Brain FogMy mind often feels detached and slow, especially early in the day. Thoughts will feel muddy and I will lack the ability to deliberately think, which makes it much harder to be productive and do moderate-high level mental work.

Often feel “underwater”, disconnected from surroundings in a somewhat dazed dreamlike state. I’ll walk into a room to get something and forget why I’m there. When it’s really bad I sometimes feel like there is a processing delay between looking at something and assessing it. I also have some degree of ADHD (have not taken anything for it since being on adderall in high school). My memory also feels weak.

Maybe once every 2-4 weeks, I’ll have a day where I’m very sharp and I remember what it’s like to have clarity. It’s a feeling that my mind is both sticky (like glue when trying to access) and slippery (like crisco, when trying to retain).

For a while I would use 200mg of Ginseng for a kick (was great for low key productivity) but it stopped helping. I currently don’t have any reliable way to feel clarity.
Sleep IssuesMy sleep is often light and restless troubled and only lowers my fatigue maybe 10-15%.

It seems like my mind thrashes against my attempts to form routines. I can go from falling asleep 12 midnight naturally to other nights not being able to calm down until 3AM (some days my mind unfortunately only wakes up very late at night, and in excitement I ride the wave as long as I can).

I’ve taken melatonin, CBD oil and klonapin to help with this. I’ve also taken sleep studies which showed no evidence of apnea. Tracking my sleep with apps, it revealed a good amount of REM sleep. In addition, it doesn’t seem like sleep has a strong correlation on feeling energetic and sharp (though lack of it can make the baseline worse) which is why I place it downstream from other things on the list.

I often wake up in the morning, and after naps feeling anxious and bewildered.
Anhedonia/DepressionI’ve experienced a persistent mild depression (dysthymia) for over 10 years.

There is often a feeling of “gravity” in my face, and/or a sensation like a vacuum cleaner is sucking the vitality out my insides. Anhedonia is a word I’ve seen around, and it definitely seems like joy and enjoyment even of “sure things'' such as playing guitar are weaker than they used to be in my early 20s.

Things have not been great overall since my early 20s. I place this last because I see happiness as a chemical byproduct of the feedback loop between better circumstances and ability to use my brain as intended. When I have energy and am productive, I’ve seen my mood jump 1+ points, making me wonder how much of it is feeling trapped in my circumstances and “not myself”.

I took SSRI’s throughout highschool, and in short bursts afterwards but haven’t seen anything good come of it.
AnxietyI’m often mildly to moderately anxious. Lately worst in mornings. It manifests as a strong heartbeat, racing thoughts. It doesn't have any perceptible trigger, but seems to get worse when exerting myself against the brain fog and fatigue.

It’s not new but has gotten worse in recent months, before which depression/fatigue seemed the bigger issue. While it’s never full blown panic, I’ll feel a rapid, intense heartbeat. The effect ranges from making me feel irritable and “darty” like a chased animal to just making it hard to concentrate.

I take a low dose of klonapin (0.25 to 0.5mg) 1-2x a week (mostly to sleep) and other than that usually take 100-200mg of L-Theanine. Occasionally I’ll take Lavender. These all help take the edge off but make me feel tired/dopey. Nights tend to be better.

I suspect that the anxiety is downstream from brain fog, as when I’m unable to think straight I feel out of control like a stationary bug about to be squashed.
FatigueI’m tired alot, and many days I feel like there is a vacuum cleaner inside of me sucking up any energy. I also get tired easily following meals or exertion.

I need naps most days to function and they often don’t help that much. It sometimes seems like there is a lingering fatigue even good sleep doesn’t correct. Granted I haven't been getting much exercise, but when working out lifting heavy weights 3X a week between June and December 2019 I saw no substantial difference to energy or mood.

I’ve also not seen a strong correlation between energy and sleep or diet (unrestricted, eat a mix. Haven’t experimented here in a while). I’m not a big caffeine user as I’ve found the dose it takes to make me energetic also makes me jittery. I was taking an energy combo supplement that used to help with fatigue, but I’m trying to not be reliant on stimulants unless I need an usually sized burst of energy.
Sleep Issues My sleep is often light and restless troubled and only lowers my fatigue maybe 10-15%.

It seems like my mind thrashes against my attempts to form routines. I can go from falling asleep 12 midnight naturally to other nights not being able to calm down until 3AM (some days my mind unfortunately only wakes up very late at night, and in excitement I ride the wave as long as I can).

I’ve taken melatonin, CBD oil and klonapin to help with this. I’ve also taken sleep studies which showed no evidence of apnea. Tracking my sleep with apps, it revealed a good amount of REM sleep. In addition, it doesn’t seem like sleep has a strong correlation on feeling energetic and sharp (though lack of it can make the baseline worse) which is why I place it downstream from other things on the list.

I often wake up in the morning, and after naps feeling anxious and bewildered.
Anhedonia/Depression I’ve experienced a persistent mild depression (dysthymia) for over 10 years.

There is often a feeling of “gravity” in my face, and/or a sensation like a vacuum cleaner is sucking the vitality out my insides. Anhedonia is a word I’ve seen around, and it definitely seems like joy and enjoyment even of “sure things'' such as playing guitar are weaker than they used to be in my early 20s.

Things have not been great overall since my early 20s. I place this last because I see happiness as a chemical byproduct of the feedback loop between better circumstances and ability to use my brain as intended. When I have energy and am productive, I’ve seen my mood jump 1+ points, making me wonder how much of it is feeling trapped in my circumstances and “not myself”.

I took SSRI’s throughout highschool, and in short bursts afterwards but haven’t seen anything good come of it.
Anxiety I’m often mildly to moderately anxious. Lately worst in mornings. It manifests as a strong heartbeat, racing thoughts. It doesn't have any perceptible trigger, but seems to get worse when exerting myself against the brain fog and fatigue.

It’s not new but has gotten worse in recent months, before which depression/fatigue seemed the bigger issue. While it’s never full blown panic, I’ll feel a rapid, intense heartbeat. The effect ranges from making me feel irritable and “darty” like a chased animal to just making it hard to concentrate.

I take a low dose of klonapin (0.25 to 0.5mg) 1-2x a week (mostly to sleep) and other than that usually take 100-200mg of L-Theanine. Occasionally I’ll take Lavender. These all help take the edge off but make me feel tired/dopey. Nights tend to be better.

I suspect that the anxiety is downstream from brain fog, as when I’m unable to think straight I feel out of control like a stationary bug about to be squashed.
My COVID ExperienceIt involved about 5 days of fever, extremely low energy and I didn't feel alright for 2 weeks, 'normal' for 3-4. I still get some sensations in my upper nasal cavity I didn't have before it. If I hadn't had variations of fatigue and brain fog before getting it, I would be more on board with the 'long COVID' explanation. But it's possible COVID made something pre-existing worse.