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New diagnosis, new to group. Having a rough ugly cry day.

I have been very emotional, ugly crying today. Today is hard, others are not- those days I am "numb".

I am 41, married for 19 years, I have 5 kids ages 8, 10, 17, 18, 20. I have tested positive for PSEN1 which is one of 3 variants known to cause young onset Alzheimer’s. I have had cognitive symptoms since August 2023. I spoke with a genetic counselor 1 week ago. Because my specific variant is so rare (Ala409Thr) it is hard to know for certain my prognosis. Listed as "likely" pathogenic. At this time, they think it is either autosomal dominant, de novo (sporadic) young onset Alzheimer’s, or Logopenic primary progressive aphasia (LvPPA) which is also a form of Alzheimer’s.

To say this is devastating is an understatement. I am in an incredibly fragile state right now. For the past 1 year I have seen at least 8 specialists (had 3 brain MRI's, 2 spine MRI's, lumbar puncture testing for MS, loads of blood work, cardic 14 day monitor, EKG, vestibular VNG testing, audiology testing, functional EEG, neuropsychiatic testing for memory loss) to figure out why I have been having first language decline, memory decline, depth perception changes, vertigo etc. We ruled out MS, vestibular migraines, inner ear, sleep apnea, etc. I was also diagnosed with long covid that has resulted in ME/CFS (chronic fatigue syndrome) and POT (postural orthostatic tachycardic syndrome) but also based on my PSEN1 gene variant I now also have early onset Alzheimer’s.

I know the prognosis is not good and being young (41) increases my chances of a more rapid and aggressive decline. I am the primary earner and we are in a whirlwind of emotions. Still haven't told our kids yet and we know we have a lot to talk about and plan but it's so difficult to also "accept" this is our new reality.

It's hard to find a therapist that has any knowledge of this type of disease. I hate to only vent to my husband. I came here because it helps to be around people that understand what I am going through and read their stories. It is hard not to wallow in my depression, but I know I need to get outside, absorb some sunshine and start eating better. I hope to take much overdue family trips, take photos, make videos, write letters to my kids over the next few years.

Comments

  • Iris L.
    Iris L. Member Posts: 4,306
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    Welcome to our online support group, breenann. I'm sorry you have received this diagnosis and have this gene. Did anyone in your extended family have EOAD?

    There are a lot of steps that you and your family will need to take. You can speak with a Care Consultant from your local chapter of the Alzheimer's Association. She is a social worker with special expertise in caregiving and family dynamics. She may be able to refer you to local resources.

    Since you are working now, you may request some work accommodations. Go to askjan.org and search for accommodations for Alzheimer's Disease or MCI.

    If you believe you can no longer work, you can request short term leave of absence/ sick leave. During this time you can make application for Social Security Disability Insurance benefits, if you are eligible.

    There is a wealth of knowledge on these boards. Don't hesitate to post questions or concerns.

    Iris

  • EarlyAnnie
    EarlyAnnie Member Posts: 2
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    Hi--I'm 45 with a 24, 17, and 7 year old. I was diagnosed with early-onset Alz a week ago. Every day so far has been a rough, ugly-cry day for me too, I'm sorry. There is just so much to think about.

    I haven't decided whether or not to do the genetic testing but went through a slew of similar "rule everything out" testing...even my neuro (my third) didn't think it could be Alzheimer's until they got a new MRI and did the APOE genotyping...I had an amyloid PET a few weeks ago that lit up and that was that.

    Just wanted to say that I'm in the same kind of headspace and you aren't alone--hopefully we can find the right kind of support to help us navigate the challenges we'll face. We just have to fight as hard as we can <3
  • Iris L.
    Iris L. Member Posts: 4,306
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    Welcome to this online support group, Annie. I'm sorry you have received that diagnosis. I'm glad you wrote that you had extensive testing, because there are many dementia mimics. I am familiar with the Amyvid PET.

