Clearing the Cancer ‘Fog’

Michael Ryan, Psy.D., is the clinical director of supportive oncology at Henry Ford Cancer.

Chemo brain deserves a better name: cancer fog. That’s because the same symptoms can occur with general anesthesia, certain radiation treatments and sleep deprivation. Also, a patient’s – or a caregiver’s – profound fatigue, pain, medication and stress can interfere with thought processes.

So, how to deal with cancer fog? Your first step: Track the problems. Are they related to medication, less sleep, poor diet, appetite loss or lack of exercise? Save thinking activities for the hours when you’re most alert. If problems persist for longer than expected, talk to your doctor about medication or cognitive tests. In the meantime, ask yourself: How can I make the most of today?

Spark Concentration

You have the power to trigger brain chemicals that improve concentration and make you feel good. Start with a bit of compassionate self-talk: “I’m getting better every day and in every way.” Exercise, eat healthy foods and engage with supportive people. Play, sing or listen to music. Avoid multitasking. Meditate or try breathing exercises.

Improve Recall

There’s a trick to boosting memory: breathe and relax. Avoid saying, “I forgot.” Instead say, “I’m remembering.” Say any words that come to mind. They may lead to the correct answer. Overall, trust you’ll eventually remember.

Stop, Look, Listen

Listening skills can help you track conversations, even when you’re sick or tired.

First, look at the speaker and anticipate what they might say. Empathy for the speaker improves focus. Listen for keywords and take notes. Respond appropriately: “I see” or “I understand.” Ask questions if you are confused or distracted. Lastly, confirm your understanding of the follow-up steps.

Read to Understand

• Start by reading the titles, subtitles, bold words or photo captions.
• Ask questions, “What could be useful for me?”
• Find the keywords (or the important words). Circle them or highlight them in bold font.
• Explain the important points in your own words. Review them.

Take Action

Write notes when you’re reading and during conversations with health care providers.

Prioritize the action steps ASAP. Estimate the time and energy needed for tasks. Break large tasks into small ones to feel successful and energized.