Hi Ahcole! You are not intruding at all. You brought up some very valid points. Adequate rest, nutrition, and managing stress can help everyone.

Cognitive issues for many of us MSers has a lot to do with the lesions in our brains and the location of the lesion. Additionally, at least for me, the issues come and go just like my other MS symptoms.

Fatigue is also a contributing factor. Our bodies and brains have to work harder in order to function. For me, the fatigue feels like I am coming down with a bad cold and all I want to do is lay down and go to sleep. This is a daily occurrence.

Pain certainly effects cognitive issues as well. When in pain it is harder for people to focus and concentrate. Once the pain is under control, things clear up.

Not all MSers get the neuropsych testing. However, there are advantages to having it done as there are ways to compensate for the issues we have, usually through a speech therapist.

I have to say that I got my results back and I am so, so pleased. Despite some impairments, I did well overall and have made some improvements since my initial testing in 2006. Somewhere along the line I have repaired, rewired, or have naturally learned to compensate for loses. For instance, my right hand (dominant) is severely impaired. I would have never known that as it functions fine. However, I definitely noticed it during the testing (dexterity). I have learned to compensate, unconsciously, and really have to work my brain to get things accomplished in my daily life.