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As more US states have legalized recreational cannabis or passed medical cannabis laws, public perception that cannabis is a harmless substance is growing. But its long-term benefits and risks remain unclear, and research has revealed consistently that heavy long-term cannabis use can affect cognition in midlife.

Brain fog is tied to the severity of certain menopause symptoms, especially depression and sexual problems. Estrogen loss may be a factor, but cognitive issues aren't expected to linger. Women in menopause may worry dementia is the culprit, but Alzheimer's is rare at midlife. Strategies for coping with brain fog include staying calm, challenging the brain by changing routines, writing reminders, exercising, getting sufficient sleep, and avoiding multitasking.

People who struggle to remember names, details, or words during conversation are dealing with a phenomenon called "blocking," which is related to diminished memory recall. Addressing issues like stress, depression, an unhealthy diet, insomnia, lack of exercise, and prolonged isolation can improve recall. Otherwise, when blocking situations arise, people can try to incorporate cueing, a method that uses "hints" to help the brain better retrieve information.

Practicing self-forgiveness about a past wrongdoing is not easy, but it can have a range of health benefits. Studies have shown that self-forgiveness is associated with reduced guilt, shame, stress, depression, anxiety, and substance abuse, as well as greater self-esteem and life satisfaction. The process of self-forgiveness follows four Rs: responsibility, remorse, reorienting, and renewal.

The time pressures of primary care doctors make it unlikely that they will be able to give their patients tests of cognitive function. So how will the growing numbers of people at risk for Alzheimer's or another type of dementia be identified? A self-administered test is now available.

Brain fog, meaning slow or sluggish thinking, can occur under many different circumstances. In many cases, it is temporary and gets better on its own. Many people who have recovered from COVID-19 report some degree of brain fog and a study suggests even those with milder cases may experience problems with memory and attention.

High blood pressure not only can raise risk for a heart attack, but also can affect the brain. Keeping blood pressure normal can make brain injury from stroke less likely to happen and perhaps slow the natural decline in cognitive function. Just like with the heart, the best way to protect the brain from high blood pressure is to lower blood pressure if it's high and keep it as close to a normal level as possible.

The brain has an enormous power to learn, remember, and solve problems. Yet, like any aging body part, it can gradually slow, and people may find it harder to concentrate and stay focused. Following certain strategies can help prepare the brain for situations that require a high level of focus and improve overall brain health.

A large number of apps and computer programs claim to help keep the mind sharp and improve memory. Since there is limited evidence that these programs bring cognitive benefits, be skeptical of these claims and choose the ones that you enjoy. Meanwhile, practice proven brain-protecting strategies such as staying physically active, eating a healthy diet, socializing, and avoiding brain-harming habits such as drinking excess alcohol, getting too little sleep, and using illegal drugs.

The acronym SHIELD sums up the habits that may help ward off cognitive decline. SHIELD stands for sleeping at least seven hours per night, handling stress, interacting with friends, exercising daily, learning new things, and eating a healthy diet. Ideally, one should incorporate all of these healthy lifestyle habits into each day. If that feels overwhelming, doctors advise focusing on a different healthy habit per day, until it's possible to practice all of the habits every day.