<s>[INST] I m only 45 and for the last 6 months I have noticed that when talking i can t find the word or i say the word wrong, or say the wrong word, I have written names of others and give them my name or completely use the wrong name. I get a throbbing or pulse in my ears when it is quite and vision has decreased rapid. so i just continue to say i am getting older [/INST] Hello, Welcome to Chat Doctor The symptoms like inability to recall names or forgetting names can occur normally due to mild anxiety also. The symptoms go with time. But these symptoms are causing significant distress and are resulting in impairment. You are compelled to write names on paper. Such symptoms should not be ignored. They could be due to initial stages of dementia. Mild dementia can present with forgetfulness in day to day tasks, word finding difficulties, loss of memory to names etc. symptoms. I would advise you to visit a Psychiatrist for evaluation. MUSE or mini mental status examination is a test used to find and grade level of cognitive impairment. Medicines like Donepezil, Semantic are used commonly for early stages of dementia. Engage your self in brain exercise tests like Sudoku or crossword. This will help to improve cognitive functions. Thanks hope this helps you. </s>