It's unbelievable that I made so many mistakes just writing down my problems, the worst is I forgot I entered this and entered again tonight. I've been having problems for 7 years until diagnosed. I'm not sure how this site works. This cognitive problems is not good. Questions is this a problem of MG, drugs, alzheimer's, a stroke or depression. I haven't called the my nerulogist yet. He said to call if I saw double. Concerning county mental health, why county? Thank you for responding. I have not met any one who has MG.
I have that thing with the words, only it happens not when I write, but when I speak, I've had it for many years. Recently it causes me major communication problems. Sometimes I am not even aware of it. I do not have Alzheimer's, rather it comes from several very painful conditions I put up with, and when a person is in bad discomfort, they cannot think straight, and that is what my good neurologist doc has explained to me.
Now, could be your word glitch comes from other conditions...I'm just telling you mine, in case it helps you. Also, it is true, if you are depressed, you can fumble around with your words, your whole body and mind slows down, you see. I think you should consider seeing a county mental health clinic psychologist, they can work wonders on unresolved issues going on in your head, so as to release frustration and its resulting depression.
Two other things. In my experience only, Zoloft is much milder than Lexapro and much less problematic, and it works equally well. I was unlucky, I had a bad reaction to Lexapro, so COULD be that drug should be changed and maybe you'll do a little better. Now, on the borderline apnea, other than regular causes, it can also come from a combination of medications, or it can come from too much weight or swelling.
But just as a general comment, your situation sounds rather complex. Your neurologist will take care of your body, but I think you would find a lot of help with other support team people, like a psychologist, maybe a massage professional to help you relax, and of course you need to regularly see a good family doctor group as a MUST.