Your Wellness

Close Google Maps. Don’t use a shopping list: A neurologist’s tips to protect your memory

A new book by a renowned brain expert says there are simple things we can do to prevent memory decline

Illustration: Mikyung Lee/New York Times

Hope Reese
Thu Jul 21 2022 - 05:00

As we age, our memory declines. This is an ingrained assumption for many of us, but according to the neuroscientist Dr Richard Restak, a neurologist and clinical professor at George Washington Hospital University School of Medicine and Health, in the US, decline is not inevitable.

An author of more than 20 books on the mind, Dr Restak has decades’ worth of experience in guiding patients with memory problems. The Complete Guide to Memory: The Science of Strengthening Your Mind, Dr Restak’s latest book, includes tools such as mental exercises, sleep habits and diet that can help boost memory.

Yet, Dr Restak ventures beyond this familiar territory, considering every facet of memory – how memory is connected to creative thinking, technology’s impact on memory, how memory shapes identity. “The point of the book is to overcome the everyday problems of memory,” Dr Restak said.

Especially working memory, which falls between immediate recall and long-term memory, and is tied to intelligence, concentration and achievement. According to Dr Restak, this is the most critical type of memory, and exercises to strengthen it should be practised daily. But bolstering all memory skills, he added, is key to warding off later memory issues.

READ MORE

Memory decline is not inevitable with ageing, Dr Restak argues in the book. Instead, he points to 10 “sins”, or “stumbling blocks that can lead to lost or distorted memories”. Seven were first described by psychologist and memory specialist Daniel Lawrence Schacter – “sins of omission”, such as absent-mindedness, and “sins of commission”, such as distorted memories. To those, Restak added three of his own: technological distortion, technological distraction and depression.

Ultimately, “we are what we can remember”, he said. Here are some of Dr Restak’s tips for developing and maintaining a healthy memory.

Pay more attention

Some memory lapses are actually attention problems, not memory problems. For instance, if you’ve forgotten the name of someone you met at a cocktail party, it could be because you were talking with several people at the time and you didn’t properly pay attention when you heard it.

“Inattention is the biggest cause for memory difficulties,” Dr Restak said. “It means you didn’t properly encode the memory.”

One way to pay attention when you learn new information, such as a name, is to visualise the word. Having a picture associated with the word, Dr Restak said, can improve recall. For instance, he recently had to memorise the name of a doctor, Dr King, (an easy example, he acknowledged). So he pictured a male doctor “in a white coat with a crown on his head and a sceptre instead of a stethoscope in his hand”.

Find regular everyday memory challenges

There are many memory exercises that you can integrate into everyday life. Dr Restak suggested composing a grocery list and memorising it. When you get to the store, don’t automatically pull out your list (or your phone) – instead, pick up everything according to your memory.

“Try to see the items in your mind,” he said, and only consult the list at the end, if necessary. If you’re not going to the store, try memorising a recipe. He added that frequent cooking is actually a great way to improve working memory.

Once in a while, get in the car without turning on your GPS and try to navigate through the streets from memory. A small 2020 study suggested that people who used GPS more frequently over time showed a steeper cognitive decline in spatial memory three years later.

Play games

Games such as bridge and chess are great for memory, but so is a simpler game, said Dr Restak. For instance, Dr Restak’s “favourite working memory game” is 20 Questions – in which a group (or a single person) thinks of a person, place or object, and the other person, the questioner, asks 20 questions with a yes-or-no answer. Because to succeed, he said, the questioner must hold all of the previous answers in memory in order to guess the correct answer.

Another of Dr Restak’s tried-and-true memory exercises simply requires a pen and paper or audio recorder. First, recall all of the US presidents, starting with Joe Biden and going back to, say, Franklin D. Roosevelt, writing or recording them. Then, do the same, from FDR to Biden. Next, name only the Democratic presidents, and only the Republican ones. Last, name them in alphabetical order.

If you prefer, try it with players on your favourite sports team or your favourite authors. The point is to engage your working memory, “maintaining information and moving it around in your mind”, Dr Restak wrote.

Read more novels

One early indicator of memory issues, according to Dr Restak, is giving up on fiction. “People, when they begin to have memory difficulties, tend to switch to reading nonfiction,” he said.

Over his decades of treating patients, Dr Restak has noticed that fiction requires active engagement with the text, starting at the beginning and working through to the end. “You have to remember what the character did on page three by the time you get to page 11,” he said.

Beware of technology

Among Dr Restak’s three new sins of memory, two are associated with technology.

First is what he calls “technological distortion”. Storing everything on your phone means that “you don’t know it”, Dr Restak said, which can erode our own mental abilities. “Why bother to focus, concentrate and apply effort to visualise something when a cell phone camera can do all the work for you?” he wrote.

The second way our relationship with technology is detrimental for memory is because it often takes our focus away from the task at hand. “In our day, the greatest impediment of memory is distraction,” Dr Restak wrote. As many of these tools have been designed with the aim of addicting the person using them, and, as a result, we are often distracted by them. People today can check their email while streaming Netflix, talking with a friend or walking down the street. All of this impedes our ability to focus on the present moment, which is critical for encoding memories.

Work with a mental health professional if you need to

Your mood plays a big role in what you do or do not remember.

Depression, for instance, can greatly decrease memory. Among “people who are referred to neurologists for memory issues, one of the biggest causes is depression,” Dr Restak said.

Your emotional state affects the kind of memories you recall. The hippocampus (or “memory entry centre,” according to Dr Restak) and the amygdala (the part of the brain that manages emotions and emotional behaviour) are linked – so “when you’re in a bad mood, or depressed, you tend to remember sad things”, Dr Restak said. Treating depression – either chemically or via psychotherapy – also often restores memory.

Determine whether there is cause for concern

Throughout his career, Dr Restak has been asked by dozens of patients how they can improve their memory. But not all memory lapses are problematic. For instance, not remembering where you parked your car in a crowded lot is pretty normal. Forgetting how you arrived at the parking lot in the first place, however, indicates potential memory issues.

There is no simple solution to knowing what should be of concern, Restak said. Much of it is context-dependent. For instance, it’s normal to forget the room number of your hotel, but not the address of your apartment. If you’re concerned, it’s best to consult with a medical expert. – This article originally appeared in The New York Times

LATEST STORIES