If you are an older adult experiencing instances of forgetfulness, you’re not alone. About 40% of people over age 65 experience memory impairment associated with aging. However, many seniors and their loved ones worry that memory lapses in later life could be indications of dementia or Alzheimer’s. While both result in memory issues, a large body of research shows that untreated anxiety is a common, and often reversible, cause of memory loss in older adults. 

If you notice forgetfulness and absentmindedness paired with symptoms of anxiety, your memory loss could be related to stress and anxiety. Identifying the root cause of memory issues is the first step toward relief, clearer thinking, and restored confidence.

Key Takeaways

• Anxiety can be a cause of memory loss in older adults.
• Diagnosis is key: anxiety-related memory problems can be reversed, while more serious cognitive functioning issues such as dementia progress over time.
• Therapy focused on reducing stress can significantly improve memory performance in anxious seniors.

How anxiety and memory loss are linked

Research shows that chronic anxiety elevates cortisol, a stress hormone that interferes with the hippocampus (the brain region responsible for learning and memory). In one study, seniors exhibiting more anxiety symptoms had worse memory performance. Anxiety-related memory in older adults can present as forgetfulness, difficulty recalling information, and issues with maintaining attention. 

How does anxiety affect memory?

Anxiety can have an effect on memory through biological stress responses and cognitive overload, both of which put survival instincts on high alert, making it more difficult to access memories.

Biological stress responses are physical reactions to perceived threat or danger, driven by stress hormones such as cortisol and adrenaline, which temporarily shift the brain away from memory and learning functions.

Example:

• A senior worried about a medical procedure can experience a stress response that makes it harder to remember questions they planned to ask, even though their memory works fine in calmer moments.

Cognitive overload is a mental response to worry, fear, or mental demands that occupies the brain’s attention and working memory, decreasing the capacity to process and store new information.

Example:

• An older adult who is anxious about bad weather conditions may have difficulty responding in a conversation because their attention is already overloaded by worry.

Encoding issues vs memory loss 

Sometimes anxiety can cause trouble taking in and storing new information, also known as encoding. When this happens, it can be easy to think we (or they) are forgetting things, when in reality the information was never encoded in the first place due to distraction or worry. Ever forget where you parked your car or set your car keys? Usually, these are encoding problems caused by multitasking, high stress or poor focus–where you don’t end up retaining the information you want to recall later. 

On the other hand, true memory loss happens when a person cannot recall stored information. It’s often associated with aging, dementia, Alzheimer’s and anxiety, which all have an effect on memory storage and retrieval. Forgetting a familiar person’s name is an example of memory loss. If you are able to remember the name when prompted, it indicates a memory retrieval issue. Repeatedly asking the same questions, forgetting recently learned information, or forgetting familiar tasks can all be examples of memory loss.

False memory anxiety 

Intense anxiety can lead to something called false memory anxiety, where stress distorts memory recall or creates uncertainty about what actually happened. It is a form of obsessive compulsive disorder (OCD), and is specifically called false memory OCD. Typically the memories in question are negative in nature and surface persistently.

Signs of false memory anxiety:

• Development or worsening of obsession, anxiety, and distress stemming from the perceived memories
• Engaging in rituals or compulsions to alleviate feelings of guilt or uncertainty
• Constant mental review of the past event
• Obsessive investigation of different aspects related to the memory in question
• Seeking constant reassurance from others to disprove or validate the memory

If you or a loved one are experiencing these signs, there is help available. Talk with your doctor or a mental health professional for guidance.

Anxiety vs. Dementia: Knowing the difference

• Dementia is a slow, progressive decline in memory, thinking, and reasoning that interferes with daily life.
• Alzheimer's disease, the most common form of dementia, typically begins with short-term memory loss, and worsens over time.
• Anxiety-related memory loss is caused by intense worry and high stress that impair concentration and focus, and memory can be restored with treatment.

Dementia directly affects cognition over time resulting in memory loss that cannot be reversed. While anxiety impairs memory due to stress, which can be reversed with treatment. While anxiety and dementia can both affect memory, their symptoms in older adults differ.  

Symptoms of anxiety-related memory loss

Anxious seniors are typically distressed, worried, or embarrassed by memory lapses.

Examples of anxiety-related memory lapses in older adults:

• “Going blank” during conversation
• Forgetting names or details under pressure
• Difficulty concentrating when stressed
• Can usually remember when prompted or when calmer

Symptoms of memory loss from dementia

Individuals with dementia may be unaware of memory deficits or show limited concern due to progressive cognitive decline. And, unlike anxiety-induced memory loss, symptoms of dementia significantly interfere with daily life.

