Initial diagnosis in 2003 with improvement enough to work in 2005. In 2010 I got sick again that continued to get slowly worse for a few years. A couple years ago I started improving. I am now mostly using only a quad cane for assist for normal activity, but still "wilt" for extended activities which leads me to needing my wheelchair. My mental status is improved enough to manage with phone apps as reminder and supervision for cooking and cleaning. I can do 30 minutes of activity now before resting. I still get easily confused and have increase in anxiety or space out. I still struggle with controlling my emotions especially frustration and anger.