Ever have that thought? “I must be losing my mind because I can’t remember where I parked my car or set my iPhone, your name—although I recognize your face—an address, a birthday, a password, a set of numbers, what I was looking for, etc.” Many aging lawyers have—including me. Are we really losing it, or is it just another “senior moment” that is part of the natural aging process? And in either case, what can we do about it? I want to talk about maintaining and improving cognitive abilities as we senior lawyers age. But first, my disclaimer: I am not a medical doctor or trained health care professional in neurology, brain diseases and their diagnoses; the natural aging process; or treatments and prevention of cognitive impairment. I am a senior lawyer who is aging and has an interest in the subject matter because my brain is an indispensable component of successful lawyering. Keeping my brain healthy has been and continues to be very important to me, as I suspect it is to all senior lawyers. If you have real concerns about your memory “episodes,” for example, if they interfere with your practice of law or other routine daily activities, you should consult your physician or other health care team members to evaluate your condition and follow their recommendations. For those senior lawyers who have suffered a brain injury or have been diagnosed with dementia, continue working with your health care team to establish and follow a proper treatment program. This article is not intended to address any of these situations, although an article on mild cognitive impairment published by the Cleveland Clinic identifies steps discussed below as ones that can help keep your brain healthy and reduce the risk of suffering MCI. Because I am not a medical doctor or a trained health care professional, I consulted some of the many authoritative articles that are readily available on the subject of brain health, which is defined in a National Institute on Aging article to mean “how well a person’s brain functions across several areas,” one of which is cognitive health or “how well you think, learn and remember.” There seems to be widespread agreement on a number of steps that we can take to maintain, regain and improve our cognitive abilities and our brain’s functioning.
Stay mentally active Engage in regular challenging mental activity to help maintain brain cell health and stimulate communication among them. Challenging mental activity is commonplace for lawyers. In fact, I have joked with colleagues that the legal matter seemed easy so I must have missed something. The practice of law is challenging and seems to be ever evolving in its breadth and complexity. There are new clients to engage and learn their business or legal needs; new laws or regulations to read, digest and apply; new cases to read to stay current in my areas of practice; new articles to write; new attorneys to train; new technology to master; new programs to plan; and the list continues. For me, one of the attractions to practicing law was the lifelong learning that it offered. I found that to be true and have transitioned my practice areas multiple times in my career. I seek variety in my practice in order to stay engaged. So far, I have not been disappointed. If you are no longer actively practicing law, then learning new skills will contribute to healthy cognitive functioning as we age, such as playing the guitar or painting, volunteering to help build houses with Habitat for Humanity, mentoring disadvantaged children or adults, reading a new genre of books, playing card games, assembling jigsaw puzzles, or pursuing other creative activities in which you have an interest. One of the articles suggests that the best new activity is one that is challenging, complex and requires constant practice.
Manage stress Without question, the practice of law is stressful, and adding issues with cognitive ability into the mix compounds the stress. Learning ways that work for a lawyer to manage stress is important at all stages of a lawyer’s career. It does not start when the lawyer becomes a senior lawyer. If you are no longer actively practicing law, then you have removed a significant stress factor, but perhaps you have encountered new ones. There exists many readily available books, articles and recommendations for managing stress that you can review and find what is best for your personal situation. To help manage stress related to cognition issues, select and practice the steps discussed in this article that you find work for you.
Exercise regularly Regular exercise not only helps with stress management, something that is good for our brain in and of itself, but it also helps with other factors that can affect cognitive functioning, such as high blood pressure, cholesterol levels, blood sugar, weight and cardiovascular issues. Physical activity also helps us sleep better and reduces risks of depression and anxiety. The type of exercise can vary depending upon your physical health, and consulting your physician before undertaking a new exercise regimen is a standard recommendation for those who have underlying health issues or have not previously exercised regularly. The key is to get moving or keep moving, and if it happens to involve learning a new skill, like pickleball or swimming, there is a mental challenge component that helps improve brain functioning too. The brain needs to be challenged repetitively by complex activity that requires it to work.
Sleep Sleep enables the brain to “reboot,” that is, to consolidate and store memories effectively. The best sleep is seven to eight consecutive hours, as opposed to two- to three-hour intervals. But the amount of sleep needed varies with age. You may need to consult your health care team to rule out sleep apnea or other potential causes for sleep interferences.
Diet Pay attention to your diet. Eating the right foods, such as those in a Mediterranean style diet of fruits, vegetables, fish, nuts, unsaturated oils (i.e., olive oil) and plant sources of protein not only helps your physical health but also helps improve your brain health.
Social connections Social connections are important to stimulate your brain. According to the NIA article, “People who engage in personally meaningful and productive activities with others tend to live longer, boost their mood and have a sense of purpose.” One way to stay connected is by volunteering to serve on an ABA Senior Lawyers Division committee that is tasked with something meaningful to you.
Protection As we age, the risk of falls tends to increase, and our balance may not be as good as before. It is important to protect against physical injury to our brains. If you are experiencing balance issues or have issues with falls, consult your physician or health care team to determine the cause, and then develop and follow a care plan with them. In addition, there are programs available to help you with these issues.
Stop tobacco use If you smoke or chew, stop. For help quitting, you can call 800-QUIT-NOW (800-784-8669), or access the Centers for Disease Control and Prevention’s resources on quitting smoking.
Alcohol in moderation If you consume alcohol, do so in moderation. If you are addicted, seek help. The ABA maintains a directory of lawyer assistance programs by state, which you can access here.
While we cannot completely eliminate the effects of aging on our cognitive health, we can take steps to reduce its impact. Editor’s Note: This column originally ran in the ABA Senior Lawyers Division publication Voice of Experience in December 2023. Rod Kubat is a shareholder in the Des Moines, Iowa, office of Nyemaster Goode, where he represents closely held, privately owned companies…