If you’ve ever walked into a room and completely forgotten why you went there, stood in the supermarket unable to remember what you came to buy, or found yourself mid-sentence with absolutely no idea what you were talking about, you’re certainly not alone. Welcome to the frustrating world of fibro fog – one of the most maddening symptoms that many of us with fibromyalgia have to navigate.

Fibro fog isn’t just about being a bit forgetful or having the occasional senior moment. It’s a genuine cognitive symptom that can affect memory, concentration, word-finding, and our ability to process information clearly. On bad days, it can feel like trying to think through treacle, where even the simplest mental tasks become monumentally difficult.

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Understanding Fibro Fog

Brain fog manifests differently for everyone, but common experiences include difficulty concentrating, problems with short-term memory, struggling to find the right words, feeling mentally sluggish, and having trouble following conversations or processing information. Some days I feel like my brain is operating at half-speed, whilst other days the fog lifts and I feel much sharper.

The frustrating thing about fibro fog is how unpredictable it can be. Just like our pain levels, cognitive symptoms can fluctuate dramatically. I might have a crystal-clear morning where I’m on top of everything, only to find myself struggling to remember my own postcode by afternoon.

Research suggests that fibro fog is linked to the same central nervous system dysfunction that causes our pain symptoms. Sleep disturbances, which are so common in fibromyalgia, also play a significant role in cognitive function. When we’re not getting quality rest, our brains simply can’t perform optimally.

My Personal Strategies

Over the years, I’ve developed several strategies that help me manage the cognitive challenges of fibromyalgia. These aren’t cure-alls, but they’ve made a real difference in how I navigate daily life.

The Power of Lists

I’ve become somewhat obsessed with handwritten lists. There’s something about the physical act of writing things down that seems to help cement information in my memory better than typing on a phone or computer. I keep small notebooks dotted around the house, in my handbag, and by my bedside.

My daily to-do lists aren’t just about tasks – they include everything from appointment times to conversations I need to have. I’ve learned not to trust my memory for anything important, no matter how significant it seems at the time.

Write it down right away

The moment I think of something I need to remember, I write it down. I don’t wait until later or assume I’ll remember – I’ve learned that lesson the hard way too many times.

Pacing and Overwhelm Management

I’ve learned that trying to cram too much into one day is a recipe for cognitive disaster. When I’m overwhelmed, my brain fog becomes significantly worse, so I’m quite protective of my daily schedule now.

If I have a medical appointment in the morning, I try not to plan anything cognitively demanding for the afternoon. Important phone calls, complex tasks, or social events all require mental energy, and I’ve learned to space these out rather than clustering them together.

Additional Strategies for Managing Fibro Fog

Create Routines and Systems

Establishing consistent routines can help reduce the mental load of daily decisions. I keep my keys, purse, and important items in a box in the bedroom.

Having a designated spot for everything means less mental energy spent searching for items. It sounds simple, but when brain fog strikes, these automatic habits can be lifesavers.

Use Visual Cues and Reminders

Sticky notes might seem old-fashioned, but they work brilliantly for important reminders. I’ll put notes on my front door to remind me to take something with me, or on my laptop to remember an important task.

Break Tasks into Smaller Steps

Large projects or complex tasks can feel overwhelming when you’re dealing with cognitive symptoms. I’ve learned to break everything down into smaller, manageable chunks.

Instead of “organise the spare room,” my list might include “sort through one box,” “vacuum the floor,” and “put clothes in wardrobe.” Each small completion gives a sense of achievement when I tick it off in my notebook and makes the overall task feel less daunting.

Environmental Considerations

I’ve noticed that my cognitive function is better in certain environments. Cluttered, noisy spaces seem to make brain fog worse, so I try to keep my workspace relatively clear and quiet when I need to concentrate.

Physical Strategies

Gentle exercise, even just a short walk, can sometimes help clear brain fog. It’s not a miracle cure, but movement does seem to help with mental clarity. Similarly, staying hydrated is crucial – even mild dehydration can worsen cognitive symptoms.

The Emotional Impact

Living with brain fog can be emotionally challenging. It’s frustrating to feel like you’re not operating at your full potential, especially if you pride yourself on being sharp and organised. There’s often a grief process involved in accepting that your cognitive function might not be what it once was.

It’s important to be kind to yourself on foggy days. This isn’t laziness or lack of intelligence – it’s a symptom of a medical condition. Just as you wouldn’t expect to run a marathon with a broken leg, don’t expect your brain to perform at peak capacity when you’re experiencing significant fog.

Finding What Works for You

The strategies that work for me might not work for everyone, and that’s perfectly normal. Brain fog affects people differently, and what helps will vary from person to person. The key is to experiment with different approaches and build a toolkit of strategies that suit your lifestyle and specific symptoms.

Some days, despite all the strategies and tools in the world, the fog will still be overwhelming. On those days, the best strategy might simply be to rest, be gentle with yourself, and trust that clearer days will come.

3 thoughts on “From Fuzzy to Focused: How to Overcome Fibro Fog

  1. Smart work-arounds, Sarah! One my adult kids has fibro, but she hasn’t mentioned brain fog. Although she probably does experience it, since along with that she has ADHD (as do I).

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    1. Thanks Mitch! Yes I think a lot of us fibro folk do struggle with brain fog but many of us have other things going on too and I think it can be hard to untangle everything.

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