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Why I forget and can't concentrate

Tired woman at her desk, with her hand in her hair and a lost look in front of the laptop

You walk into the kitchen and can no longer remember what you came for. You read the same paragraph 3 times and still do not take in what it says, and the name of your new colleague slips away exactly when you need to say it. When this happens more and more often, the question comes by itself and it is always the same: is something wrong with my memory?

The answer has a reassuring side. Behind these states there are usually ordinary, fixable things, such as sleep, stress or a missing vitamin, not a brain disease. To find out which of them applies to you, though, you have to take them one at a time, and that is exactly what this article does. It goes through the causes one by one, says what studies show about each, and stops at the question that matters most, namely the point at which forgetting is no longer tiredness.

Ordinary forgetting and forgetting that gets in your way

Everyone forgets. You forget where you put your keys, the password to an account you open twice a year or what you ate last Tuesday, and that is the normal way memory works, since it is not made to keep everything.

What is worth watching is change. The problem starts when forgetting looks different from how it looked for you a year ago: you forget things you never used to forget, you lose the thread in the middle of a sentence, you reread messages to understand them, and at work you miss details that your colleagues notice before you do.

And one more thing worth knowing before the rest. An international group of researchers who have spent years studying the feeling that memory is declining published an analysis in The Lancet Neurology in 2020 showing that most people with this feeling do not go on to a progressive decline. A study of young adults published in 2025 went further and found that memory complaints were not linked to actual results on memory tests. They were linked to depressed mood.

This does not mean you are imagining it. It means the feeling is real, but its cause often lies somewhere other than in memory itself.

Sleep is the first thing to check

If you had to pick a single suspect, pick sleep. A meta-analysis published in Psychological Bulletin in 2010 brought together 70 studies on what happens to the mind after a sleepless night, and the biggest effect did not show up in reasoning. It showed up in simple attention, that is, in the ability to keep your mind on what you are doing.

Reasoning held up surprisingly well. Attention gave way first, with lapses and moments when you are simply not there, and working memory sat somewhere between the two.

Those studies measured 1 or 2 nights without sleep. Real life usually looks different, with 5 or 6 hours a night for months on end, and after a while tiredness becomes the background of your days and no longer seems like something to fix. If you sleep badly and forget often, the order is simple and it starts with sleep. A free sleep test shows you in a few minutes whether it is worth starting there.

Stress and anxiety take up room in memory

Working memory is the small space where you hold what you are doing right now, for example a code you got by text message until you type it in, or the idea you wanted to finish a sentence with. It is a small space, and worries get into it.

A meta-analysis published in 2016, covering 177 groups of participants and more than 22,000 people, found that anxiety consistently goes together with weaker working memory. The effect was largest in tasks where information has to be updated continuously, which is exactly the kind of effort an office day with 20 things open at once demands.

Stress that lasts for months adds something on top of that. A review published in Nature Reviews Neuroscience describes how long-term exposure to stress hormones affects the brain structures involved in memory and in regulating emotions, and the best known of these hormones is cortisol.

This is where a pattern many people recognise comes from. On holiday your memory works fine, and in the week of deadlines you no longer know where you put your phone, even though you are holding it. If you are not sure what you are feeling, ordinary stress or anxiety, the difference is explained in detail in the guide to anxiety and panic attacks.

When poor concentration is actually depression

Depression is known for sadness, but many people feel it first in their head, as a slowing down. Thoughts move heavily, a small decision takes a big effort, and the book you started stays on the same page for weeks.

A meta-analysis published in Psychological Medicine in 2014 compared people with and without depression and found clear difficulties with attention, memory and organisation in the first group. The surprising part is something else. In some of them the attention problems remained even after their mood recovered, and the authors concluded that cognitive difficulties are a core part of depression, not just an effect of sadness.

So it is worth asking yourself honestly how you have really been in recent weeks. Do the things you used to enjoy still bring you joy? Are you sleeping too much or too little, do you have an appetite, do you have energy in the morning? If the answers point you towards a heavy state that keeps going, depression is a serious lead, and forgetting may be the way it shows itself in you.

And if thoughts come up that there is no point any more, or thoughts of harming yourself, do not wait. Call 112 or go to the nearest emergency department, even in the middle of the night.

The ADHD nobody saw in childhood

There is one cause that differs from all the others in how far back it goes. ADHD does not appear at 35, because the diagnosis requires the signs to have been there since childhood, only in many adults nobody noticed it at the time.

The figures show how often this happens. A meta-analysis published in the Journal of Global Health in 2021 estimates that about 2.6% of adults have ADHD that started in childhood and carried on, and World Health Organization data, gathered from 20 national surveys, show that in adults the disorder is very rarely recognised and even more rarely treated. Many end up at the doctor for anxiety or depression, and the ADHD behind them stays unseen.