    You will have a lot of decisions to make. There is a wealth of information on the message boards and on alz.org. You can also contact your local chapter and ask to speak with the Early Stage Coordinator or with a Care Consultant for personalized support. Call the Helpline at 1-800-272-3900; a Care Consultant is available 24/7, and there is no charge for this telephone consultation.

    I wrote a thread for PWDs who are still working, you might want to look at that.

    Iris

  • breenann
    breenann Member Posts: 4
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    I am so sorry you can relate. This is my devestating reality and I am sad, mad, and at the moment ANGRY! I am tried of my family saying "I'll pray for you" This isn't something they can "pray away". I just want to scream at times! It is validating knowing I was right all this time that something was wrong- Not that I wanted it to be this. On my journey to diagnosis there was so many providers "medical gaslighting" me and and be telling me "you're to young" and "You're just anxious"! Ugh. One of my current frustration is that what we have is so rare it is difficult to find age appropriate support for myself and my spouse. We are in the prime of our lives and raising kids, finally getting to a place we can start to enjoy the fruits of our labors. I want to go see the world with my kids and make memories before I don't remember anything but alas money dictate everything.

  • breenann
    breenann Member Posts: 4
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    I tried that hotline but I gave up after waiting for a long time before anyone took my call. Can you tell me if Utah has any young/early onset alzheimers support groups for the person and their spouse?

  • Iris L.
    Iris L. Member Posts: 4,306
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    Breenann, I called the Helpline for you and yes indeed, there was a long wait before I spoke with someone. She wanted to know your zip code in Utah, of course I didn't know, so I asked her to check fir an early onset support group in Salt Lake City. There was none that she could find. I have a few suggestions for you.

    You will naturally want to find others like yourself. When I thought I had AD, I read a lot about people with terminal illnesses, of all ages. I discovered they mostly wanted to keep to their usual routines and to spend time with their loved ones.

    I suggest you call the Helpline again, as often as necessary, and ask for what you want. Don't give up. The Care Consultant can be of great help and a great resource.

    Have you heard of the DIAN study? They might be able to enable you to meet others like yourself.

    There is a wealth of information on these boards. Ask your questions here and on the Caregiver boards.

    You might ask around for a counselor who works with people with serious illnesses.

    If you have more questions, please post.

    Iris

  • Janutt
    Janutt Member Posts: 130
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    Hello,

    i am so sorry for you both be going through this at your 40’s. I was diagnosed at 55 years old but, I am the 3-4 generation to have this monster of a disease. My spouse, and children (5) of them have been my biggest support. My family members didn’t believe me and would call me a liar. I had to stop telling them or communicating with them. I do have to say I like the term “ medical gas lighting” I went through a similar situation as you. They told me that I had functional neurological disorder, functional overlay, and that I was faking this. Then when I was officially diagnosed by the same neurologist she said to me that she’s going to "snap me out of it” as well as that there is no treatment for Alzheimer’s

    So don’t give up!! Your battle has just begun. You’re stronger than you think.

  • EarlyAnnie
    EarlyAnnie Member Posts: 2
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    I feel that in my bones…I lost 2 precious years trying to get someone to listen to me. After my diagnosis appointment we were leaving the room, I told my neuro "I hope this is the worst thing you had to do today, but I want you to know how much it means to us that you listened to me." I had a call with the local chapter of the alz association and she was pretty much stumped…she's supposed to be doing some "research" for me to find some online support groups as the only one for EO in my entire state is 3 hours away, but I haven't heard from her in two weeks. Told my dad and he's "praying for me" and reminds me to be grateful for everything I DO have. Told him that I understand it's coming from a place of love but right now I'm having a whole lot of trouble pulling something positive out of this.

    I took off half a day yesterday to lay on the couch and cry.

