Advancing MS: Coping with Depression, Stress, and Anger

Stuart SchlossmanMultiple Sclerosis, Multiple Sclerosis (MS) Symptoms

Multiple sclerosis (MS) can profoundly affect your physical health, but it can also take a serious toll on your mental health. Depression, stress, anxiety, and mood swings are all common in people with advancing MS, but it’s possible to manage these emotional changes. Here are some ways to reduce stress, create a healthier mindset, and maintain a better quality of life.

If you have MS, you know that each day brings new challenges and questions. Constant uncertainty and worry can cause almost anyone to feel anxious, stressed, or fearful.
According to the Cleveland Clinic, the most common emotional changes you may experience with MS include:

Your experience of the disease may lead to depression. For example, your changing body and mind may affect how you feel about yourself and your life. The disease itself may also cause depression: As MS attacks the myelin, your nerves may no longer be able to correctly transmit the electrical impulses that affect your mood.
The good news is that depression can be treated. In most cases, doctors prescribe a combination of therapy and antidepressant medication. Talk therapy may be one-on-one with a licensed professional, or your doctor may suggest meeting in group therapy sessions with other people who also have MS.

Stress can be healthy in small doses. It promotes faster responses to situations which require them and can even boost immunity.
Prolonged and unresolved stress can have the opposite effect, however. You may begin having new or worsened MS symptoms because of how stress affects the disease and your body.
MS is unpredictable, which can add to stress. The disease can change and get worse without warning. Other stressful factors include the invisibility of symptoms, financial concerns about covering treatment, and the constant adjustments needed to address the progressing disease.
Stress can be treated, though. In fact, a 2012 study found that people with MS who followed an 8-week stress management program of relaxation breathing and muscle relaxation techniques experienced less stress and fewer symptoms of depression.
Regular exercise can also help reduce stress. Talk with your doctor or physical therapist about ways you can be active without aggravating your symptoms or setting back progress.

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