Are you depressed? If you are CBT may help.
“Depression, the silent killer. Up to 50% of MSers will experience major depression in their lifetime; this is much higher than the general population or for people with other chronic disabling diseases, for example rheumatoid arthritis. Depression usually coexists with a cluster of other negative symptom, which includes anxiety, fatigue, poor sleep and pain. These symptoms can all be linked to the negative consequences of having MS, i.e. breakdowns in interpersonal relationships, social isolation, unemployment, cognitive impairment and frank dementia, poor adherence to medication, increased risk of suicide, a reduction in the quality of life and a reduction in life expectancy. Why do MSers get depressed? There are many reasons for this and it is not simply a reactive depression to getting bad news about having a chronic disease. I suspect that it is linked to some of the mechanisms that underlie MS pathogenesis, i.e. ongoing inflammation and end organ damage (progressive damage to the brain). This is why it is so important to view the treatment of depression in MS holistically.”
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