  • JennyV
    JennyV Member Posts: 5
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    I am so sorry for all of you dealing with this diagnosis at such a young age. My heart breaks for all of you! 💔

    My husband (55 years old,) who is & has been extremely healthy, eating, exercising, very intelligent his whole life!! He was just diagnosed with Young Onset Alzheimer’s. 😳💔

    It all started 4 years ago with severe depression out of nowhere to the point I had to have him hospitalized 4 times over the last 4 years. He also started losing his executive functions, had a lot of memory loss & was no longer able to work. He is now on SSDI. 😢. I suggest you use a lawyer that deals with SSDI and have them do all of the paperwork & submission for you. It is well worth its weight in Gold!! He was approved very quickly & received back payments as well.
    I completely feel your pain on the “Medical Gaslighting” as well. They misdiagnosed him & said it was “Pseudo- Dementia” and that he was having memory issues due to the depression. 4 years of hospitalizations, on & off all kinds of medications that didn’t work, even went thru 36 TMS Treatments 🤪 and no better off. It just didn’t make any sense to me so I kept pushing each Dr. & Neurologist, to dig deeper & I insisted that something else was going on. Finally we were referred to Mass General in Boston, MA & they did a lumbar puncture & PET Scan that both confirmed Alzheimer’s. 💔😢 He can still drive & able to do things (with help) so I am looking for a social community where he can go & feel like he is still doing something productive.
    I hope & pray you all get the help & support you need! ❤️🙏🏻❤️

  • Janutt
    Janutt Member Posts: 130
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    Hi jennyV,

    I did and I am still going to Mass General in Boston as well. I got my second opinion there through a behavioral neurologist. My previous one from another hospital neurologist was quite angry when she read the report of what he said. It took a year and a half before I was actually diagnosed. I was diagnosed after my first lumbar puncture but that neurologist disagreed while her fellow said I have dementia and there is no treatment for this. When the MGH doctor read the report he suggested that I go on Aricept to slow the progression. i did have another Lumber puncture about year after the first one. This results were not good confirming that I do indeed have EOA. I have had concussions the last 6 years or so. My issue still is that I feel like I am being stigmatized with this Functional overlay/Functional Neurological Disorder. Reason why is that I was falling down flights of stairs and hurting myself due to these falls. When I reached out to the neurologist i am seeing He reached out to another neurologist. I couldn’t walk right so it looked a little bizzare. I complained of my foot being painful. Again I was diagnosed with Functional overlay. I didn’t believe this so, we went to urgent care to find out ahy I have pain and trouble walking. Come to find out I have/had endochroma in my big toe. It was benign. I surgey to remove this. and I am walking better with a walking boot. So far no falls. I did bring up to why I was diagnosed with this again and my neurologist said because of my walk.. Ugh!!!!!! It’s like you have to fight in to what you believe is not real.

    Sorry for whining..

  • JennyV
    JennyV Member Posts: 5
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    edited September 19

    Hi Janutt!

    I am so sorry for all of your health struggles. You truly have to be your own advocate & literally keep pushing, and asking questions. We should not just accept what they tell us all the time, especially when you know in your heart that something is not right.
    I am not a fan of any of the medications they are prescribing. The side affects of most of them are unbelievable. We are very healthy and look for the most natural ways to eat & care for our bodies. My husband is super sensitive to any kind of medication. It took us years to find the 2 depressions meds he is on that his body will tolerate.

    I am glad to have found a community of people who understand the struggles of this disease. ❤️🥰❤️

  • Janutt
    Janutt Member Posts: 130
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    Hi JennyV,

    I and my family were the most advocates. I also had other medical people disagree with her too. When I was diagnosed with EOA I also suffered other major health issues. I was running at the time and rarely took any medication or vitamins. Until all this came to a bubble that bursted.

    I am glad that he was able to find the right medication to help him.

    You find amazing community of people on many of these boards

  • mrsvent93
    mrsvent93 Member Posts: 4
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    I was diagnosed with early/mild Alzheimer's. It has hit me so hard. I am 55. I have worked in health care for over 32 years as a Respiratory Therapist. They will not let me work anymore and I get it. I have done all the brain tests next step is the lumbar procedure. My friends and family have been very supportive. My husband has been helping me keep it together. I have been trying to keep myself busy. It helps that I have 2 (Bishon) dogs that keep me busy. I am taking 2 memory medication to help. I feel so lost with this.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
Read more