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Wednesday, March 11, 2009

Emotional Changes for those with Multiple Sclerosis

In addition to its physical symptoms, MS may have profound emotional consequences. At first, it may be difficult to adjust to the diagnosis of a disorder that is unpredictable, has a fluctuating course, and carries a risk of progressing over time to some level of physical disability. Lack of knowledge about the disease adds to the anxieties commonly experienced by people who are newly diagnosed. In addition to these emotional reactions to the disease, demyelination and damage to nerve fibers in the brain can also result in emotional changes. Some of the medications used in MS—such as corticosteroids—can also have significant effects on the emotions. Some of the emotional changes observed in MS include the following:

-Major depressive episodes as well as less severe depressive symptoms
-Grieving for losses related to the disease
-Stress and reactions to stressful situations
-Generalized distress and anxiety
-Emotional lability or mood swings
-Pseudobulbar Affect - uncontrollable laughing and/or crying
-Inappropriate behavior such as sexual aggressiveness

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