Long dramatized in movies and novels, amnesia refers to a profound loss of memory that’s temporary, permanent, or progressive (gets worse over time).
Depending on the type and cause of amnesia, the condition can affect your ability to recall information or past experiences or even form new memories and learn new skills, significantly impacting your independence and quality of life. In many cases, amnesia resolves on its own, and treatment usually focuses on addressing the underlying cause of the memory loss.
There are two broad categories of amnesia: retrograde and anterograde amnesia.
If you have retrograde amnesia, you’ll be unable to recall some past events and information before some causative event or specific point in time. Often, retrograde amnesia affects more recent memories — you may not be able to remember what happened in the last few months or years, but you can remember what your childhood was like.
Comparatively, anterograde amnesia would make it difficult for you to form new memories after the causative event, but you can remember what happened before that point in time.
These two types of amnesia are not mutually exclusive, and you can experience being unable to remember past events while also struggling to form new memories.
There are also other, more specific types of amnesia, including:
Transient global amnesia: A sudden episode of memory loss that typically lasts for a few hours to a day. This type of memory loss primarily affects middle-aged and older individuals and involves both retrograde and anterograde amnesia.
Dissociative amnesia: Memory loss caused by psychological trauma or stress, rather than a physical cause. It is part of a group of conditions called dissociative disorders, which involve a loss of awareness of surroundings or self and includes dissociative identity disorder.
Post-traumatic amnesia: Temporary memory loss that develops after an injury, such as head trauma, making it difficult to form new memories and recall events that directly preceded or followed the event. How long it lasts is indicative of the severity of the brain injury.
Infantile amnesia: The natural inability to recall early childhood memories (typically the first two to three years of our lives). Infantile amnesia can also be thought of as the beginning or onset of memory.
The signs and symptoms of amnesia differ depending on the type you have, and they include:
Difficulty recalling past events or personal details
Inability to form new memories
Forgetting upcoming events
Trouble recognizing faces
Confusion or disorientation
Repeating questions or statements
Confabulation, or the subconscious invention of false memories to fill in gaps
Some forms of amnesia, such as dissociative and post-traumatic amnesia, stem from psychological trauma or severe stress. More often, however, amnesia results from issues that can directly damage the brain, including:
Chronic alcohol abuse, which causes a deficiency in thiamin (vitamin B1), resulting in Wernicke-Korsakoff syndrome, a condition affecting brain functioning and memory
Certain drugs, such as heroin, barbiturates (depressant drugs sometimes used to treat epilepsy and seizures), and sedatives
There is no single cure that can return your memory to normal if you have amnesia. Usually, your memory will return over time, in minutes to years, depending on the cause of memory loss. Treatment generally focuses on symptom management and correcting the underlying cause of the memory loss, such as by:
Creating a safe, supportive environment to recover from psychological triggers and stress
If a person is experiencing dementia-related amnesia, there is no cure for the underlying illness. But medications that support learning and memory, including donepezil, galantamine, and rivastigmine, may help.
Other therapies may help you retrieve lost memories, cope with memory loss, or improve memory and cognitive function, such as:
Occupational therapy to learn new information or skills to replace what you lost and also strengthen memory and cognitive abilities
Cognitive behavioral therapy to help you deal with psychological distress, manage stress, and improve your well-being (CBT is especially helpful for dissociative amnesia cases)
Cognitive rehabilitation to improve memory, attention, problem-solving skills, and organizational skills
While there’s no surefire way to prevent amnesia, you can take some steps to reduce your risks of psychological and neurological issues that may cause amnesia.
Protect yourself from head trauma, such as by using safety equipment in appropriate situations, for example a helmet while riding a bike and a seat belt while in the car.
Manage your cardiovascular health to prevent stroke.
Limit alcohol consumption.
Seek timely treatment for infections or illnesses, especially eye or ear infections, which could spread to your brain.
Reduce stress through mindfulness, therapy, and other modalities.
Stay mentally fit, such as by learning a new skill, reading, and doing puzzles.
Eat a balanced, nutritional diet.
Stay active and maintain a healthy weight for you.
Make sleep a priority.
Nurture your social relationships.
Review and potentially change your medications with your provider, especially if you take sedatives.
If you’ve experienced some form of amnesia, certain lifestyle changes can help you better navigate life and compensate for memory issues.
Keep a structured daily routine.
Use reminders, notes, or digital apps for memory support.
Engage in memory-enhancing activities like puzzles or reading.
Stay socially active to stimulate cognitive function.
Join support groups for people with memory loss or memory disorders.
Adopt a healthy lifestyle with respect to diet, physical activity, sleep, and stress management.
Keep your tasks as simple and straightforward as possible, breaking them down into smaller steps if necessary.
The duration of amnesia varies. Transient global amnesia resolves within hours, while retrograde or anterograde amnesia may persist for years. Recovery depends on the underlying cause, your overall health, and how you respond to treatment, with some individuals regaining memories over time and others experiencing permanent gaps. Memory loss is more likely to be permanent if it’s caused by something that can irreversibly damage the brain, such as Alzheimer’s disease.
Amnesia can significantly impact your quality of life and various aspects of it, including your:
Personal relationships
Employment
Mental health and risks for conditions like anxiety and depression
Independence
It’s difficult to determine how many people have amnesia given its various forms and many causes.
Notably, Alzheimer’s disease, a major cause of amnesia, affects an estimated 6.9 million Americans.
Research suggests transient global amnesia affects 3.4 to 10.4 people per 100,000 annually. It mostly affects older adults age 50 to 80 years.
Dissociative amnesia, on the other hand, occurs in 0.2 to 7 percent of the general population in the United States.
The Takeaway
Amnesia can result from various causes, including head trauma and psychological stress.
While there’s no specific treatment for amnesia itself, addressing underlying conditions like infections or managing risk factors such as alcohol abuse can aid recovery.
For some types of amnesia, memory may return naturally over time. When it doesn’t, approaches such as cognitive rehabilitation and occupational therapy can help to maintain daily functioning.