Is It All In My Head? Subjective Cognitive Impairment In Neuropsychiatry-View Presentation

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The symposium, titled "It's All in My Head: Subjective Cognitive Impairment in Neuropsychiatry," focuses on subjective cognitive impairment (SCI) in the context of neuropsychiatric conditions like multiple sclerosis (MS) and mild traumatic brain injury (mTBI), as well as its overlap with functional cognitive disorders. The presenters, including Dr. Omar Ghaffar, Dr. David Friedman, and Adriano Molica, explore the poorly understood realm of SCI and its potential contributors. <br /><br />Key discussions highlight that SCI is often weakly correlated with objective cognitive measures and may be more closely linked with factors like mood disorders and psychosocial stress rather than structural brain pathology. The presentations cover how subjective cognitive complaints affect individuals differently, with some distressed enough to seek clinical attention. Through various case studies, the symposium underlines how environmental, psychological, and social factors can perpetuate cognitive symptoms. <br /><br />Focusing on management, there is an emphasis on psychoeducation, cognitive rehabilitation, and supportive therapy to address SCI. Neurologist Dr. Friedman discusses the conundrum of managing cognitive complaints in MS patients, while Dr. Molica presents on the post-concussive syndrome, noting the complexity of disentangling cognitive and emotional symptoms in patients with mTBI. <br /><br />There is also a section on functional cognitive disorder, perceived as a subset of functional neurological disorder, which presents challenges in diagnosis and treatment due to the overlapping symptoms with neurodegenerative disorders. Emphasizing a validating approach, the symposium calls for more research to better understand and address the complexities of SCI. The closing discussions also touch on the potential role of emerging therapies and the need for comprehensive, tailored patient treatment plans.

Keywords

subjective cognitive impairment

neuropsychiatry

multiple sclerosis

mild traumatic brain injury

functional cognitive disorders

mood disorders

psychosocial stress

cognitive rehabilitation

supportive therapy

post-concussive syndrome

functional neurological disorder

neurodegenerative disorders

emerging therapies

tailored patient treatment

psychoeducation