@Rperez030 While using browse mode in Word will overcome most of the same things like pressing down arrow in a multi-column document in Word, this setting is a Word setting, so it will work in focus mode as well as with no screen reader running. Microsoft left the option off by default to preserve the existing functionality - but I can't think of any good reason for NVDA users NOT to enable it (if anyone can think of a reason not to use it, please let me know).