How can you tell whether it is worth thinking about? Look back at your school years. If homework got done at the last minute, things got lost often, and your mind wandered off in the middle of a lesson the same way it wanders off now in the middle of a meeting, the pattern is old and has nothing to do with this year's tiredness. We have written separately about what ADHD looks like in adulthood, in the article on ADHD in adults.

Causes that only show up in tests

A whole group of causes cannot be seen in the mirror, nor in the way you feel. They show up in blood tests, and some of them are fairly simple to correct once you have found them.

  • An underactive thyroid. A 2025 meta-analysis that brought together 85 studies found cognitive difficulties in about 29% of people with hypothyroidism, and their memory was weaker than that of people without the condition.
  • Low vitamin B12. The deficiency can affect memory and the nerves, and people who do not eat animal products are more exposed.
  • Low iron, even without anaemia. In young menstruating women with low iron stores, correcting the deficiency improved tiredness and short-term memory, according to a meta-analysis published in 2025. Attention did not change.
  • Perimenopause. The International Menopause Society points out that changes in memory and concentration in the years before menopause are common and that many women fear they are the start of a serious illness, so it recommends that doctors explain to them that it is a normal experience.
  • The traces left by COVID. A 2022 meta-analysis found cognitive difficulties in about 22% of people 12 weeks or more after infection.

This list is not meant for diagnosing yourself. It is the reason why, when forgetting has lasted a few weeks, the first stop is your GP, with a set of basic tests.

Your phone and divided attention

You have probably read that screens and multitasking damage your attention. The study that started the discussion was published in PNAS in 2009 and found that people who use many screens at once are more easily distracted by things unrelated to what they are doing.

The story got more complicated after that. When other researchers repeated the tests, the result held in only a few cases, and a 2017 meta-analysis found a weak link that disappears after correcting for small studies. A 2018 review leans towards the idea that the effect exists, but admits that nobody yet knows what is cause and what is effect.

So we cannot honestly say that your phone lowers your attention in the long run. You can, however, find out for yourself whether it matters in your case, with a simple one-week experiment, with notifications turned off during working hours. If you want to understand what happens in the brain with social media, we have written about it in the article on digital trauma.

When forgetting is no longer tiredness

Here are the signs at which there is no point waiting for it to pass on its own. None of them automatically means something serious, but each one means it is worth finding out what is going on.

  • Forgetfulness and poor concentration have lasted more than a month, without improving.
  • They affect your work, your studies or your relationships, and the people around you are starting to notice.
  • They are getting worse from one month to the next, instead of coming and going.
  • They come together with sadness, loss of pleasure or a restlessness that does not stop.
  • You had the same difficulties in childhood, at school.

There are also situations that are not for an appointment but for right now. Sudden confusion, slurred speech, weakness or numbness on one side of the body, a drooping mouth and a violent headache, unlike any you have had before, can be signs of a stroke and mean 112, immediately. And if you get lost on familiar routes, if your personality changes or if your forgetfulness worries the people close to you more than it worries you, the road leads to a neurologist, without delay.

For everything else the order is simple. Go to your GP first for tests. Once you have the results, the next step is a psychiatrist, a neurologist or an assessment of how your brain works.

What an assessment at the BrainMap Institute can show

An assessment at the BrainMap Institute starts from a map of the brain's electrical activity, that is, a quantitative EEG recording, read together with your history and the questionnaires. It does not replace blood tests or a consultation with a neurologist, and if anything you tell us calls for one of them, we tell you so before anything else.

Where it helps is with the order of the pieces. When you have poor sleep, anxiety and concentration that has gone all at once, it is hard to say what is pulling on what, and the map, placed next to the conversation, shows us more clearly where it is worth starting. That is also the idea behind the assessment for brain fog and concentration.

If the assessment shows that it makes sense, the next step can be a brain training programme, built on what was measured and on what gets in your way in daily life. We set the target and the pace together, based on the map.