Memory lapses due to dementia can look like:

• Getting lost in familiar places
• Difficulty remembering routine tasks
• Confusion with time, setting, people and communication
• A consistent decline in memory over time

Every individual is different when it comes to symptoms and causes of memory loss. A professional evaluation is essential to determine a proper diagnosis and a pathway forward.

Can memory loss from anxiety be reversed?

Anxiety-induced memory problems in seniors are reversible. Since the main reason for memory impairment in these individuals comes from stress associated with anxiety, memory performance improves when the stress is treated. 

For the best possible outcomes regarding memory functioning, it’s important that seniors treat anxiety early (whether or not it’s accompanied by symptoms of memory loss), and also rule out any other possible underlying causes.

Seek treatment for anxiety early on

The reason why it’s so important to treat anxiety early, even when symptoms of memory loss are not present, is because chronic anxiety has been linked to an increased chance of developing dementia later in life. While scientists don’t fully understand why this is the case, we do know that anxiety is the most prevalent mental health issue in the world and it is significantly undertreated, with only 1 in 4 people receiving help. If you or a loved one is experiencing anxiety, it’s important to seek treatment regardless of any associated memory loss symptoms. 

Rule out memory loss due to cognitive decline 

If you’re experiencing anxiety and frequent memory lapses, it’s good idea to rule out other forms of cognitive decline. Seniors who experience mild cognitive impairment (MCI) have a greater risk of developing dementia. MCI consists of more frequent lapses in memory, and although it carries a greater risk of dementia, it does not mean that an individual will develop dementia. In many cases, MCI can improve with treatment. 

Reversing anxiety-induced memory loss 

When it comes to anxiety-related memory problems, early diagnosis and intervention is key to reducing anxiety symptoms and improving memory functioning. Talking with a mental health professional is a crucial first step to receiving treatment to reduce stress. 

Memory improvement linked to stress reduction in seniors can look like:

• Better attention and mental clarity
• Reduced moments of “brain fog” or “blanking out”
• Improved short-term memory such as remembering a shopping list, or a name after hearing it

Practical ways to support an anxious senior with memory issues

If an older loved one is struggling to remember things it can be tempting to want to help jog their memory by asking additional questions or offering hints in hopes that they’ll remember. But the support strategies that work best focus on reducing pressure instead of testing memory performance. Here are some tips to create a stress-free environment for an anxious senior experiencing memory issues:

• Supportive communication: Instead of testing their memory or correcting them, offer cues and reassurance.
• Reduce tension: Encourage your loved one to take a break when they appear stressed during a memory lapse.
• Grounding techniques: Practice slow breathing or mindfulness exercises together.
• Simplified routine and structure: Create predictable schedules to reduce anxiety and narrow down choices to make decisions easier for your loved one.
• Social engagement: Plan time with others as social connection protects against anxiety and cognitive decline.

In addition to implementing these tips, encourage your loved one to seek treatment for anxiety-related memory issues. 

How therapy helps with anxiety-induced memory loss

Mental health professionals can address the symptoms of anxiety that interfere with memory performance. It can be helpful to view therapy as a way to reduce stress and free up the mind in order to strengthen memory. The most common treatment methods involve cognitive behavioral therapy (CBT) and types of talk therapy. 

CBT for anxiety and memory loss

CBT improves stress and helps seniors reduce cycles of negative thoughts and behaviors that can contribute to memory issues. CBT techniques linked to memory improvement include:

• Thought reframing reduces stressful rumination that can impair memory.
• Positive behaviors help promote structure, routine, and restored confidence.
• Mindfulness habits reduce worry and free up the mind to store and retrieve information. 

Talk therapy to treat anxiety-related memory issues

Talk therapy (aka psychotherapy) provides a safe, nonjudgmental space for seniors to process worry, losses, and life transitions that commonly accompany anxiety in later life. Talk therapy can help improve memory through:

• Emotional expression which reduces the mental load and cognitive strain that affect memory.
• Reducing stress, which is shown to improve sleep, which in turn supports memory function.
• Increased emotional regulation, which enhances focus and mental clarity.

CBT and other types of talk therapy can improve emotional regulation and enhance confidence, which can help reduce stress on the body and brain, enhancing memory performance. 

How Sailor Health can help anxious seniors with memory loss

If you’re experiencing memory issues stemming from anxiety and emotional distress, Sailor Health can help. 

Our focus is a stress-free environment with affordable access to care:

• Seniors are connected with therapists experienced in anxiety, aging, and coping with the stress of life transitions that are common in older age. 
• Mental health therapy is available via phone call or Zoom call, helping reduce barriers from mobility challenges or an aversion to clinical settings.
• Sailor Health helps seniors make mental health therapy affordable because all of our providers accept Medicare (in fact, most of our Medicare patients pay $0 out of pocket).

