Brain Fog: We All Get It Sooner or Later, But With Brain Injury, It’s REALLY Noticeable

Joyce Hoffman

Some of my best friends call it a “senior moment” when they forget, let’s say, the name of an actor or a specific date. Some others say it’s a “brain fart” when we lose the thread of a conversation. But more commonly, you zone out more often when you have a brain injury. And a stroke is one type of a brain injury in addition to other kinds of brain injuries, like a concussion or auto accidents or assault. 

So welcome to the world of brain fog.

Let me say fatigue is different from brain fog. With fatigue, you “need,” rather than “want,” a nap. You lie down in the afternoon for a couple of hours and wake up feeling sort of refreshed. Until you’re standing, you might wake up and feel that something interrupted your nap–the alarm, in my case. (I set the alarm if I feel fatigued just so I don’t sleep too much that will interfere with sleeping at night. I’ve discovered that two hours before 1pm won’t disrupt nighttime sleep. It’s trial and error for you until you get it right). 

But brain fog differs. Though it may have overlapping symptoms with fatigue, it’s more than just feeling tired. It’s when fuzzy thinking or the inability to feel sharp are present. You feel that you’re not yourself in that moment, and slow thinking, confusion, difficulty focusing, forgetfulness, or a haziness are also part of brain fog.

The top five things to do, if you have ruled out medications or other conditions that bring on brain fog, is to examine the following in your life:


The Center Disease Control (and recently added Prevention) says more than 35 percent of US adults are getting insufficient sleep which the CDC defines as less than 7 hours. The sad part is almost 12 percent of Americans are getting less than five hours a night. If you lie down and take a short nap, even a 15-minute power nap, you probably won’t compromise your sleeping at night. That’s what I do. Here’s what the rest of the country’s doing, sleep-wise.  

Map displaying model-based prevalence of short sleep duration (<7 hours), by county in the United States, 2014. Data sources for development of model included CDC’s Behavioral Risk Factor Surveillance System (2014), the U.S. Census (2010), and the American Community Survey (2010-2014). County short sleep prevalence estimates ranged from 24.3% to 48.5%.

And here’s something else that will guide you, coming from the National Sleep Foundation:

  • Newborns (0 – 3 months):  14 – 17 hours (with naps)
  • Infants (4 – 11 months):  12 – 15 hours (with naps)
  • Toddlers (1 – 2 years):  11 – 14 hours (with naps)
  • Preschoolers (3 – 5 years):  10 – 13 hours (with naps)
  • School-age (6 – 13 years):  9 – 11 hours
  • Teenagers (14 – 18 years):  8 – 10 hours
  • Young adults (18 – 25 years):  7 – 9 hours
  • Adults (26 – 64 years):  7 – 9 hours
  • Older adults (65+ years):  7 – 8 hour


I’m almost vegan now although my son tells me you’re either vegan or you’re not. He says this because I eat fish, too. Pescatarian works, too, meaning vegetarians who eat fish as well.

Anyway, I’ve gone plant-based, meaning nothing that has a pulse–plus fish which does. (I can see my son rolling his eyes as he reads this post). My standard diet consists of broccoli, any kind of fruit, quinoa, nuts, and fish. For more information, write to me– and I’ll give you my complete diet. I feel better now, with brain fog occurring very rarely, twice a year at most!


Harvard Medical School says, “Simple things, like a warm bath, listening to music, or spending time on a favorite hobby, can give you a much-needed break from the stressors in your life.”

The Chopra Center says, “Recognizing the triggers to your stressful reactions is an important first step in managing your stress. True, it might be impossible to remove life’s stresses, but understanding the things that stress you out—and in what ways—is particularly helpful in solving the underlying problems.” 

With brain injury, it’s not too difficult to assess. It comes with the territory. So what do I do? Listen to country videos really loud via a headset. Or take a hot shower. Aah.


If you don’t know what qualifies for a mindless activity, you can spend $6 and buy this book on Amazon. Mazes and coloring books and gardening are included. But you have to be a Prime member. If not, the book will cost you more.
The other option is free. Putting away dishes from the dishwashers, folding the laundry, playing a video game, practicing tying my shoelaces one-handed, or reorganizing all the overflowing stuff on my desk that I do is all mindless. No charge for borrowing from my list!

As Odelya Gertel Kraybill, Ph.D., says in Psychology Today, “Survivors need to reconnect to spontaneity since it’s essential to the experience of  joy.  A powerful strategy for this is what I call intentional mindlessness. When we engage in mindless action, whether playing sport or other games, dancing, drawing, hiking, singing or playing music, or any other activity that absorbs us in a fun and playful way, our spontaneity increases.”


The Mayo Clinic offers this list and sums up all the good elements about exercise:
  • It pumps up your endorphins, the brain’s feel-good neurotransmitters.
  • It’s meditation in motion. You’ll often find that you’ve forgotten the day’s irritations and concentrated only on your body’s movements.
  • It improves your mood. Regular exercise can increase self-confidence, it can relax you, and it can lower the symptoms associated with mild depression and anxiety [leading to brain fog]. Exercise can also improve your sleep.
The Mayo Clinic also reminds us that :
  • Do what you love. Virtually any form of exercise or movement can increase your fitness level while decreasing your stress. The most important thing is to pick an activity that you enjoy. Examples include walking, stair climbing, bicycling [I have a recumbant bike, thanks to my kids], yoga [there is armchair yoga, too, where you sit down while performing yoga], gardening, and swimming.
  • Pencil it in. Carving out some time to move every day helps you make your exercise program an ongoing priority.
So there you have it–five way to lessen brain fog, or eradicate it altogether. But you can’t pick and choose. Try all five for a month. What do you have to lose? Yeah. Nothing.