References

  • Lim, J., Dinges, D. F. A meta-analysis of the impact of short-term sleep deprivation on cognitive variables. Psychological Bulletin, 2010. [online] Available at: pubmed.ncbi.nlm.nih.gov/20438143.
  • Moran, T. P. Anxiety and working memory capacity: A meta-analysis and narrative review. Psychological Bulletin, 2016. [online] Available at: pubmed.ncbi.nlm.nih.gov/26963369.
  • Lupien, S. J., McEwen, B. S., Gunnar, M. R., Heim, C. Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nature Reviews Neuroscience, 2009. [online] Available at: pubmed.ncbi.nlm.nih.gov/19401723.
  • Rock, P. L., Roiser, J. P., Riedel, W. J., Blackwell, A. D. Cognitive impairment in depression: a systematic review and meta-analysis. Psychological Medicine, 2014. [online] Available at: pubmed.ncbi.nlm.nih.gov/24168753.
  • Song, P., Zha, M., Yang, Q. et al. The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis. Journal of Global Health, 2021. [online] Available at: pubmed.ncbi.nlm.nih.gov/33692893.
  • Fayyad, J., Sampson, N. A., Hwang, I. et al. The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys. Attention Deficit and Hyperactivity Disorders, 2017. [online] Available at: pubmed.ncbi.nlm.nih.gov/27866355.
  • Pankowski, D., Wytrychiewicz-Pankowska, K. Prevalence, hormonal correlates, severity, and neural basis of neurocognitive impairment in patients with hypothyroidism: Systematic review and meta-analyses. Alzheimer's & Dementia, 2025. [online] Available at: pubmed.ncbi.nlm.nih.gov/41298253.
  • Stabler, S. P. Clinical practice. Vitamin B12 deficiency. New England Journal of Medicine, 2013. [online] Available at: pubmed.ncbi.nlm.nih.gov/23301732.
  • Fiani, D., Chahine, S., Zaboube, M. et al. Psychiatric and cognitive outcomes of iron supplementation in non-anemic children, adolescents, and menstruating adults: A meta-analysis and systematic review. Neuroscience & Biobehavioral Reviews, 2025. [online] Available at: pubmed.ncbi.nlm.nih.gov/40945632.
  • Maki, P. M., Jaff, N. G. Brain fog in menopause: a health-care professional's guide for decision-making and counseling on cognition. Climacteric, 2022. [online] Available at: pubmed.ncbi.nlm.nih.gov/36178170.
  • Ceban, F., Ling, S., Lui, L. M. W. et al. Fatigue and cognitive impairment in Post-COVID-19 Syndrome: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 2022. [online] Available at: pubmed.ncbi.nlm.nih.gov/34973396.
  • Ophir, E., Nass, C., Wagner, A. D. Cognitive control in media multitaskers. Proceedings of the National Academy of Sciences, 2009. [online] Available at: pubmed.ncbi.nlm.nih.gov/19706386.
  • Wiradhany, W., Nieuwenstein, M. R. Cognitive control in media multitaskers: Two replication studies and a meta-Analysis. Attention, Perception, & Psychophysics, 2017. [online] Available at: pubmed.ncbi.nlm.nih.gov/28840547.
  • Uncapher, M. R., Wagner, A. D. Minds and brains of media multitaskers: Current findings and future directions. Proceedings of the National Academy of Sciences, 2018. [online] Available at: pubmed.ncbi.nlm.nih.gov/30275312.
  • Jessen, F., Amariglio, R. E., Buckley, R. F. et al. The characterisation of subjective cognitive decline. The Lancet Neurology, 2020. [online] Available at: pubmed.ncbi.nlm.nih.gov/31958406.
  • Csábi, E., Kovács, F. M., Volosin, M. Predictors of subjective memory functioning in young adults. BMC Psychiatry, 2025. [online] Available at: pubmed.ncbi.nlm.nih.gov/39972297.

What the first step looks like

If you recognised yourself in what you have read, the first step with us is a conversation, not a decision. The first call is free and takes about 20 minutes: you tell us how long you have been forgetting things, what has changed and what you have already checked, and we tell you honestly whether an assessment makes sense in your case.

When the answer is that you first need tests or a doctor, you get it just as directly. It happens often, and it is fine for it to be that way.

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Frequently asked questions about forgetting and concentration

Is it normal to forget things at 30 or 40?

Yes, occasional forgetting is normal at any age. It becomes a sign worth checking when it is new for you, has lasted more than a month and gets in your way at work or at home.

Which tests should I have if I forget often and can't concentrate?

Your GP decides the list, after talking with you. Usually they check a full blood count, iron stores, vitamin B12 and thyroid function, because each of them can affect memory and concentration.

Can stress affect my memory?

It can, and the link is well documented. A meta-analysis of more than 22,000 people found that anxiety consistently goes together with weaker working memory, and stress that lasts for months affects the brain structures involved in memory.

Is forgetting a sign of Alzheimer's?

In young and middle-aged adults, rarely. Most people who feel their memory is declining do not go on to a progressive decline. It is worth seeing a neurologist if your forgetting keeps getting worse, if you get lost in familiar places or if the people around you are more worried than you are.

How can I tell whether I have ADHD or am just tired?

Tiredness comes and goes with sleep and with hard periods. ADHD is an old pattern that shows already in childhood and in the school years. The diagnosis can only be made in a specialist assessment.

When does brain training make sense for memory and concentration?

The decision is made after the assessment. The map, read next to the conversation and the questionnaires, shows what is worth working on first, for example attention, sleep or arousal level, and the plan is built on what was measured.

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