stressed or depressed online quiz

Anxiety and stress

Stress means you know what is upsetting and overwhelming you and leaving you unable to think straight.

Anxiety can be less rational. It tends to leave the mind spinning madly with ‘what if’ scenarios and negative thinking, exhausting your head. Brain fog can even increase your sense of anxiety, because brain fog can make you feel even more out of control and in danger.

Unprocessed past trauma

foggy brainBy: DFID – UK Department for International Development

This can include things like a past bereavement or broken home. It also includes childhood abuse, which some feel leads to a sort of long-term PTSD.

Past trauma also causes dissociation, meaning you have a feeling you have left your body when stress hits, adding to your sense you can’t think straight.

depression

Depression can leave sufferers feeling as if their mind is shut down or half asleep all the time (fatigue is also a symptom).

bipolar disorder

A large-scale study at the University of Michigan on 612 women who had bipolar disorder or depression found via brain scanning that they actually had different brain activity to the control group, helping explain their claim of having ‘fuzzy thinking’.

Adult ADHD

Adult ADHD could cause something similar to brain fog, in that the mind is so active it can feel overloaded, and there can be moments of what can feel like ‘thought fatigue’ after hyperactive highs. This is especially true when ADHD and anxiety coexist, which happens often and can make the fog even harder to shift.

Why do things like stress and anxiety leave me with a foggy brain?

When your brain experiences a situation that causes stress or anxiety, the cortex (rationalisation) is turned down, along with the hippocampus (learning and memory). The amygdala (reaction to danger), however, is turned up. So you become less able to be rational and sort information and instead become hyper-vigilant.

This is not only a switch in your regular brain functioning, it doesn’t seem to leave much of your brain space for other things. And with ongoing anxiety, your brain can be in this ‘red alert’ state constantly.

Then there are the hormones released when we feel stressed. It’s an invigorating cocktail to provide enough energy to handle things, but it sends the brain into a spin that is ultimately exhausting. For example, the high levels of cortisol leave you buzzy but eventually lead to a crash. And fatigue then adds to your inability to think straight.

What do I do if I have brain fog?

Learning how to manage stress and anxiety is a good idea. This lowers your body’s ‘fight or flight’ mode, meaning you are less stimulated and your clear thoughts have a better chance of returning. Things like self-care and exercise are useful. Mindfulness has also been shown in clinical studies to help stress.

If it’s ongoing stress behind your foggy head, anxiety that won’t stop, you are also experiencing low moods, or if you suspect your brain fog is connected to adult ADHD or past trauma, it’s highly advisable to seek support.

A professional counsellor or therapist can help you quickly ascertain what is driving your brain into a fog, as well at what steps you can now take to regain clarity of thought.

Harley Therapy puts you in touch with some of London’s best psychotherapists and counselling psychologists. Not in the UK? Consider Online Therapy.


 

Andrea M. Darcy therapy coachAndrea M. Darcy is a health and wellbeing writer as well as mentor who often writes about trauma, relationships, and ADHD. She lives with c-PTSD and ADHD herself, so knows a thing or two about brain fog!  Find her on Instagram @am_darcy

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9 Comments

  1. PT

    Hi, Ive always had an idea of what having brain fog is ..

    but what I don't understand is feeling like that to a degree... but also hazy like your drowsy/ not "fully awake" or semi conscious. In addition to badly fogged general memory. (Not just periods of my life) Most everything feels sort of blurred and foreign to me, and my head feels tight.

    I went through several hard times on and off in the last year or so. So all this happened after that.

    Just so I'm clear these don't come and go either. I've been this way for about a year. My body doesn't seem to be able to feel touch the same, or hugs, etc. I don't feel at all like myself, but at the same time I have no problem being around others, (or) expressing my worry/self if need be.

    Another thing is I've become intolerant (sugar, caffeine, and lights) I try to be calm, mindful, and rational as I can be. I've been to my doc, 2 ct scans are clear, so will be seeing a neurologist.

    Any insight as to may of happened here? What's thrown me off is how this happened shortly after I got hit hard emotionally. And.. Before this I was very bright, smart, active, decent shape.

    Sometimes it's difficult to understand the difference being that emotions/hard times 'can' cause a lot of crazy things to happen. But when those odd symptoms are an everyday thing that's when it can be tricky.

    1. Harley Therapy

      First of all, good for you for having good self-care skills and ruling out physical sides first. The thing we are wondering is, given the not wanting to be touched/lost memories you mention... have you looked into PTSD? Sometimes, if we had childhood trauma that has been suppressed, a new traumatic event or series of emotional shocks can be like a trigger to all the long hidden stuff. And the result can be suddenly living as if you have a kind of long-term PTSD. It starts as the symptoms of emotional shock (http://www.harleytherapy.co.uk/counselling/7-warning-signs-acute-stress-reaction-emotional-shock.htm) but just doesn't stop. If there was any trauma in your childhood you thought was 'behind you', it could be the case. Many therapists won't diagnose you with PTSD, as the 'clinical diagnosis' for PTSD is supposed to be from just one trauma, but other therapists and psychologists argue that really it's the same. Any therapist who has experience with childhood trauma will understand. In summary, could definitely be a good idea to speak to a counsellor or therapist. At the end of the day, even just talking about the recent difficulties can be a huge relief. A therapist is not like talking to a friend, a weird sort of magic happens sitting in a room with someone who you don't owe anything to or who isn't invested in your life.... give it a go.

  2. Melody

    I can relate with this post so much. Brain fog and fatigue are the worst! Thanks for sharing your story.

  3. Ravi

    Feeling dazed! That is also fog

    1. Harley Therapy

      Hi Ravi, sure, it could be, but it could also be that you need sleep or need iron... go to your GP for a full check up.

  4. Ross

    What's the best thing to take to sort it out? Just cant seem to shake a foggy mind from 10/15 years. Memory is rubbish.

    1. Harley Therapy

      Hi Ross, it really matters what is behind your foggy thinking. Do any of the things listed as causes seem a possibility for you? Or a few of them combined?

  5. Max

    PT, "this happened shortly after I got hit hard emotionally." Yes, same here. I got about 3-4 major emotional blows and brain fog has been with me since. I'm guessing I still have more to work through.

  6. Mike Clinton

    Your blog post was like a guidebook that provided clear directions and valuable insights. appreciated the practical advice you offered.

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