Getting started is easy - we’ll check your insurance coverage and help match you with the right therapist. Therapy can begin as soon as 24 hours after!

FAQ

Does depression cause memory loss in the elderly?

Yes. Depression can contribute to memory issues in older adults, a pattern called depressive cognitive disorders or pseudodementia. Research shows depression can slow thinking, reduce attention, and impair recall, even though the brain itself is not cognitively impaired. Cognitive symptoms associated with depression often improve when depression is treated with therapy, medication, or both. 

Can anxiety cause permanent memory loss in seniors?

In most cases, anxiety does not cause permanent memory loss. Anxiety can affect attention and memory by increasing stress hormones and mental overload, but these symptoms are typically reversible once anxiety is reduced through treatment. However, chronic anxiety has been linked to an increased chance of developing dementia later in life, so it is important to seek proper diagnosis and treatment. Early treatment for anxiety-related memory loss is key to recovery.

What are the first signs of anxiety in older adults?

Anxiety is underdiagnosed in older adults because many people mistake anxiety symptoms for normal aging. Once identified, anxiety is highly treatable.

References

1. Centers for Disease Control and Prevention. Social connectedness. https://www.cdc.gov/social-connectedness/about/index.html
2. Lupien, S. J., Maheu, F., Tu, M., Fiocco, A., & Schramek, T. E. (2007). The effects of stress and stress hormones on human cognition: Implications for the field of brain and cognition. Physiological Reviews, 87(3), 873–904. https://journals.physiology.org/doi/full/10.1152/physrev.00041.2006
3. McEwen, B. S., & Morrison, J. H. (2013). The brain on stress: Vulnerability and plasticity of the prefrontal cortex over the life course. Neuron, 79(1), 16–29. https://pmc.ncbi.nlm.nih.gov/articles/PMC3666829/
4. National Institute on Aging. (n.d.). What is mild cognitive impairment? https://www.nia.nih.gov/health/memory-loss-and-forgetfulness/what-mild-cognitive-impairment
5. Palmer, K., Di Iulio, F., Varsi, A. E., Gianni, W., Sancesario, G., Caltagirone, C., & Spalletta, G. (2010). Neuropsychiatric predictors of progression from amnestic mild cognitive impairment to Alzheimer’s disease. Journal of Neurology, Neurosurgery & Psychiatry, 81(9), 984–990. https://pmc.ncbi.nlm.nih.gov/articles/PMC1123445/
6. Santabárbara, J., Lipnicki, D. M., Olaya, B., Villagrasa, B., Bueno-Notivol, J., Nuez, L., & López-Antón, R. (2020). Does anxiety increase the risk of all-cause dementia? An updated meta-analysis of prospective cohort studies. Journal of Clinical Medicine, 9(6), 1791. https://pmc.ncbi.nlm.nih.gov/articles/PMC7355582/
7. Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., … Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans. American Journal of Public Health, 110(7), 1004–1012. https://pmc.ncbi.nlm.nih.gov/articles/PMC7689328/
8. Schweizer, S., Hampshire, A., & Dalgleish, T. (2011). Extending brain-training to the affective domain: Increasing cognitive and affective executive control through emotional working memory training. PLoS ONE, 6(9), e24372. https://pmc.ncbi.nlm.nih.gov/articles/PMC4651462/
9. Sheline, Y. I., Price, J. L., Yan, Z., & Mintun, M. A. (2010). Resting-state functional MRI in depression unmasks increased connectivity between networks via the dorsal nexus. Proceedings of the National Academy of Sciences, 107(24), 11020–11025. https://pmc.ncbi.nlm.nih.gov/articles/PMC4122583/
10. Therrien, Z., & Hunsley, J. (2018). Assessment of anxiety in older adults: A systematic review of commonly used measures. Aging & Mental Health, 22(3), 297–314. https://pmc.ncbi.nlm.nih.gov/articles/PMC5827953/
11. Tsapanou, A., Gu, Y., O’Shea, D., Yannakoulia, M., Kosmidis, M., Dardiotis, E., … Scarmeas, N. (2018). Anxiety and depressive symptoms in mild cognitive impairment: The role of subjective cognitive complaints. International Journal of Geriatric Psychiatry, 33(6), 867–874. https://pmc.ncbi.nlm.nih.gov/articles/PMC9069705/
12. World Health Organization. Anxiety disorders. https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders
13. Zhong, B. L., Chen, S. L., & Conwell, Y. (2016). Effects of transient versus chronic loneliness on cognitive function in older adults. International Psychogeriatrics, 28(5), 843–853. https://pmc.ncbi.nlm.nih.gov/articles/PMC8370471/