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Hi, I am 45, and use to be an Architectural consultant, used math every day, like you, and started forgetting how to do things, falling asleep at my drafting table, forgetting how to get to job sites, etc. That was in 1998. This led to being fired from a job where I was making $32,000 a year to start, based on past performance, and college intern work for an architectural consultant firm.
Whatever the case may be, chances are your doctors are incorrect in attributing this to stress. More likely than not, stress can cause, at least some degree, some types of cognitive difficulty, and chances are that in a 42 year-old, that would be a likely cause. But repeated head injuries are not to be overlooked, and my guess the likely culprit.
I had been hit by a car, on a motorcycle, in 1987, and had a severe head and brain injury, went through 3 years of speach and physical therapy and 3 years, after that, of counseling and college through the Bureau of Vocational Rehabilitation, and watched it all seem to fall apart.
I didn't get my answer until last year when I went to my doctor with strange symptoms and upon doing an MRI 2 months into the diagnostic process, I got my answer. I will not tell you here, but I suggest you go see a Neurologist, which is where my GP sent me. I too had white spots on my MRI.
I am now getting the therapy I need because of my diagnosis, and I don't feel like I am grasping at straws anymore.
Please go see a Neuro and let me know how you are doing. Sincerely, Bright Feather